CPT code 63276: Spinal lesion surgery, thoracic, extradural neoplasm2026 Medicare rate & RVUs in Delaware

Reports thoracic laminectomy to biopsy or remove a neoplasm located in the spinal canal outside the dura.

CMS RVU26DEffective Oct 1, 2026One payment locality1.5K Medicare services in 2024

In Delaware, Medicare pays $1,691.47 for 63276 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,691.47Hospital or facility

Check a contract rate as a % of Medicare · 63276 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 63276 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 63276 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 63276 covers

A neurosurgeon or spine surgeon uses a thoracic laminectomy to reach a lesion in the spinal canal that lies outside the dura, then obtains a biopsy or removes the lesion. The code is for an extradural neoplasm in the thoracic region; examples may include a tumor involving the epidural space or extending into it. The operative report should establish the lesion’s location and compartment, the thoracic level, and whether the surgeon sampled or excised it.

Select this code when the lesion is both neoplastic and extradural, rather than by the amount of tissue removed. A non-neoplastic extradural lesion and a neoplasm within the dura belong to different code choices. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this anatomically defined service. 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 Delaware compares for 63276

Across 109 of 109 payment localities, the facility rate for 63276 runs from $1,476.56 in Wisconsin to $2,251.73 in Miami, FL. Delaware pays $1,691.47. The RVUs are the same everywhere; the geographic indexes change the dollars.

63276 in Delaware vs other payment areas
  1. Delaware · this page$1,691.47
  2. Los Angeles, CA · California$1,754.19+$62.72
  3. Washington, DC area · District of Columbia$1,909.53+$218.06
  4. Miami, FL · Florida$2,251.73+$560.26
  5. Chicago, IL · Illinois$2,160.59+$469.12
  6. Manhattan, NY · New York$2,064.04+$372.57
  7. Alaska · Alaska$2,034.80+$343.33

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

Every other payment area

63276 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,514.50
ArkansasArkansas—$1,488.77
ArizonaArizona—$1,662.49
Bakersfield, CACalifornia—$1,668.81
Chico, CACalifornia—$1,643.19
El Centro, CACalifornia—$1,644.83
Fresno, CACalifornia—$1,643.19
Hanford, CACalifornia—$1,643.19

63276 rates by state

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

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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
63276 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 63276 in every payment locality

How the 63276 rate is calculated

Each of 63276’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 · 63276

RVUs × geographic indexes × conversion factor

Office or facility?

Work25.05

25.05 RVUs× 1.000 GPCI

Practice expense16.84

16.84 RVUs× 1.000 GPCI

Malpractice9.82

9.82 RVUs× 1.000 GPCI

Adjusted RVUs

51.7100

Conversion factor

$33.4009

Medicare rate

$1,727.16

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,052

Code
63276
Physician work
25.05
Practice expense
16.84
Malpractice
9.82

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Facility calculation for 63276 in Delaware
ComponentRVULocality factorAdjusted
Physician work25.05× 1.00525.1752
Practice expense16.84× 0.98816.6379
Malpractice9.82× 0.8998.8282
Total RVUs50.6414
Conversion factor× 33.4009

Facility rate, Delaware$1691.47

Facility: (25.05 × 1.005 + 16.84 × 0.988 + 9.82 × 0.899) × $33.4009 = $1691.47

Open 63276 in the RVU calculator

Payment rules and modifiers for 63276

63276 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 63276

Spinal lesion surgery, thoracic, extradural neoplasm

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 · 63276

Spinal lesion surgery, thoracic, extradural neoplasm

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

63276 without 51 · national facility

$1,727.16

Spinal lesion surgery, thoracic, extradural neoplasm

63276-51 · Second procedure: 50%

$863.58

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 63276 has changed in Delaware

