CPT code 63276: Spinal lesion surgery, thoracic, extradural neoplasm2026 Medicare rate & RVUs in Virgin Islands, VI
Reports thoracic laminectomy to biopsy or remove a neoplasm located in the spinal canal outside the dura.
In Virgin Islands, VI, Medicare pays $1,728.43 for 63276 in a facility. There’s no office rate.
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.
On this page 11 sections
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 Virgin Islands, VI 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. Virgin Islands, VI pays $1,728.43. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virgin Islands, VI · this page$1,728.43
- Los Angeles, CA · California$1,754.19+$25.76
- Washington, DC area · District of Columbia$1,909.53+$181.10
- Miami, FL · Florida$2,251.73+$523.30
- Chicago, IL · Illinois$2,160.59+$432.16
- Manhattan, NY · New York$2,064.04+$335.61
- Alaska · Alaska$2,034.80+$306.37
Other areas in United States Virgin Islands first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $1,643.19 |
| Merced, CACalifornia | — | $1,643.19 |
| Modesto, CACalifornia | — | $1,643.19 |
| Napa, CACalifornia | — | $1,797.36 |
| Oxnard, CACalifornia | — | $1,729.30 |
| Redding, CACalifornia | — | $1,643.19 |
| Rest of CaliforniaCalifornia | — | $1,643.19 |
| Riverside, CACalifornia | — | $1,748.00 |
| Sacramento, CACalifornia | — | $1,696.77 |
| Salinas, CACalifornia | — | $1,690.34 |
| San Diego, CACalifornia | — | $1,712.28 |
| Marin County, CACalifornia | — | $1,859.81 |
| San Francisco, CACalifornia | — | $1,848.66 |
| San Benito County, CACalifornia | — | $1,915.62 |
| Santa Clara County, CACalifornia | — | $1,870.03 |
| San Luis Obispo, CACalifornia | — | $1,667.38 |
| Santa Cruz, CACalifornia | — | $1,713.47 |
| Santa Maria, CACalifornia | — | $1,691.77 |
| Santa Rosa, CACalifornia | — | $1,728.31 |
| Stockton, CACalifornia | — | $1,643.19 |
| Vallejo, CACalifornia | — | $1,781.29 |
| Visalia, CACalifornia | — | $1,643.19 |
| Yuba City, CACalifornia | — | $1,643.19 |
| ColoradoColorado | — | $1,701.37 |
| ConnecticutConnecticut | — | $1,856.08 |
| DelawareDelaware | — | $1,691.47 |
| Fort Lauderdale, FLFlorida | — | $1,999.49 |
| Rest of FloridaFlorida | — | $1,867.39 |
| Atlanta, GAGeorgia | — | $1,804.60 |
| Rest of GeorgiaGeorgia | — | $1,729.39 |
| Hawaii, Guam, HIHawaii | — | $1,666.13 |
| IowaIowa | — | $1,481.57 |
| IdahoIdaho | — | $1,509.31 |
| East St. Louis, ILIllinois | — | $2,014.75 |
| Rest of IllinoisIllinois | — | $1,862.89 |
| Suburban Chicago, ILIllinois | — | $2,001.42 |
| IndianaIndiana | — | $1,517.51 |
| KansasKansas | — | $1,510.48 |
| KentuckyKentucky | — | $1,636.85 |
| New Orleans, LALouisiana | — | $1,738.58 |
| Rest of LouisianaLouisiana | — | $1,648.70 |
| Metropolitan Boston, MAMassachusetts | — | $1,834.50 |
| Rest of MassachusettsMassachusetts | — | $1,703.78 |
| Baltimore area, MDMaryland | — | $1,859.34 |
| Rest of MarylandMaryland | — | $1,715.38 |
| Rest of MaineMaine | — | $1,558.18 |
| Southern Maine, MEMaine | — | $1,601.07 |
| Detroit, MIMichigan | — | $1,932.48 |
| Rest of MichiganMichigan | — | $1,720.54 |
| MinnesotaMinnesota | — | $1,512.56 |
| Metropolitan Kansas City, MOMissouri | — | $1,685.31 |
| Metropolitan St. Louis, MOMissouri | — | $1,700.82 |
| Rest of MissouriMissouri | — | $1,641.01 |
| MississippiMississippi | — | $1,563.37 |
| MontanaMontana | — | $1,726.50 |
| North CarolinaNorth Carolina | — | $1,571.07 |
| North DakotaNorth Dakota | — | $1,532.33 |
| NebraskaNebraska | — | $1,479.84 |
| New HampshireNew Hampshire | — | $1,709.22 |
| Northern New JerseyNew Jersey | — | $1,892.17 |
| Rest of New JerseyNew Jersey | — | $1,844.19 |
| New MexicoNew Mexico | — | $1,746.40 |
| NevadaNevada | — | $1,672.95 |
| NYC suburbs and Long Island, NYNew York | — | $2,168.11 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,887.13 |
| Queens, NYNew York | — | $2,028.05 |
| Rest of New YorkNew York | — | $1,601.62 |
| OhioOhio | — | $1,680.85 |
| OklahomaOklahoma | — | $1,593.83 |
| Portland, OROregon | — | $1,719.01 |
| Rest of OregonOregon | — | $1,627.50 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,828.59 |
| Rest of PennsylvaniaPennsylvania | — | $1,663.00 |
| Puerto RicoPuerto Rico | — | $1,728.43 |
| Rhode IslandRhode Island | — | $1,726.20 |
| South CarolinaSouth Carolina | — | $1,635.21 |
| South DakotaSouth Dakota | — | $1,509.37 |
| TennesseeTennessee | — | $1,524.11 |
| Austin, TXTexas | — | $1,724.07 |
| Beaumont, TXTexas | — | $1,653.25 |
| Brazoria, TXTexas | — | $1,656.63 |
| Dallas, TXTexas | — | $1,685.87 |
| Fort Worth, TXTexas | — | $1,684.50 |
| Galveston, TXTexas | — | $1,673.50 |
| Houston, TXTexas | — | $1,853.24 |
| Rest of TexasTexas | — | $1,666.66 |
| UtahUtah | — | $1,659.96 |
| VirginiaVirginia | — | $1,621.17 |
| VermontVermont | — | $1,559.51 |
| Rest of WashingtonWashington | — | $1,689.46 |
| King County, WAWashington | — | $1,836.65 |
| WisconsinWisconsin | — | $1,476.56 |
