CPT code 63272: Spinal lesion surgery, lumbar, non-neoplastic, intradural2026 Medicare rate & RVUs in Mississippi

Reports lumbar surgery to remove or evacuate a non-neoplastic lesion within the dura, such as an intradural cyst or collection.

CMS RVU26DEffective Oct 1, 2026One payment locality132 Medicare services in 2024

In Mississippi, Medicare pays $1,656.61 for 63272 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,656.61Hospital or facility

Check a contract rate as a % of Medicare · 63272 nationwide

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

We’ll open 63272 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 63272 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Mississippi compares for 63272

Across 109 of 109 payment localities, the facility rate for 63272 runs from $1,561.31 in Wisconsin to $2,391.50 in Miami, FL. Mississippi pays $1,656.61. The RVUs are the same everywhere; the geographic indexes change the dollars.

63272 in Mississippi vs other payment areas
  1. Mississippi · this page$1,656.61
  2. Los Angeles, CA · California$1,854.27+$197.66
  3. Washington, DC area · District of Columbia$2,021.07+$364.46
  4. Miami, FL · Florida$2,391.50+$734.89
  5. Chicago, IL · Illinois$2,294.44+$637.83
  6. Manhattan, NY · New York$2,187.24+$530.63
  7. Alaska · Alaska$2,156.86+$500.25

Other areas in Mississippi first, then benchmark localities. Bars start at $0.

Every other payment area

63272 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,603.85
ArkansasArkansas—$1,576.59
ArizonaArizona—$1,760.64
Bakersfield, CACalifornia—$1,764.59
Chico, CACalifornia—$1,737.10
El Centro, CACalifornia—$1,738.86
Fresno, CACalifornia—$1,737.10
Hanford, CACalifornia—$1,737.10

63272 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
63272 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 63272 in every payment locality

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

Office or facility?

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.

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,049

Code
63272
Physician work
26.81
Practice expense
17.42
Malpractice
10.54

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Facility calculation for 63272 in Mississippi
ComponentRVULocality factorAdjusted
Physician work26.81× 1.00026.8100
Practice expense17.42× 0.86114.9986
Malpractice10.54× 0.7397.7891
Total RVUs49.5977
Conversion factor× 33.4009

Facility rate, Mississippi$1656.61

Facility: (26.81 × 1 + 17.42 × 0.861 + 10.54 × 0.739) × $33.4009 = $1656.61

Open 63272 in the RVU calculator

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

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.76/0.13Share 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

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%).

When to use modifier 51

How 63272 has changed in Mississippi

63272 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,656.61RVU26D
2026-07-01Not available in this setting$1,656.61RVU26C
2026-04-01Not available in this setting$1,656.61RVU26B
2026-01-01Not available in this setting$1,656.61RVU26A
2025-10-01Not available in this setting$1,692.64RVU25D
2025-07-01Not available in this setting$1,692.64RVU25C
2025-04-01Not available in this setting$1,692.64RVU25B
2025-01-01Not available in this setting$1,692.64RVU25A
2024-10-01Not available in this setting$1,721.96RVU24D
2024-07-01Not available in this setting$1,721.96RVU24C
2024-04-01Not available in this setting$1,721.96RVU24B
2024-03-09Not available in this setting$1,721.96RVU24AR
2024-01-01Not available in this setting$1,693.85RVU24A
2023-10-01Not available in this setting$1,717.29RVU23D
2023-07-01Not available in this setting$1,717.29RVU23C
2023-04-01Not available in this setting$1,717.29RVU23B
2023-01-01Not available in this setting$1,717.29RVU23A
2022-10-01Not available in this setting$1,718.29RVU22D
2022-07-01Not available in this setting$1,718.29RVU22C
2022-04-01Not available in this setting$1,718.29RVU22B
2022-01-01Not available in this setting$1,718.29RVU22A
2021-10-01Not available in this setting$1,718.24RVU21D
2021-07-01Not available in this setting$1,718.24RVU21C
2021-04-01Not available in this setting$1,718.24RVU21B
2021-01-01Not available in this setting$1,718.24RVU21A
2020-10-01Not available in this setting$1,718.84RVU20D
2020-07-01Not available in this setting$1,718.84RVU20C
2020-04-01Not available in this setting$1,718.84RVU20B
2020-01-01Not available in this setting$1,718.84RVU20A
2019-10-01Not available in this setting$1,679.12RVU19D
2019-07-01Not available in this setting$1,679.12RVU19C
2019-04-01Not available in this setting$1,679.12RVU19B
2019-01-01Not available in this setting$1,679.12RVU19A
2018-10-01Not available in this setting$1,680.10RVU18D
2018-07-01Not available in this setting$1,680.10RVU18C
2018-04-01Not available in this setting$1,680.10RVU18B
2018-01-01Not available in this setting$1,680.10RVU18AR1
2017-10-01Not available in this setting$1,715.33RVU17D
2017-07-01Not available in this setting$1,715.33RVU17C
2017-04-01Not available in this setting$1,715.33RVU17B
2017-01-01Not available in this setting$1,715.33RVU17A
2016-10-01Not available in this setting$1,755.23RVU16D
2016-07-01Not available in this setting$1,755.23RVU16C
2016-04-01Not available in this setting$1,755.23RVU16B
2016-01-01Not available in this setting$1,755.23RVU16A
2015-10-01Not available in this setting$1,769.85RVU15D
2015-07-01Not available in this setting$1,769.85RVU15C
2015-04-01Not available in this setting$1,761.05RVU15B
2015-01-01Not available in this setting$1,761.05RVU15A
2014-10-01Not available in this setting$1,765.24RVU14D
2014-07-01Not available in this setting$1,765.24RVU14C
2014-04-01Not available in this setting$1,765.24RVU14B
2014-01-01Not available in this setting$1,765.24RVU14A
2013-10-01Not available in this setting$1,762.44RVU13D
2013-07-01Not available in this setting$1,762.44RVU13C
2013-04-01Not available in this setting$1,762.44RVU13B
2013-01-01Not available in this setting$1,762.44RVU13AR

Price 63272 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

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
RVUs for 63272PPRRVU2026_Oct_nonQPP.csv, line 7,049 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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