63276 · 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$1,691.47RVU26D
2026-07-01Not available in this setting$1,691.47RVU26C
2026-04-01Not available in this setting$1,691.47RVU26B
2026-01-01Not available in this setting$1,691.47RVU26A
2025-10-01Not available in this setting$1,754.47RVU25D
2025-07-01Not available in this setting$1,754.47RVU25C
2025-04-01Not available in this setting$1,754.47RVU25B
2025-01-01Not available in this setting$1,754.47RVU25A
2024-10-01Not available in this setting$1,798.03RVU24D
2024-07-01Not available in this setting$1,798.03RVU24C
2024-04-01Not available in this setting$1,798.03RVU24B
2024-03-09Not available in this setting$1,798.03RVU24AR
2024-01-01Not available in this setting$1,768.68RVU24A
2023-10-01Not available in this setting$1,818.13RVU23D
2023-07-01Not available in this setting$1,818.13RVU23C
2023-04-01Not available in this setting$1,818.13RVU23B
2023-01-01Not available in this setting$1,818.13RVU23A
2022-10-01Not available in this setting$1,835.55RVU22D
2022-07-01Not available in this setting$1,835.55RVU22C
2022-04-01Not available in this setting$1,835.55RVU22B
2022-01-01Not available in this setting$1,835.55RVU22A
2021-10-01Not available in this setting$1,841.99RVU21D
2021-07-01Not available in this setting$1,841.99RVU21C
2021-04-01Not available in this setting$1,841.99RVU21B
2021-01-01Not available in this setting$1,841.99RVU21A
2020-10-01Not available in this setting$1,892.86RVU20D
2020-07-01Not available in this setting$1,892.86RVU20C
2020-04-01Not available in this setting$1,892.86RVU20B
2020-01-01Not available in this setting$1,892.86RVU20A
2019-10-01Not available in this setting$1,943.15RVU19D
2019-07-01Not available in this setting$1,943.15RVU19C
2019-04-01Not available in this setting$1,943.15RVU19B
2019-01-01Not available in this setting$1,943.15RVU19A
2018-10-01Not available in this setting$1,930.40RVU18D
2018-07-01Not available in this setting$1,930.40RVU18C
2018-04-01Not available in this setting$1,930.40RVU18B
2018-01-01Not available in this setting$1,930.40RVU18AR1
2017-10-01Not available in this setting$1,936.54RVU17D
2017-07-01Not available in this setting$1,936.54RVU17C
2017-04-01Not available in this setting$1,936.54RVU17B
2017-01-01Not available in this setting$1,936.54RVU17A
2016-10-01Not available in this setting$1,931.34RVU16D
2016-07-01Not available in this setting$1,931.34RVU16C
2016-04-01Not available in this setting$1,931.34RVU16B
2016-01-01Not available in this setting$1,931.34RVU16A
2015-10-01Not available in this setting$1,954.17RVU15D
2015-07-01Not available in this setting$1,954.17RVU15C
2015-04-01Not available in this setting$1,944.45RVU15B
2015-01-01Not available in this setting$1,944.45RVU15A
2014-10-01Not available in this setting$1,828.81RVU14D
2014-07-01Not available in this setting$1,828.81RVU14C
2014-04-01Not available in this setting$1,828.81RVU14B
2014-01-01Not available in this setting$1,828.81RVU14A
2013-10-01Not available in this setting$1,747.19RVU13D
2013-07-01Not available in this setting$1,747.19RVU13C
2013-04-01Not available in this setting$1,747.19RVU13B
2013-01-01Not available in this setting$1,747.19RVU13AR

Price 63276 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

63276 billing questions

How does this differ from 63266?

63276 is for biopsy or excision of an extradural neoplasm in the thoracic region. 63266 is for an extradural lesion other than a neoplasm.

When is 63281 a better fit?

Use 63281 for a thoracic neoplasm located within the dura but outside the spinal cord. The lesion’s relationship to the dura and cord should be clear in the operative report.

Does the code include postoperative visits?

The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.

Can modifier 50 be appended?

No. CMS identifies bilateral adjustment as inappropriate for this anatomically defined service.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full; other procedures in the session are subject to the standard multiple-procedure reduction.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. 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
RVUs for 63276PPRRVU2026_Oct_nonQPP.csv, line 7,052 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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