CPT code 63272: Spinal lesion surgery, lumbar, non-neoplastic, intradural2026 Medicare rate & RVUs in Missouri
Reports lumbar surgery to remove or evacuate a non-neoplastic lesion within the dura, such as an intradural cyst or collection.
CMS doesn’t publish an office rate for 63272 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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What 63272 covers
A neurosurgeon or spine surgeon uses a lumbar approach to open the spinal canal and remove or evacuate a lesion located within the dura that is not a neoplasm. Examples may include an intradural cyst or a collection requiring evacuation. The operative report should establish the lumbar level, the lesion’s intradural location, and the work performed; the code is not selected for a neoplasm or an extradural lesion.
Report this code when the documented procedure and lesion location support that service, rather than a code for a different spinal region or compartment. CMS assigns 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 other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; 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 63272 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 | $1,785.78 |
| Metropolitan St. Louis, MO | Unavailable | $1,802.14 |
| Rest of Missouri | Unavailable | $1,739.92 |
How the 63272 rate is calculated
Each of 63272’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 · 63272
RVUs × geographic indexes × conversion factor
Work26.81
26.81 RVUs× 1.000 GPCI
Practice expense17.42
17.42 RVUs× 1.000 GPCI
Malpractice10.54
10.54 RVUs× 1.000 GPCI
Adjusted RVUs
54.7700
Conversion factor
$33.4009
Medicare rate
$1,829.37
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 63272
63272 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 63272
Spinal lesion surgery, lumbar, non-neoplastic, intradural
| 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 · 63272
Spinal lesion surgery, lumbar, non-neoplastic, intradural
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
63272 without 51 · national facility
$1,829.37
Spinal lesion surgery, lumbar, non-neoplastic, intradural
63272-51 · Second procedure: 50%
$914.69
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%).
63272 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 63267Spinal lesion excisionLumbar, extradural, non-neoplastic
- Both address non-neoplastic lumbar lesions, but 63267 is for an extradural lesion; this code is for an intradural lesion.
- 63282Spinal lesion surgeryLumbar, intradural extramedullary
- Code 63282 is for biopsy or excision of an intradural, extramedullary neoplasm at a lumbar level. This code applies to a non-neoplastic lesion.
- 63277Spinal lesion surgeryExtradural, lumbar
- Code 63277 addresses a lumbar extradural neoplasm. This code is for a non-neoplastic lesion located within the dura.
63272 billing questions
How does this differ from 63267?
This code is for a non-neoplastic lesion within the dura at a lumbar level. Code 63267 describes the corresponding non-neoplastic service for an extradural lesion.
Can this code be used for a spinal tumor?
No. This code is for a non-neoplastic lesion. A tumor requires the code that matches its location and the documented tumor procedure.
What documentation supports reporting this code?
The operative report should identify the lumbar level, document that the lesion was intradural and non-neoplastic, and describe its removal or evacuation.
Is modifier 50 appropriate for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does CMS handle another procedure performed in the same session?
The highest-valued procedure is paid in full, and other procedures in that session are subject to the standard multiple procedure reduction.
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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