CPT code 63277: Spinal lesion surgery, extradural, lumbar2026 Medicare rate & RVUs in Delaware

Reports lumbar laminectomy access to biopsy or remove a neoplasm located outside the dura but within the spinal canal.

CMS RVU26DEffective Oct 1, 2026One payment locality686 Medicare services in 2024

In Delaware, Medicare pays $1,472.69 for 63277 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,472.69Hospital or facility

Check a contract rate as a % of Medicare · 63277 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 63277 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 63277 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 63277 covers

A neurosurgeon typically uses a lumbar laminectomy to reach a neoplasm within the spinal canal but outside the dura, then obtains tissue for diagnosis or removes the lesion. This service is generally performed in an operating room, often in a hospital or other facility setting. The code is specific to the extradural location and lumbar region; it is not the code for a lesion within the dura or for a non-neoplastic lesion.

Report the service when the operative documentation identifies the lumbar level, establishes the lesion’s extradural location, and describes biopsy or excision. The 90-day global period includes 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 others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; 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 63277

Across 109 of 109 payment localities, the facility rate for 63277 runs from $1,294.26 in Wisconsin to $1,936.15 in Miami, FL. Delaware pays $1,472.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

63277 in Delaware vs other payment areas
  1. Delaware · this page$1,472.69
  2. Los Angeles, CA · California$1,533.53+$60.84
  3. Washington, DC area · District of Columbia$1,661.82+$189.13
  4. Miami, FL · Florida$1,936.15+$463.46
  5. Chicago, IL · Illinois$1,859.92+$387.23
  6. Manhattan, NY · New York$1,788.87+$316.18
  7. Alaska · Alaska$1,778.31+$305.62

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

Every other payment area

63277 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,322.22
ArkansasArkansas—$1,300.39
ArizonaArizona—$1,447.87
Bakersfield, CACalifornia—$1,458.86
Chico, CACalifornia—$1,437.68
El Centro, CACalifornia—$1,439.03
Fresno, CACalifornia—$1,437.68
Hanford, CACalifornia—$1,437.68

63277 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
63277 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 63277 in every payment locality

How the 63277 rate is calculated

Each of 63277’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 · 63277

RVUs × geographic indexes × conversion factor

Office or facility?

Work21.83

21.83 RVUs× 1.000 GPCI

Practice expense15.06

15.06 RVUs× 1.000 GPCI

Malpractice8.09

8.09 RVUs× 1.000 GPCI

Adjusted RVUs

44.9800

Conversion factor

$33.4009

Medicare rate

$1,502.37

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

7,053

Code
63277
Physician work
21.83
Practice expense
15.06
Malpractice
8.09

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Facility calculation for 63277 in Delaware
ComponentRVULocality factorAdjusted
Physician work21.83× 1.00521.9391
Practice expense15.06× 0.98814.8793
Malpractice8.09× 0.8997.2729
Total RVUs44.0913
Conversion factor× 33.4009

Facility rate, Delaware$1472.69

Facility: (21.83 × 1.005 + 15.06 × 0.988 + 8.09 × 0.899) × $33.4009 = $1472.69

Open 63277 in the RVU calculator

Payment rules and modifiers for 63277

63277 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 63277

Spinal lesion surgery, extradural, lumbar

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 · 63277

Spinal lesion surgery, extradural, lumbar

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

63277 without 51 · national facility

$1,502.37

Spinal lesion surgery, extradural, lumbar

63277-51 · Second procedure: 50%

$751.19

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 63277 has changed in Delaware

