No office rate
Both address non-neoplastic lumbar lesions, but 63267 is for an extradural lesion; this code is for an intradural lesion.
On this page
CMS RVU26D · Effective 2026-10-01
63272 Spinal lesion surgery Medicare reimbursement rates
Reports lumbar surgery to remove or evacuate a non-neoplastic lesion within the dura, such as an intradural cyst or collection. Compare 63272 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 63272?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 63272 pays more and less
Neurosurgery
About 63272: Lumbar intradural lesion excision
Reports lumbar surgery to remove or evacuate a non-neoplastic lesion within the dura, such as an intradural cyst or collection.
A neurosurgeon or spine surgeon uses a lumbar approach to open the spinal canal and remove or evacuate a lesion located within the dura that is not a neoplasm. Examples may include an intradural cyst or a collection requiring evacuation. The operative report should establish the lumbar level, the lesion’s intradural location, and the work performed; the code is not selected for a neoplasm or an extradural lesion.
Report this code when the documented procedure and lesion location support that service, rather than a code for a different spinal region or compartment. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed 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.
CMS billing rules for 63272
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU26.81 · 49%
- Practice expense (office) RVU17.42 · 32%
- Malpractice RVU10.54 · 19%
132
Medicare services in 2024 · #4653 by national volume
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.
63272 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
Code 63282 is for biopsy or excision of an intradural, extramedullary neoplasm at a lumbar level. This code applies to a non-neoplastic lesion.
No office rate
Code 63277 addresses a lumbar extradural neoplasm. This code is for a non-neoplastic lesion located within the dura.
See how rates vary across the country
63272 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Compare 63272 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $1603.85 |
| Alaska* | Office Unavailable | Facility $2156.86 |
| Arizona | Office Unavailable | Facility $1760.64 |
| Arkansas | Office Unavailable | Facility $1576.59 |
| Atlanta | Office Unavailable | Facility $1912.12 |
| Austin | Office Unavailable | Facility $1824.77 |
| Bakersfield | Office Unavailable | Facility $1764.59 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $1969.60 |
| Beaumont | Office Unavailable | Facility $1752.01 |
| Brazoria | Office Unavailable | Facility $1753.84 |
| Chicago | Office Unavailable | Facility $2294.44 |
| Chico | Office Unavailable | Facility $1737.10 |
| Colorado | Office Unavailable | Facility $1800.25 |
| Connecticut | Office Unavailable | Facility $1966.01 |
| Dallas | Office Unavailable | Facility $1785.11 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $2021.07 |
| Delaware | Office Unavailable | Facility $1791.31 |
| Detroit | Office Unavailable | Facility $2050.51 |
| East St. Louis | Office Unavailable | Facility $2139.79 |
| El Centro | Office Unavailable | Facility $1738.86 |
| Fort Lauderdale | Office Unavailable | Facility $2121.38 |
| Fort Worth | Office Unavailable | Facility $1783.87 |
| Fresno | Office Unavailable | Facility $1737.10 |
| Galveston | Office Unavailable | Facility $1771.91 |
| Hanford-Corcoran | Office Unavailable | Facility $1737.10 |
| Hawaii, Guam | Office Unavailable | Facility $1760.87 |
| Houston | Office Unavailable | Facility $1964.83 |
| Idaho | Office Unavailable | Facility $1597.29 |
| Indiana | Office Unavailable | Facility $1605.94 |
| Iowa | Office Unavailable | Facility $1567.63 |
| Kansas | Office Unavailable | Facility $1598.90 |
| Kentucky | Office Unavailable | Facility $1734.86 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $1854.27 |
| Madera | Office Unavailable | Facility $1737.10 |
| Manhattan | Office Unavailable | Facility $2187.24 |
| Merced | Office Unavailable | Facility $1737.10 |
| Metropolitan Boston | Office Unavailable | Facility $1940.23 |
| Metropolitan Kansas City | Office Unavailable | Facility $1785.78 |
| Metropolitan Philadelphia | Office Unavailable | Facility $1937.29 |
| Metropolitan St. Louis | Office Unavailable | Facility $1802.14 |
| Miami | Office Unavailable | Facility $2391.50 |
| Minnesota | Office Unavailable | Facility $1598.40 |
| Mississippi | Office Unavailable | Facility $1656.61 |
| Modesto | Office Unavailable | Facility $1737.10 |
| Montana** | Office Unavailable | Facility $1828.66 |
| Napa | Office Unavailable | Facility $1897.60 |
| Nebraska | Office Unavailable | Facility $1565.59 |
| Nevada** | Office Unavailable | Facility $1771.16 |
| New Hampshire | Office Unavailable | Facility $1809.22 |
| New Mexico | Office Unavailable | Facility $1851.84 |
| New Orleans | Office Unavailable | Facility $1842.92 |
| North Carolina | Office Unavailable | Facility $1663.30 |
| North Dakota** | Office Unavailable | Facility $1620.25 |
