His counsel had argued conditions in US prisons and an extended custody threat meant he should not be sent back.
The Secretary of State will now make a final decision on the case.
District judge Margot Coleman said she had thought a "great deal" about the case before ruling against Mr Giese at Westminster Magistrates' Court.
He is wanted in Orange County after allegedly befriending the child when working as a voice coach for the All-American Boys Chorus in 1998.
US alleged paedophile Roger Giese set for extradition - BBC News
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