CPT code 63267: Spinal lesion excision, lumbar, extradural, non-neoplastic2026 Medicare rate & RVUs in Missouri
Reported for lumbar laminectomy to remove or evacuate a non-neoplastic lesion outside the dura, such as an epidural abscess or hematoma.
CMS doesn’t publish an office rate for 63267 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $1,289.14 |
| Metropolitan St. Louis, MO | Unavailable | $1,300.79 |
| Rest of Missouri | Unavailable | $1,252.64 |
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.
How the rate is built · 63267
RVUs × geographic indexes × conversion factor
Work18.96
18.96 RVUs× 1.000 GPCI
Practice expense13.93
13.93 RVUs× 1.000 GPCI
Malpractice6.71
6.71 RVUs× 1.000 GPCI
Adjusted RVUs
39.6000
Conversion factor
$33.4009
Medicare rate
$1,322.68
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 63267
63267 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 63267
Spinal lesion excision, lumbar, extradural, non-neoplastic
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 63267
Spinal lesion excision, lumbar, extradural, non-neoplastic
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
63267 without 51 · national facility
$1,322.68
Spinal lesion excision, lumbar, extradural, non-neoplastic
63267-51 · Second procedure: 50%
$661.34
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
63267 compared with similar codes
Compare codes · National
5 codes, side by side
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.
63267 billing questions
How is this code distinguished from 63272?
This code is for a non-neoplastic lesion outside the dura. Code 63272 is for a non-neoplastic lesion inside the dura but outside the spinal cord.
Can this code be used for a lumbar spinal tumor?
No. This code is for a non-neoplastic extradural lesion; a code for an extradural neoplasm is the relevant comparison when the lesion is a tumor.
What documentation supports the code?
The operative report should identify the lumbar level, establish that the lesion was extradural and non-neoplastic, and describe the removal or evacuation performed through the laminectomy.
How does the global period affect postoperative billing?
Medicare includes the day-before preoperative visit and related postoperative care through day 90 in the major-surgery global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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
Show the CMS file lines behind this rate
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