CPT code 63268: Spinal lesion excision, sacral, extradural, nonneoplastic2026 Medicare rate & RVUs in Arkansas
Reports laminectomy-based removal or evacuation of a nonneoplastic lesion outside the dura in the sacral spinal canal.
In Arkansas, Medicare pays $1,249.34 for 63268 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 63268 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 63268 covers
A neurosurgeon or orthopedic spine surgeon uses a laminectomy approach to remove or evacuate a nonneoplastic lesion in the sacral spinal canal that lies outside the dura. Examples include an extradural abscess or hematoma. The operative report should establish the sacral level, extradural location, and nonneoplastic nature of the lesion, as well as the work performed to remove or evacuate it.
Choose this code for the sacral level and extradural, nonneoplastic lesion type; a lesion inside the dura or a neoplasm follows a different code pathway. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons are paid only with 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.
How Arkansas compares for 63268
Across 109 of 109 payment localities, the facility rate for 63268 runs from $1,244.88 in Wisconsin to $1,900.18 in Miami, FL. Arkansas pays $1,249.34. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arkansas · this page$1,249.34
- Los Angeles, CA · California$1,488.94+$239.60
- Washington, DC area · District of Columbia$1,618.34+$369.00
- Miami, FL · Florida$1,900.18+$650.84
- Chicago, IL · Illinois$1,821.25+$571.91
- Manhattan, NY · New York$1,746.55+$497.21
- Alaska · Alaska$1,694.51+$445.17
Other areas in Arkansas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,271.87 |
| ArizonaArizona | — | $1,401.54 |
| Bakersfield, CACalifornia | — | $1,413.31 |
| Chico, CACalifornia | — | $1,391.91 |
| El Centro, CACalifornia | — | $1,393.29 |
| Fresno, CACalifornia | — | $1,391.91 |
| Hanford, CACalifornia | — | $1,391.91 |
| Madera, CACalifornia | — | $1,391.91 |
| Merced, CACalifornia | — | $1,391.91 |
| Modesto, CACalifornia | — | $1,391.91 |
| Napa, CACalifornia | — | $1,531.95 |
| Oxnard, CACalifornia | — | $1,468.65 |
| Redding, CACalifornia | — | $1,391.91 |
| Rest of CaliforniaCalifornia | — | $1,391.91 |
| Riverside, CACalifornia | — | $1,479.81 |
| Sacramento, CACalifornia | — | $1,439.84 |
| Salinas, CACalifornia | — | $1,434.46 |
| San Diego, CACalifornia | — | $1,455.08 |
| Marin County, CACalifornia | — | $1,588.12 |
| San Francisco, CACalifornia | — | $1,578.77 |
| San Benito County, CACalifornia | — | $1,636.07 |
| Santa Clara County, CACalifornia | — | $1,597.81 |
| San Luis Obispo, CACalifornia | — | $1,414.72 |
| Santa Cruz, CACalifornia | — | $1,457.64 |
| Santa Maria, CACalifornia | — | $1,436.21 |
| Santa Rosa, CACalifornia | — | $1,470.40 |
| Stockton, CACalifornia | — | $1,391.91 |
| Vallejo, CACalifornia | — | $1,518.46 |
| Visalia, CACalifornia | — | $1,391.91 |
| Yuba City, CACalifornia | — | $1,391.91 |
| ColoradoColorado | — | $1,439.11 |
| ConnecticutConnecticut | — | $1,569.29 |
| DelawareDelaware | — | $1,426.71 |
| Fort Lauderdale, FLFlorida | — | $1,686.89 |
| Rest of FloridaFlorida | — | $1,572.71 |
| Atlanta, GAGeorgia | — | $1,523.38 |
| Rest of GeorgiaGeorgia | — | $1,453.17 |
| Hawaii, Guam, HIHawaii | — | $1,414.41 |
| IowaIowa | — | $1,246.57 |
| IdahoIdaho | — | $1,270.14 |
| East St. Louis, ILIllinois | — | $1,694.26 |
| Rest of IllinoisIllinois | — | $1,566.42 |
| Suburban Chicago, ILIllinois | — | $1,688.97 |
| IndianaIndiana | — | $1,277.43 |
| KansasKansas | — | $1,270.19 |
| KentuckyKentucky | — | $1,375.35 |
| New Orleans, LALouisiana | — | $1,463.75 |
| Rest of LouisianaLouisiana | — | $1,385.06 |
| Metropolitan Boston, MAMassachusetts | — | $1,556.97 |
| Rest of MassachusettsMassachusetts | — | $1,440.29 |
| Baltimore area, MDMaryland | — | $1,571.99 |
| Rest of MarylandMaryland | — | $1,447.93 |
| Rest of MaineMaine | — | $1,311.15 |
| Southern Maine, MEMaine | — | $1,351.28 |
| Detroit, MIMichigan | — | $1,627.85 |
| Rest of MichiganMichigan | — | $1,446.97 |
| MinnesotaMinnesota | — | $1,279.24 |
| Metropolitan Kansas City, MOMissouri | — | $1,418.93 |
| Metropolitan St. Louis, MOMissouri | — | $1,432.71 |
| Rest of MissouriMissouri | — | $1,377.26 |
| MississippiMississippi | — | $1,312.06 |
| MontanaMontana | — | $1,457.06 |
| North CarolinaNorth Carolina | — | $1,322.72 |
| North DakotaNorth Dakota | — | $1,294.13 |
| NebraskaNebraska | — | $1,245.59 |
| New HampshireNew Hampshire | — | $1,444.96 |
| Northern New JerseyNew Jersey | — | $1,602.27 |
| Rest of New JerseyNew Jersey | — | $1,559.19 |
| New MexicoNew Mexico | — | $1,468.91 |
| NevadaNevada | — | $1,412.18 |
| NYC suburbs and Long Island, NYNew York | — | $1,835.46 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,595.14 |
| Queens, NYNew York | — | $1,717.53 |
| Rest of New YorkNew York | — | $1,349.35 |
| OhioOhio | — | $1,413.67 |
| OklahomaOklahoma | — | $1,339.49 |
| Portland, OROregon | — | $1,456.46 |
| Rest of OregonOregon | — | $1,373.75 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,544.22 |
| Rest of PennsylvaniaPennsylvania | — | $1,398.98 |
| Puerto RicoPuerto Rico | — | $1,459.32 |
| Rhode IslandRhode Island | — | $1,457.78 |
| South CarolinaSouth Carolina | — | $1,376.02 |
| South DakotaSouth Dakota | — | $1,274.87 |
| TennesseeTennessee | — | $1,281.92 |
| Austin, TXTexas | — | $1,458.31 |
| Beaumont, TXTexas | — | $1,390.34 |
| Brazoria, TXTexas | — | $1,397.51 |
| Dallas, TXTexas | — | $1,422.28 |
| Fort Worth, TXTexas | — | $1,420.55 |
| Galveston, TXTexas | — | $1,411.78 |
| Houston, TXTexas | — | $1,562.60 |
| Rest of TexasTexas | — | $1,403.87 |
| UtahUtah | — | $1,397.72 |
| VirginiaVirginia | — | $1,367.68 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,459.32 |
| VermontVermont | — | $1,316.35 |
| Rest of WashingtonWashington | — | $1,428.42 |
| King County, WAWashington | — | $1,560.25 |
| WisconsinWisconsin | — | $1,244.88 |
| West VirginiaWest Virginia | — | $1,506.75 |
| WyomingWyoming | — | $1,386.06 |
63268 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 63268 rate is calculated
Each of 63268’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 · 63268
RVUs × geographic indexes × conversion factor
Work19.52
19.52 RVUs× 1.000 GPCI
Practice expense15.88
15.88 RVUs× 1.000 GPCI
Malpractice8.24
8.24 RVUs× 1.000 GPCI
Adjusted RVUs
43.6400
Conversion factor
$33.4009
Medicare rate
$1,457.62
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Arkansas inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,046
- Code
- 63268
- Physician work
- 19.52
- Practice expense
- 15.88
- Malpractice
- 8.24
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.52 | × 1.000 | 19.5200 |
| Practice expense | 15.88 | × 0.859 | 13.6409 |
| Malpractice | 8.24 | × 0.515 | 4.2436 |
| Total RVUs | 37.4045 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$1249.34
Facility: (19.52 × 1 + 15.88 × 0.859 + 8.24 × 0.515) × $33.4009 = $1249.34
Payment rules and modifiers for 63268
63268 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 63268
Spinal lesion excision, sacral, extradural, nonneoplastic
| 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 · 63268
Spinal lesion excision, sacral, extradural, nonneoplastic
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
63268 without 51 · national facility
$1,457.62
Spinal lesion excision, sacral, extradural, nonneoplastic
63268-51 · Second procedure: 50%
$728.81
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%).
How 63268 has changed in Arkansas
63268 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,249.34 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,249.34 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,249.34 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,249.34 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,250.59 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,250.59 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,250.59 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,250.59 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,279.25 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,279.25 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,279.25 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,279.25 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,258.37 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,238.95 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,238.95 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,238.95 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,238.95 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,254.53 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,254.53 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,254.53 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,254.53 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,257.86 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,257.86 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,257.86 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,257.86 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,290.48 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,290.48 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,290.48 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,290.48 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,312.33 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,312.33 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,312.33 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,312.33 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,330.75 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,330.75 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,330.75 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,330.75 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,292.21 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,292.21 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,292.21 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,292.21 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,307.69 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,307.69 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,307.69 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,307.69 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,324.55 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,324.55 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,317.96 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,317.96 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,293.53 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,293.53 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,293.53 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,293.53 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,265.34 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,265.34 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,265.34 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,265.34 | RVU13AR |
Where the Arkansas rate applies
Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.
- Acorn
- Adona
- Alexander
- Alicia
- Alix
- Alleene
- Allport
- Alma
63268 billing questions
How is this code distinguished from the lumbar version?
This code is for the sacral region. Use the lumbar sibling when the treated extradural lesion is at a lumbar level.
Does this code cover an intradural lesion?
No. It describes treatment of a lesion outside the dura; an intradural lesion belongs to a different code pathway.
Can it be reported for an extradural neoplasm?
This code is for a nonneoplastic lesion. The operative documentation should support the lesion type as well as its sacral level and extradural location.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for bilateral treatment?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are paid at 50%. An assistant at surgery may be paid; co-surgery requires supporting documentation.
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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