CPT code 63283: Spinal tumor surgery, intradural, extramedullary, sacral2026 Medicare rate & RVUs in Washington, DC area

Reports laminectomy-based biopsy or removal of a neoplasm located inside the dura but outside the spinal cord at the sacral level.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Washington, DC area, Medicare pays $2,073.77 for 63283 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$2,073.77Hospital or facility

Check a contract rate as a % of Medicare · 63283 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 63283 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 63283 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 63283 covers

A spine surgeon, commonly a neurosurgeon or orthopedic spine surgeon, uses a laminectomy to reach a sacral canal lesion, opens the dura, and biopsies or removes a tumor lying outside the spinal cord. A nerve-sheath tumor is a typical example of an intradural extramedullary lesion. The code is specific to the sacral level and does not describe a lesion outside the dura or one arising within the cord.

Report the service when the operative findings establish a sacral neoplasm in the intradural, extramedullary compartment and the surgeon performs biopsy or excision. The operative note should identify the level, lesion location relative to the dura and cord, and whether tissue was sampled or the lesion removed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In the same session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate for this service. 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 Washington, DC area compares for 63283

Across 109 of 109 payment localities, the facility rate for 63283 runs from $1,591.16 in Wisconsin to $2,461.20 in Miami, FL. Washington, DC area pays $2,073.77. The RVUs are the same everywhere; the geographic indexes change the dollars.

63283 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$2,073.77
  2. Los Angeles, CA · California$1,900.34−$173.43
  3. Miami, FL · Florida$2,461.20+$387.43
  4. Chicago, IL · Illinois$2,358.38+$284.61
  5. Manhattan, NY · New York$2,246.46+$172.69
  6. Alaska · Alaska$2,184.04+$110.27
  7. Alabama · Alabama$1,633.59−$440.18

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

63283 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$1,604.69
ArizonaArizona—$1,799.83
Bakersfield, CACalifornia—$1,805.86
Chico, CACalifornia—$1,777.24
El Centro, CACalifornia—$1,779.08
Fresno, CACalifornia—$1,777.24
Hanford, CACalifornia—$1,777.24
Madera, CACalifornia—$1,777.24

63283 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
63283 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 63283 in every payment locality

How the 63283 rate is calculated

Each of 63283’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 · 63283

RVUs × geographic indexes × conversion factor

Office or facility?

Work26.09

26.09 RVUs× 1.000 GPCI

Practice expense18.95

18.95 RVUs× 1.000 GPCI

Malpractice11.02

11.02 RVUs× 1.000 GPCI

Adjusted RVUs

56.0600

Conversion factor

$33.4009

Medicare rate

$1,872.45

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,058

Code
63283
Physician work
26.09
Practice expense
18.95
Malpractice
11.02

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Facility calculation for 63283 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work26.09× 1.05427.4989
Practice expense18.95× 1.17822.3231
Malpractice11.02× 1.11312.2653
Total RVUs62.0872
Conversion factor× 33.4009

Facility rate, Washington, DC area$2073.77

Facility: (26.09 × 1.054 + 18.95 × 1.178 + 11.02 × 1.113) × $33.4009 = $2073.77

Open 63283 in the RVU calculator

Payment rules and modifiers for 63283

63283 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 63283

Spinal tumor surgery, intradural, extramedullary, sacral

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 · 63283

Spinal tumor surgery, intradural, extramedullary, sacral

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

63283 without 51 · national facility

$1,872.45

Spinal tumor surgery, intradural, extramedullary, sacral

63283-51 · Second procedure: 50%

$936.23

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 63283 has changed in Washington, DC area

