CPT code 63278: Spinal lesion surgery, sacral, extradural neoplasm2026 Medicare rate & RVUs in North Dakota

In North Dakota, Medicare pays $1,398.59 for 63278 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 63278 nationwide

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

What 63278 covers

A spine surgeon, commonly a neurosurgeon or orthopedic spine surgeon, uses a posterior approach and removes bone as needed to reach a lesion in the sacral spinal canal, outside the dura. The service includes obtaining tissue for diagnosis or removing the lesion; it is performed in an operating room, typically in a hospital setting. The sacral location and extradural position distinguish this service from procedures for lesions at other spinal levels or within the dura.

Select the code when the operative findings and report support a sacral extradural neoplasm and document whether tissue was sampled or the lesion removed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur 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 not appropriate for this sacral service. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team-surgery billing 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 North Dakota compares for 63278

Across 109 of 109 payment localities, the facility rate for 63278 runs from $1,345.45 in Wisconsin to $2,068.02 in Miami, FL. North Dakota pays $1,398.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

63278 rates by state

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

See 63278 in every payment locality

How the 63278 rate is calculated

Each of 63278’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.

Payment rules and modifiers for 63278

63278 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 63278

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 63278 has changed in North Dakota

Price 63278 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

• Abercrombie
• Adams
• Alamo
• Alexander
• Alice
• Almont
• Alsen
• Ambrose

Browse all communities in North Dakota

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

Open CMS sourceHow we calculate rates