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CPT 63706: Myelomeningocele Repair, Defect >5 cm
CPT code 63706 represents surgical repair of a large myelomeningocele (>5 cm), a severe form of spina bifida where the spinal cord and meninges protrude through a vertebral defect. This procedure is a critical neurosurgical intervention typically performed in an inpatient hospital or specialized pediatric neurosurgery center to prevent infection, preserve neurologic function, and manage associated anomalies. Nationally, codes for complex congenital neural tube defect repairs matter for bundled payments, quality measurement, and specialized surgical capacity.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a clinical and billing-focused briefing that outlines the procedural intent, typical site of service, and the administrative context for use of the code. The publication provides benchmarks for utilization and allowed services, discusses relevant policy and payer coverage patterns, and summarizes clinical context that coders and administrators need to apply the code correctly. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 63706 describes a surgical repair of a myelomeningocele, a severe form of spina bifida in which the spinal membrane and spinal cord protrude through a defect in the vertebral column. The code applies when the diameter of the myelomeningocele is larger than 5 cm.
Service type: Open neurosurgical repair of congenital spinal dysraphism
Typical site of service: Inpatient hospital or specialized pediatric neurosurgery center operating room