| West VirginiaWest Virginia | — | $1,794.84 |
| WyomingWyoming | — | $1,641.88 |
63276 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 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
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 Virgin Islands, VI 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
107
- Locality
- Virgin Islands, VI
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 25.05 | × 1.000 | 25.0500 |
| Practice expense | 16.84 | × 1.011 | 17.0252 |
| Malpractice | 9.82 | × 0.985 | 9.6727 |
| Total RVUs | 51.7479 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Virgin Islands, VI$1728.43
Facility: (25.05 × 1 + 16.84 × 1.011 + 9.82 × 0.985) × $33.4009 = $1728.43
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
| 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 · 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.
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%).
How 63276 has changed in Virgin Islands, VI
63276 · 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 | $1,728.43 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,728.43 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,728.43 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,728.43 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,766.73 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,766.73 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,766.73 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,766.73 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,810.62 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,810.62 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,810.62 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,810.62 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,781.07 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,827.69 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,827.88 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,827.88 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,827.88 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,840.98 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,840.98 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,840.98 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,840.98 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,847.21 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,847.21 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,847.21 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,847.21 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,868.00 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,868.00 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,868.00 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,868.00 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,884.57 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,884.57 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,884.57 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,884.57 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,872.84 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,872.84 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,872.84 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,872.84 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,878.61 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,878.61 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,878.61 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,878.61 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,847.15 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,847.15 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,847.15 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,847.15 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,868.42 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,868.42 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,859.12 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,859.12 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,834.25 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,834.25 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,834.25 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,834.25 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,810.18 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,810.18 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,810.18 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,810.18 | RVU13AR |
Where the Virgin Islands, VI rate applies
Virgin Islands, VI is a Medicare payment area, not a city. Our Census mapping connects it to 10 cities and communities in United States Virgin Islands. Some span more than one payment area; confirm with the service ZIP.
- Charlotte Amalie
- Charlotte Amalie East
- Charlotte Amalie West
- Christiansted
- Coral Bay
- Cruz Bay
- Frederiksted
- Frederiksted Southeast
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
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