| Northern Nj | Office Unavailable | Facility $2002.82 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $2298.35 |
| Ohio | Office Unavailable | Facility $1781.56 |
| Oklahoma | Office Unavailable | Facility $1688.60 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $1827.62 |
| Portland | Office Unavailable | Facility $1818.16 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $1998.87 |
| Puerto Rico | Office Unavailable | Facility $1830.49 |
| Queens | Office Unavailable | Facility $2148.18 |
| Redding | Office Unavailable | Facility $1737.10 |
| Rest Of California | Office Unavailable | Facility $1737.10 |
| Rest Of Florida | Office Unavailable | Facility $1980.85 |
| Rest Of Georgia | Office Unavailable | Facility $1834.12 |
| Rest Of Illinois | Office Unavailable | Facility $1976.95 |
| Rest Of Louisiana | Office Unavailable | Facility $1747.67 |
| Rest Of Maine | Office Unavailable | Facility $1649.75 |
| Rest Of Maryland | Office Unavailable | Facility $1816.44 |
| Rest Of Massachusetts | Office Unavailable | Facility $1803.07 |
| Rest Of Michigan | Office Unavailable | Facility $1824.16 |
| Rest Of Missouri | Office Unavailable | Facility $1739.92 |
| Rest Of New Jersey | Office Unavailable | Facility $1952.86 |
| Rest Of New York | Office Unavailable | Facility $1695.72 |
| Rest Of Oregon | Office Unavailable | Facility $1722.48 |
| Rest Of Pennsylvania | Office Unavailable | Facility $1762.29 |
| Rest Of Texas | Office Unavailable | Facility $1765.54 |
| Rest Of Washington | Office Unavailable | Facility $1787.71 |
| Rhode Island | Office Unavailable | Facility $1827.56 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $1849.59 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $1793.10 |
| Salinas | Office Unavailable | Facility $1786.29 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $1809.04 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1962.54 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1950.57 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $2021.70 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1972.76 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $1762.12 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $1809.92 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $1787.68 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $1825.54 |
| Seattle (King Cnty) | Office Unavailable | Facility $1941.80 |
| South Carolina | Office Unavailable | Facility $1732.34 |
| South Dakota** | Office Unavailable | Facility $1595.61 |
| Southern Maine | Office Unavailable | Facility $1694.23 |
| Stockton | Office Unavailable | Facility $1737.10 |
| Suburban Chicago | Office Unavailable | Facility $2123.12 |
| Tennessee | Office Unavailable | Facility $1613.42 |
| Utah | Office Unavailable | Facility $1758.55 |
| Vallejo | Office Unavailable | Facility $1880.35 |
| Vermont | Office Unavailable | Facility $1649.64 |
| Virgin Islands | Office Unavailable | Facility $1830.49 |
| Virginia | Office Unavailable | Facility $1715.97 |
| Visalia | Office Unavailable | Facility $1737.10 |
| West Virginia | Office Unavailable | Facility $1904.88 |
| Wisconsin | Office Unavailable | Facility $1561.31 |
| Wyoming** | Office Unavailable | Facility $1737.84 |
| Yuba City | Office Unavailable | Facility $1737.10 |
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63272 billing questions
How does this differ from 63267?
This code is for a non-neoplastic lesion within the dura at a lumbar level. Code 63267 describes the corresponding non-neoplastic service for an extradural lesion.
Can this code be used for a spinal tumor?
No. This code is for a non-neoplastic lesion. A tumor requires the code that matches its location and the documented tumor procedure.
What documentation supports reporting this code?
The operative report should identify the lumbar level, document that the lesion was intradural and non-neoplastic, and describe its removal or evacuation.
Is modifier 50 appropriate for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does CMS handle another procedure performed in the same session?
The highest-valued procedure is paid in full, and other procedures in that session 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,04663268,,Excise intrspinl lesion scrl,A,,19.52,15.88,NA,15.88,,8.24,43.64,43.64,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,04763270,,Excise intrspinl lesion crvl,A,,29.06,19.23,NA,19.23,,12.28,60.57,60.57,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,04863271,,Excise intrspinl lesion thrc,A,,29.17,19.03,NA,19.03,,12.05,60.25,60.25,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,04963272,,Excise intrspinl lesion lmbr,A,,26.81,17.42,NA,17.42,,10.54,54.77,54.77,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,05063273,,Excise intrspinl lesion scrl,A,,25.81,18.09,NA,18.09,,10.90,54.80,54.80,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,05163275,,Bx/exc xdrl spine lesn crvl,A,,25.21,16.86,NA,16.86,,9.78,51.85,51.85,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,05263276,,Bx/exc xdrl spine lesn thrc,A,,25.05,16.84,NA,16.84,,9.82,51.71,51.71,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00