63277 · 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$1,472.69RVU26D
2026-07-01Not available in this setting$1,472.69RVU26C
2026-04-01Not available in this setting$1,472.69RVU26B
2026-01-01Not available in this setting$1,472.69RVU26A
2025-10-01Not available in this setting$1,535.27RVU25D
2025-07-01Not available in this setting$1,535.27RVU25C
2025-04-01Not available in this setting$1,535.27RVU25B
2025-01-01Not available in this setting$1,535.27RVU25A
2024-10-01Not available in this setting$1,568.99RVU24D
2024-07-01Not available in this setting$1,568.99RVU24C
2024-04-01Not available in this setting$1,568.99RVU24B
2024-03-09Not available in this setting$1,568.99RVU24AR
2024-01-01Not available in this setting$1,543.39RVU24A
2023-10-01Not available in this setting$1,591.18RVU23D
2023-07-01Not available in this setting$1,591.18RVU23C
2023-04-01Not available in this setting$1,591.18RVU23B
2023-01-01Not available in this setting$1,591.18RVU23A
2022-10-01Not available in this setting$1,602.62RVU22D
2022-07-01Not available in this setting$1,602.62RVU22C
2022-04-01Not available in this setting$1,602.62RVU22B
2022-01-01Not available in this setting$1,602.62RVU22A
2021-10-01Not available in this setting$1,605.83RVU21D
2021-07-01Not available in this setting$1,605.83RVU21C
2021-04-01Not available in this setting$1,605.83RVU21B
2021-01-01Not available in this setting$1,605.83RVU21A
2020-10-01Not available in this setting$1,649.85RVU20D
2020-07-01Not available in this setting$1,649.85RVU20C
2020-04-01Not available in this setting$1,649.85RVU20B
2020-01-01Not available in this setting$1,649.85RVU20A
2019-10-01Not available in this setting$1,683.79RVU19D
2019-07-01Not available in this setting$1,683.79RVU19C
2019-04-01Not available in this setting$1,683.79RVU19B
2019-01-01Not available in this setting$1,683.79RVU19A
2018-10-01Not available in this setting$1,675.79RVU18D
2018-07-01Not available in this setting$1,675.79RVU18C
2018-04-01Not available in this setting$1,675.79RVU18B
2018-01-01Not available in this setting$1,675.79RVU18AR1
2017-10-01Not available in this setting$1,672.97RVU17D
2017-07-01Not available in this setting$1,672.97RVU17C
2017-04-01Not available in this setting$1,672.97RVU17B
2017-01-01Not available in this setting$1,672.97RVU17A
2016-10-01Not available in this setting$1,671.89RVU16D
2016-07-01Not available in this setting$1,671.89RVU16C
2016-04-01Not available in this setting$1,671.89RVU16B
2016-01-01Not available in this setting$1,671.89RVU16A
2015-10-01Not available in this setting$1,689.82RVU15D
2015-07-01Not available in this setting$1,689.82RVU15C
2015-04-01Not available in this setting$1,681.41RVU15B
2015-01-01Not available in this setting$1,681.41RVU15A
2014-10-01Not available in this setting$1,594.75RVU14D
2014-07-01Not available in this setting$1,594.75RVU14C
2014-04-01Not available in this setting$1,594.75RVU14B
2014-01-01Not available in this setting$1,594.75RVU14A
2013-10-01Not available in this setting$1,529.83RVU13D
2013-07-01Not available in this setting$1,529.83RVU13C
2013-04-01Not available in this setting$1,529.83RVU13B
2013-01-01Not available in this setting$1,529.83RVU13AR

Price 63277 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

63277 billing questions

How does this code differ from 63267?

Both concern an extradural lumbar lesion, but 63277 is for a neoplasm. Code 63267 is for an intraspinal lesion other than a neoplasm.

What distinguishes this service from 63282?

The lesion’s relationship to the dura is the key distinction: 63277 describes an extradural lumbar neoplasm, while 63282 is for an intradural, extramedullary lumbar neoplasm.

What documentation supports reporting 63277?

Document the lumbar level, the lesion’s extradural position within the spinal canal, its neoplastic nature, and whether the surgeon biopsied or excised it.

Is the laminectomy reported separately?

The laminectomy provides access for the biopsy or excision described by this service. The operative note should show the access and lesion work performed.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. 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 63277PPRRVU2026_Oct_nonQPP.csv, line 7,053 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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