63283 · 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$2,073.77RVU26D
2026-07-01Not available in this setting$2,073.77RVU26C
2026-04-01Not available in this setting$2,073.77RVU26B
2026-01-01Not available in this setting$2,073.77RVU26A
2025-10-01Not available in this setting$2,125.17RVU25D
2025-07-01Not available in this setting$2,125.17RVU25C
2025-04-01Not available in this setting$2,125.17RVU25B
2025-01-01Not available in this setting$2,125.17RVU25A
2024-10-01Not available in this setting$2,176.16RVU24D
2024-07-01Not available in this setting$2,176.16RVU24C
2024-04-01Not available in this setting$2,176.16RVU24B
2024-03-09Not available in this setting$2,176.16RVU24AR
2024-01-01Not available in this setting$2,140.64RVU24A
2023-10-01Not available in this setting$2,230.94RVU23D
2023-07-01Not available in this setting$2,230.94RVU23C
2023-04-01Not available in this setting$2,230.94RVU23B
2023-01-01Not available in this setting$2,230.94RVU23A
2022-10-01Not available in this setting$2,274.30RVU22D
2022-07-01Not available in this setting$2,274.30RVU22C
2022-04-01Not available in this setting$2,274.30RVU22B
2022-01-01Not available in this setting$2,274.30RVU22A
2021-10-01Not available in this setting$2,270.51RVU21D
2021-07-01Not available in this setting$2,270.51RVU21C
2021-04-01Not available in this setting$2,270.51RVU21B
2021-01-01Not available in this setting$2,270.51RVU21A
2020-10-01Not available in this setting$2,271.73RVU20D
2020-07-01Not available in this setting$2,271.73RVU20C
2020-04-01Not available in this setting$2,271.73RVU20B
2020-01-01Not available in this setting$2,271.73RVU20A
2019-10-01Not available in this setting$2,296.19RVU19D
2019-07-01Not available in this setting$2,296.19RVU19C
2019-04-01Not available in this setting$2,269.83RVU19B
2019-01-01Not available in this setting$2,269.83RVU19A
2018-10-01Not available in this setting$2,285.48RVU18D
2018-07-01Not available in this setting$2,285.48RVU18C
2018-04-01Not available in this setting$2,285.48RVU18B
2018-01-01Not available in this setting$2,285.48RVU18AR1
2017-10-01Not available in this setting$2,267.29RVU17D
2017-07-01Not available in this setting$2,267.29RVU17C
2017-04-01Not available in this setting$2,267.29RVU17B
2017-01-01Not available in this setting$2,267.29RVU17A
2016-10-01Not available in this setting$2,274.90RVU16D
2016-07-01Not available in this setting$2,274.90RVU16C
2016-04-01Not available in this setting$2,274.90RVU16B
2016-01-01Not available in this setting$2,274.90RVU16A
2015-10-01Not available in this setting$2,327.51RVU15D
2015-07-01Not available in this setting$2,327.51RVU15C
2015-04-01Not available in this setting$2,315.93RVU15B
2015-01-01Not available in this setting$2,315.93RVU15A
2014-10-01Not available in this setting$2,192.09RVU14D
2014-07-01Not available in this setting$2,192.09RVU14C
2014-04-01Not available in this setting$2,192.09RVU14B
2014-01-01Not available in this setting$2,192.09RVU14A
2013-10-01Not available in this setting$2,142.19RVU13D
2013-07-01Not available in this setting$2,142.19RVU13C
2013-04-01Not available in this setting$2,142.19RVU13B
2013-01-01Not available in this setting$2,142.19RVU13AR

Price 63283 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

63283 billing questions

How is this code different from 63278?

This code is for a sacral neoplasm inside the dura but outside the spinal cord. Code 63278 describes a sacral neoplasm outside the dura.

When would 63273 be considered instead?

Code 63273 is for excision of a sacral intradural, extramedullary lesion other than a neoplasm. Use this code when the lesion is a neoplasm and the surgeon performs biopsy or excision.

Does this code cover a tumor within the spinal cord?

No. It describes an intradural lesion outside the cord; a neoplasm arising within the cord belongs to the intramedullary code family.

Can modifier 50 be used for a bilateral sacral lesion?

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

What postoperative care is included in the global period?

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

What documentation supports reporting this code?

Document the sacral level, the neoplasm's intradural extramedullary location, and whether the surgeon biopsied or excised it. The operative report should distinguish the lesion from one outside the dura or within the cord.

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 63283PPRRVU2026_Oct_nonQPP.csv, line 7,058 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 63283 pays in Washington, DC area?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 63283 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet