63709 Repair spinal fluid leakage
Also known as: CSF leak repair with dural graft, pseudomeningocele repair with graft
Repair of spinal cord cerebrospinal fluid leak or pseudomeningocele with dural graft placement. This more extensive procedure involves closure of cerebrospinal fluid leak with additional dural grafting.
In Plain Language
spinal fluid leak repair with tissue graft
Clinical Context
Used for more complex cerebrospinal fluid leaks or pseudomeningoceles requiring dural grafting for secure closure.
RVU Breakdown
| Work RVU | 15.26 |
| Total RVU | 15.26 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 15.26, this code ranks in the 73rd percentile among Surgery codes — 1.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 63709?
CPT 63709 (Repair spinal fluid leakage) is a Surgery code. Repair of spinal cord cerebrospinal fluid leak or pseudomeningocele with dural graft placement. This more extensive procedure involves closure of cerebrospinal fluid leak with additional dural grafting.
What is the wRVU value for CPT 63709?
The work RVU for CPT 63709 is 15.26. This code is primarily used by Neurosurgery, Spine Surgery. It has a 90-day global period.
When is CPT 63709 used?
Used for more complex cerebrospinal fluid leaks or pseudomeningoceles requiring dural grafting for secure closure.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.