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CPT 63702: Surgical Repair of Meningocele (>5 cm)
CPT code 63702 represents surgical repair of a meningocele — a congenital neural tube defect in which the meninges herniate through a defect in the skull or spinal column to form a cerebrospinal fluid–filled sac exceeding 5 cm in diameter. This procedure is clinically significant because it addresses potential neurologic compromise, infection risk, and long-term developmental outcomes in affected infants and children. Nationally, accurate coding of complex pediatric neurosurgical procedures supports appropriate clinical tracking and hospital resource planning.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code’s clinical intent, typical sites of service, and the kinds of policy and billing considerations that commonly affect coverage and payment for major congenital neurosurgical repairs. The publication covers benchmarks where available, relevant policy updates impacting surgical authorization and inpatient versus outpatient classification, and clinical context regarding indications and procedural scope. Data not available in the input will be noted where applicable.
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Billing Code Overview
CPT code 63702 describes surgical repair of a meningocele — a birth defect in which the meninges protrude through a skull or spinal column defect to form a fluid-filled sac. The procedure is for a meningocele with a diameter greater than 5 cm.
Service Type: Surgical repair of congenital neural tube defect (meningocele)
Typical Site of Service: Inpatient or outpatient hospital surgical setting, or specialized pediatric neurosurgery center
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