CPT code 63267: Spinal lesion excision, lumbar, extradural, non-neoplastic2026 Medicare rate & RVUs

Medicare pays $1,322.68 for 63267 nationally in a facility.

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

What 63267 covers

A neurosurgeon or orthopedic spine surgeon uses a lumbar laminectomy to reach and remove or evacuate a lesion in the spinal canal but outside the dura. Typical clinical examples include an extradural abscess or hematoma when surgical removal or evacuation is performed. The service is generally provided in an operating room, with the operative report identifying the lumbar level and the lesion’s extradural location.

Choose this code when the treated lesion is non-neoplastic and extradural; a different code applies when the lesion is intradural or a neoplasm. Documentation should support the approach, site, compartment, and work performed. Medicare assigns a 90-day major-surgery global period, including the day-before preoperative visit and related postoperative care through day 90. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery 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.

Where 63267 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

63267 rates by state

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

How the 63267 rate is calculated

Each of 63267’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 63267

63267 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

63267 compared with similar codes

How to choose

63272Spinal lesion surgeryLumbar, non-neoplastic, intradural

Both concern non-neoplastic lumbar lesions, but 63272 is for a lesion inside the dura and outside the spinal cord; this code is for an extradural lesion.

63277Spinal lesion surgeryExtradural, lumbar

Both involve lumbar extradural lesions, but 63277 is used for a neoplasm. This code is for a non-neoplastic lesion.

63282Spinal lesion surgeryLumbar, intradural extramedullary

Code 63282 concerns an intradural, extramedullary neoplasm at the lumbar level. This code concerns a non-neoplastic lesion outside the dura.

63266Spinal lesion excisionThoracic, extradural

The lesion type and extradural location are comparable, but 63266 applies at the thoracic level rather than the lumbar level.

Codes related to 63267

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

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