CPT code 63286: Spinal lesion surgery, thoracic intramedullary2026 Medicare rate & RVUs in Nevada

In Nevada, Medicare pays $2,409.29 for 63286 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 63286 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 63286 covers

A neurosurgeon uses a laminectomy to reach a thoracic spinal cord lesion, opens the dura, and obtains a biopsy or removes the lesion. The code distinguishes a lesion within the cord from one that is extradural or inside the dura but outside the cord. These operations are generally performed in a hospital operating room; the operative report should establish the thoracic level, the lesion’s relationship to the dura and cord, and whether tissue was sampled or removed.

Report this code for the thoracic intradural, intramedullary neoplasm procedure, rather than selecting by the amount of tissue removed alone. The laminectomy and exposure are part of the service. The code has a 90-day global period, including 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 others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons require 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 Nevada compares for 63286

Across 109 of 109 payment localities, the facility rate for 63286 runs from $2,106.95 in Wisconsin to $3,311.31 in Miami, FL. Nevada pays $2,409.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

63286 rates by state

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

See 63286 in every payment locality

How the 63286 rate is calculated

Each of 63286’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 63286

63286 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 63286

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

How 63286 has changed in Nevada

Price 63286 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

• Alamo
• Amargosa Valley
• Austin
• Baker
• Battle Mountain
• Beatty
• Beaverdam
• Bennett Springs

Browse all communities in Nevada

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