CPT code 63282: Spinal lesion surgery, lumbar, intradural extramedullary2026 Medicare rate & RVUs in Montana

Reports lumbar laminectomy access to biopsy or remove an intradural, extramedullary spinal lesion, such as a tumor outside the spinal cord.

CMS RVU26DEffective Oct 1, 2026One payment locality362 Medicare services in 2024

In Montana, Medicare pays $1,937.16 for 63282 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)

$1,937.16Hospital or facility

Check a contract rate as a % of Medicare · 63282 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

Rate in Montana
What 63282 covers
Compared with other areas
Rate map
How it’s calculated
Payment rules
Related codes
Rate history
Where it applies
Billing questions
Sources

What 63282 covers

A neurosurgeon uses a lumbar laminectomy to reach a lesion inside the dura but outside the spinal cord, then obtains a biopsy or removes the lesion. Typical cases include an intradural extramedullary tumor such as a schwannoma or meningioma. The code is selected for the lumbar location and the lesion’s compartment, not simply because the operation uses a laminectomy. It is typically performed in a hospital operating room.

The operative report should establish the lumbar level, the intradural extramedullary location, and whether tissue was sampled or the lesion was removed. This major surgery 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 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 Montana compares for 63282

Across 109 of 109 payment localities, the facility rate for 63282 runs from $1,647.32 in Wisconsin to $2,546.87 in Miami, FL. Montana pays $1,937.16. The RVUs are the same everywhere; the geographic indexes change the dollars.

63282 in Montana vs other payment areas

Montana · this page$1,937.16
Los Angeles, CA · California$1,964.57+$27.41
Washington, DC area · District of Columbia$2,144.41+$207.25
Miami, FL · Florida$2,546.87+$609.71
Chicago, IL · Illinois$2,441.07+$503.91
Manhattan, NY · New York$2,323.60+$386.44
Alaska · Alaska$2,266.83+$329.67

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

Every other payment area

63282 in every other Medicare payment locality
Payment locality	Office	Facility
AlabamaAlabama	—	$1,692.53
ArkansasArkansas	—	$1,662.85
ArizonaArizona	—	$1,863.20
Bakersfield, CACalifornia	—	$1,867.76
Chico, CACalifornia	—	$1,838.11
El Centro, CACalifornia	—	$1,840.02
Fresno, CACalifornia	—	$1,838.11
Hanford, CACalifornia	—	$1,838.11
Madera, CACalifornia	—	$1,838.11
Merced, CACalifornia	—	$1,838.11
Modesto, CACalifornia	—	$1,838.11
Napa, CACalifornia	—	$2,011.69
Oxnard, CACalifornia	—	$1,936.39
Redding, CACalifornia	—	$1,838.11
Rest of CaliforniaCalifornia	—	$1,838.11
Riverside, CACalifornia	—	$1,959.84
Sacramento, CACalifornia	—	$1,898.41
Salinas, CACalifornia	—	$1,891.26
San Diego, CACalifornia	—	$1,916.31
Marin County, CACalifornia	—	$2,081.23
San Francisco, CACalifornia	—	$2,068.27
San Benito County, CACalifornia	—	$2,144.80
Santa Clara County, CACalifornia	—	$2,091.83
San Luis Obispo, CACalifornia	—	$1,865.63
Santa Cruz, CACalifornia	—	$1,917.93
Santa Maria, CACalifornia	—	$1,892.99
Santa Rosa, CACalifornia	—	$1,934.50
Stockton, CACalifornia	—	$1,838.11
Vallejo, CACalifornia	—	$1,993.01
Visalia, CACalifornia	—	$1,838.11
Yuba City, CACalifornia	—	$1,838.11
ColoradoColorado	—	$1,906.42
ConnecticutConnecticut	—	$2,085.57
DelawareDelaware	—	$1,896.33
Fort Lauderdale, FLFlorida	—	$2,254.17
Rest of FloridaFlorida	—	$2,101.46
Atlanta, GAGeorgia	—	$2,027.51
Rest of GeorgiaGeorgia	—	$1,941.98
Hawaii, Guam, HIHawaii	—	$1,865.15
IowaIowa	—	$1,653.72
IdahoIdaho	—	$1,685.88
East St. Louis, ILIllinois	—	$2,273.16
Rest of IllinoisIllinois	—	$2,096.81
Suburban Chicago, ILIllinois	—	$2,255.83
IndianaIndiana	—	$1,695.32
KansasKansas	—	$1,687.46
KentuckyKentucky	—	$1,834.49
New Orleans, LALouisiana	—	$1,951.99
Rest of LouisianaLouisiana	—	$1,848.32
Metropolitan Boston, MAMassachusetts	—	$2,057.74
Rest of MassachusettsMassachusetts	—	$1,909.14
Baltimore area, MDMaryland	—	$2,089.63
Rest of MarylandMaryland	—	$1,923.52
Rest of MaineMaine	—	$1,742.67
Southern Maine, MEMaine	—	$1,791.53
Detroit, MIMichigan	—	$2,176.96
Rest of MichiganMichigan	—	$1,931.41
MinnesotaMinnesota	—	$1,688.18
Metropolitan Kansas City, MOMissouri	—	$1,890.12
Metropolitan St. Louis, MOMissouri	—	$1,907.96
Rest of MissouriMissouri	—	$1,839.70
MississippiMississippi	—	$1,749.50
North CarolinaNorth Carolina	—	$1,757.46
North DakotaNorth Dakota	—	$1,711.54
NebraskaNebraska	—	$1,651.60
New HampshireNew Hampshire	—	$1,916.52
Northern New JerseyNew Jersey	—	$2,123.99
Rest of New JerseyNew Jersey	—	$2,070.44
New MexicoNew Mexico	—	$1,961.41
NevadaNevada	—	$1,874.92
NYC suburbs and Long Island, NYNew York	—	$2,444.16
Poughkeepsie and northern NYC suburbs, NYNew York	—	$2,120.01
Queens, NYNew York	—	$2,281.52
Rest of New YorkNew York	—	$1,792.73
OhioOhio	—	$1,885.29
OklahomaOklahoma	—	$1,784.46
Portland, OROregon	—	$1,926.06
Rest of OregonOregon	—	$1,822.17
Metropolitan Philadelphia, PAPennsylvania	—	$2,054.22
Rest of PennsylvaniaPennsylvania	—	$1,864.48
Puerto RicoPuerto Rico	—	$1,939.24
Rhode IslandRhode Island	—	$1,935.30
South CarolinaSouth Carolina	—	$1,832.12
South DakotaSouth Dakota	—	$1,684.87
TennesseeTennessee	—	$1,703.23
Austin, TXTexas	—	$1,933.43
Beaumont, TXTexas	—	$1,853.27
Brazoria, TXTexas	—	$1,855.65
Dallas, TXTexas	—	$1,889.50
Fort Worth, TXTexas	—	$1,888.05
Galveston, TXTexas	—	$1,875.23
Houston, TXTexas	—	$2,084.07
Rest of TexasTexas	—	$1,868.32
UtahUtah	—	$1,860.65
VirginiaVirginia	—	$1,815.00
Virgin Islands, VIUnited States Virgin Islands	—	$1,939.24
VermontVermont	—	$1,743.26
Rest of WashingtonWashington	—	$1,892.67
King County, WAWashington	—	$2,059.29
WisconsinWisconsin	—	$1,647.32
West VirginiaWest Virginia	—	$2,018.34
WyomingWyoming	—	$1,838.83

63282 rates by state

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

ME WI VT NH MT ND MN MI NY MA RI WA ID WY SD IA IL IN OH PA NJ CT OR NV UT CO NE MO KY WV VA MD DE CA AZ NM KS OK AR TN NC SC DC TX LA MS AL GA FL AK HI

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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

63282 office rate range by state
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

See 63282 in every payment locality

How the 63282 rate is calculated

Each of 63282’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 · 63282

RVUs × geographic indexes × conversion factor

Office or facility?

Your ZIP

Work27.45

27.45 RVUs× 1.000 GPCI

Practice expense19.16

19.16 RVUs× 1.000 GPCI

Malpractice11.41

11.41 RVUs× 1.000 GPCI

Adjusted RVUs

58.0200

Conversion factor

$33.4009

Medicare rate

$1,937.92

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

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,057

Code: 63282
Physician work: 27.45
Practice expense: 19.16
Malpractice: 11.41

GPCI2026.csv

Locality: Montana
Physician work: 1.000
Practice expense: 1.000
Malpractice: 0.998

Facility calculation for 63282 in Montana
Component	RVU	Locality factor	Adjusted
Physician work	27.45	× 1.000	27.4500
Practice expense	19.16	× 1.000	19.1600
Malpractice	11.41	× 0.998	11.3872
Total RVUs			57.9972
Conversion factor			× 33.4009

Facility rate, Montana$1937.16

Facility: (27.45 × 1 + 19.16 × 1 + 11.41 × 0.998) × $33.4009 = $1937.16

Open 63282 in the RVU calculator

Payment rules and modifiers for 63282

63282 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 63282

Spinal lesion surgery, lumbar, intradural extramedullary

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 · 63282

Spinal lesion surgery, lumbar, intradural extramedullary

Date of surgery

Date of a later visit

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

63282 without 51 · national facility

$1,937.92

Spinal lesion surgery, lumbar, intradural extramedullary

63282-51 · Second procedure: 50%

$968.96

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

Codes related to 63282

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

Codes related to 63282
Code	How it relates	Office range, Montana
Same family
63281	Spinal lesion surgery, thoracic intradural lesionSame intradural extramedullary neoplasm service at the thoracic level.	No office rate
63283	Spinal tumor surgery, intradural, extramedullary, sacralSame intradural extramedullary neoplasm service at the sacral level.	No office rate
Used instead
63277	Spinal lesion surgery, extradural, lumbarLumbar neoplasm surgery for a lesion outside the dura.	No office rate
63272	Spinal lesion surgery, lumbar, non-neoplastic, intraduralLumbar intradural lesion surgery when the lesion is not a neoplasm.	No office rate
63287	Spinal lesion surgery, thoracolumbar, intramedullaryBiopsy or excision of an intradural, intramedullary lesion in the thoracolumbar region.	No office rate

How 63282 has changed in Montana

63282 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

Compare with release effective

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 from	Office	Facility	CMS release
2026-10-01	Not available in this setting	$1,937.16	RVU26D
2026-07-01	Not available in this setting	$1,937.16	RVU26C
2026-04-01	Not available in this setting	$1,937.16	RVU26B
2026-01-01	Not available in this setting	$1,937.16	RVU26A
2025-10-01	Not available in this setting	$1,956.92	RVU25D
2025-07-01	Not available in this setting	$1,956.92	RVU25C
2025-04-01	Not available in this setting	$1,956.92	RVU25B
2025-01-01	Not available in this setting	$1,956.92	RVU25A
2024-10-01	Not available in this setting	$2,000.83	RVU24D
2024-07-01	Not available in this setting	$2,000.83	RVU24C
2024-04-01	Not available in this setting	$2,000.83	RVU24B
2024-03-09	Not available in this setting	$2,000.83	RVU24AR
2024-01-01	Not available in this setting	$1,968.18	RVU24A
2023-10-01	Not available in this setting	$2,019.82	RVU23D
2023-07-01	Not available in this setting	$2,019.82	RVU23C
2023-04-01	Not available in this setting	$2,019.82	RVU23B
2023-01-01	Not available in this setting	$2,019.82	RVU23A
2022-10-01	Not available in this setting	$2,028.50	RVU22D
2022-07-01	Not available in this setting	$2,028.50	RVU22C
2022-04-01	Not available in this setting	$2,028.50	RVU22B
2022-01-01	Not available in this setting	$2,028.50	RVU22A
2021-10-01	Not available in this setting	$2,029.87	RVU21D
2021-07-01	Not available in this setting	$2,029.87	RVU21C
2021-04-01	Not available in this setting	$2,029.87	RVU21B
2021-01-01	Not available in this setting	$2,029.87	RVU21A
2020-10-01	Not available in this setting	$2,171.57	RVU20D
2020-07-01	Not available in this setting	$2,171.57	RVU20C
2020-04-01	Not available in this setting	$2,171.57	RVU20B
2020-01-01	Not available in this setting	$2,171.57	RVU20A
2019-10-01	Not available in this setting	$2,328.47	RVU19D
2019-07-01	Not available in this setting	$2,328.47	RVU19C
2019-04-01	Not available in this setting	$2,328.47	RVU19B
2019-01-01	Not available in this setting	$2,328.47	RVU19A
2018-10-01	Not available in this setting	$2,309.70	RVU18D
2018-07-01	Not available in this setting	$2,309.70	RVU18C
2018-04-01	Not available in this setting	$2,309.70	RVU18B
2018-01-01	Not available in this setting	$2,309.70	RVU18AR1
2017-10-01	Not available in this setting	$2,236.34	RVU17D
2017-07-01	Not available in this setting	$2,236.34	RVU17C
2017-04-01	Not available in this setting	$2,236.34	RVU17B
2017-01-01	Not available in this setting	$2,236.34	RVU17A
2016-10-01	Not available in this setting	$2,152.23	RVU16D
2016-07-01	Not available in this setting	$2,152.23	RVU16C
2016-04-01	Not available in this setting	$2,152.23	RVU16B
2016-01-01	Not available in this setting	$2,152.23	RVU16A
2015-10-01	Not available in this setting	$2,182.49	RVU15D
2015-07-01	Not available in this setting	$2,182.49	RVU15C
2015-04-01	Not available in this setting	$2,171.63	RVU15B
2015-01-01	Not available in this setting	$2,171.63	RVU15A
2014-10-01	Not available in this setting	$2,081.33	RVU14D
2014-07-01	Not available in this setting	$2,081.33	RVU14C
2014-04-01	Not available in this setting	$2,081.33	RVU14B
2014-01-01	Not available in this setting	$2,081.33	RVU14A
2013-10-01	Not available in this setting	$2,028.96	RVU13D
2013-07-01	Not available in this setting	$2,028.96	RVU13C
2013-04-01	Not available in this setting	$2,028.96	RVU13B
2013-01-01	Not available in this setting	$2,028.96	RVU13AR

Price 63282 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

Absarokee
Acton
Alberton
Alder
Alzada
Amsterdam
Anaconda-Deer Lodge County
Antelope

Browse all communities in Montana

63282 billing questions

How is this code distinguished from 63277?

Both concern lumbar intraspinal neoplasms, but 63282 is for a lesion inside the dura and outside the spinal cord. Code 63277 is for an extradural lesion.

When would 63272 be considered instead?

Code 63272 is for an intradural lesion other than a neoplasm. Use 63282 when the lesion is a neoplasm and is intradural but outside the spinal cord.

Does the 90-day global include postoperative visits?

It includes related postoperative care for 90 days, as well as the day-before preoperative visit.

Can modifier 50 be used for bilateral lumbar lesions?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

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.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures 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 63282PPRRVU2026_Oct_nonQPP.csv, line 7,057 (RVU26D)

7,05463278,,[CPT descriptor omitted],A,,21.57,16.60,NA,16.60,,9.12,47.29,47.29,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,05563280,,[CPT descriptor omitted],A,,29.53,19.94,NA,19.94,,12.28,61.75,61.75,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,05663281,,[CPT descriptor omitted],A,,29.24,19.83,NA,19.83,,12.20,61.27,61.27,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,05763282,,[CPT descriptor omitted],A,,27.45,19.16,NA,19.16,,11.41,58.02,58.02,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,05863283,,[CPT descriptor omitted],A,,26.09,18.95,NA,18.95,,11.02,56.06,56.06,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,05963285,,[CPT descriptor omitted],A,,37.10,22.81,NA,22.81,,15.66,75.57,75.57,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

7,06063286,,[CPT descriptor omitted],A,,36.68,22.61,NA,22.61,,15.39,74.68,74.68,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977

6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002

7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974

7103202,MT,01,MONTANA**,1.000,1.000,0.998

7205402,NE,00,NEBRASKA,1.000,0.923,0.378

7301312,NV,00,NEVADA**,1.000,1.001,0.833

7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875

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What 63282 covers

How Montana compares for 63282

Every other payment area

63282 rates by state

How the 63282 rate is calculated

Payment rules and modifiers for 63282

What modifiers do to the payment

Codes related to 63282

How 63282 has changed in Montana

Where the Montana rate applies

63282 billing questions

How is this code distinguished from 63277?

When would 63272 be considered instead?

Does the 90-day global include postoperative visits?

Can modifier 50 be used for bilateral lumbar lesions?

Can an assistant or co-surgeon be reported?

How are other procedures in the same session paid?

Where these rates come from

Did this answer your question about what 63282 pays in Montana?

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