China is rich in high-grade coalbed methane resources, accounting for one-third of the total amount of coalbed methane resources. Qinshui Basin is the main high ranking coalbed methane mining basin in China. In the early stage of CBM development, low-production and low-efficiency wells were formed in the process of block development because of an insufficient understanding of reservoir geological conditions. The existence of low-yield and low-efficiency wells with low output and a poor development benefit seriously restricts the efficient development of coalbed methane. In order to improve the overall development efficiency of coalbed methane fields, how to revitalize low-yield and low-efficiency wells is the main problem facing the development process of coalbed methane. With the deepening understanding of the study area geology, the formation of low-yield and low-efficiency wells has been basically identified. With the advancement of development technology, developers have the ability to retrofit some low-producing and inefficient wells. Low-production and low-efficiency wells are widely distributed. It is difficult to find the criteria for classifying low-producing and low-efficiency wells because of the great differences in geological conditions and reservoir physical properties in different blocks. In addition, the causes of a low-production and low-efficiency well are complex, as the same well is often caused by many reasons, and how to identify the causes of low-production and low-efficiency wells is difficult. In recent decades, developers have studied many methods to retrofit low-production wells, but the retrofit results are not satisfactory. How to choose an economical and efficient reservoir reconstruction method to revitalize low-production and low-efficiency wells is particularly important. This paper starts with the definition of low-production and low-efficiency wells in different blocks, combining an economic evaluation and productivity characteristics to judge whether they are low-production and low-efficiency wells, and defines the distribution of low-production and low-efficiency wells in blocks. The reasons for the formation of low-production and low-efficiency wells are analyzed with the geological characteristics, production dynamic performance, and engineering reconstruction effects. This paper makes a comparative analysis of the current relatively mature low-production and low-efficiency well treatment measures, clearly identifies the advantages and disadvantages of different treatment measures, and takes corresponding stimulation measures for different causes of low-production and low-efficiency wells. The research shows that there are 687 low-production and low-efficiency wells in block A, accounting for 69.4% of the total number of wells, and the low-production and low-efficiency wells account for a relatively large proportion; so, it is necessary to treat them. The main causes of low-production and low-efficiency wells are geology, engineering and drainage systems. The geological reason mainly refers to the low gas production of coalbed methane wells influenced by three factors: resource abundance, faults, and collapse columns. According to the different causes, three treatment measures of large-scale secondary fracturing, temporary plugging, and diversion fracturing and foam fracturing are put forward. The research method in this paper is targeted at different geological conditions so it can be used to guide the treatment of low-yield and low-efficiency wells in other CBM blocks, and it has very important significance for revitalizing the existing low-efficiency CBM assets and improving the development efficiency of CBM.