CPT code 63266: Spinal lesion excision, thoracic, extradural2026 Medicare rate & RVUs in Montana

In Montana, Medicare pays $1,657.40 for 63266 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 63266 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 63266 covers

A neurosurgeon or other qualified spine surgeon uses a thoracic exposure, commonly with laminectomy, to reach and remove or evacuate a lesion in the spinal canal but outside the dura. Examples include an epidural abscess or hematoma. The defining distinctions are the thoracic location, extradural compartment, and nonneoplastic nature of the lesion; an intradural lesion or a spinal neoplasm belongs to a different code pathway.

Select the code from the operative findings and report: documentation should identify the thoracic level, the lesion’s extradural location and nonneoplastic character, and the removal or evacuation performed. CMS assigns major-surgery status with a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and the others at 50%. Modifier 50 is not appropriate for this code. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Montana compares for 63266

Across 109 of 109 payment localities, the facility rate for 63266 runs from $1,421.31 in Wisconsin to $2,152.78 in Miami, FL. Montana pays $1,657.40. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

63266 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 63266 in every payment locality

How the 63266 rate is calculated

Each of 63266’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 63266

63266 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 63266

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 63266 has changed in Montana

Price 63266 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates