CPT code 63270: Spinal lesion excision, cervical, intradural extramedullary2026 Medicare rate & RVUs in Alaska

In Alaska, Medicare pays $2,365.99 for 63270 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 63270 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 63270 covers

A spine surgeon, commonly a neurosurgeon, approaches the cervical spinal canal through a laminectomy, opens the dura, and removes or evacuates a non-neoplastic lesion located within the dural sac but outside the spinal cord. A cystic lesion such as an arachnoid cyst may fit when the operative findings establish this location and the lesion is not a neoplasm. The code is specific to the cervical region and the intradural, extramedullary compartment.

The operative report should identify the cervical level, the lesion’s relationship to the dura and spinal cord, and the removal or evacuation performed. This is major surgery with a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one 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 made; co-surgeons require supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this code.

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 Alaska compares for 63270

Across 109 of 109 payment localities, the facility rate for 63270 runs from $1,712.28 in Wisconsin to $2,676.57 in Miami, FL. Alaska pays $2,365.99. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

63270 rates by state

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

See 63270 in every payment locality

How the 63270 rate is calculated

Each of 63270’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 63270

63270 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 63270

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

How 63270 has changed in Alaska

Price 63270 for an earlier date of service

Where the Alaska rate applies

Alaska is a Medicare payment area, not a city. Our Census mapping connects it to 355 cities and communities in Alaska. Some span more than one payment area; confirm with the service ZIP.

• Adak
• Akhiok
• Akiachak
• Akiak
• Akutan
• Alakanuk
• Alatna
• Alcan Border

Browse all communities in Alaska

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