No office rate
Use 63277 for a neoplasm in the extradural lumbar canal. Code 63267 applies to an extradural lumbar lesion other than a neoplasm.
On this page
CMS RVU26D · Effective 2026-10-01
63277 Spinal lesion surgery Medicare reimbursement rates
Reports lumbar laminectomy access to biopsy or remove a neoplasm located outside the dura but within the spinal canal. Compare 63277 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 63277?
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 63277 pays more and less
Neurosurgery
About 63277: Lumbar extradural spinal tumor biopsy or excision
Reports lumbar laminectomy access to biopsy or remove a neoplasm located outside the dura but within the spinal canal.
A neurosurgeon typically uses a lumbar laminectomy to reach a neoplasm within the spinal canal but outside the dura, then obtains tissue for diagnosis or removes the lesion. This service is generally performed in an operating room, often in a hospital or other facility setting. The code is specific to the extradural location and lumbar region; it is not the code for a lesion within the dura or for a non-neoplastic lesion.
Report the service when the operative documentation identifies the lumbar level, establishes the lesion’s extradural location, and describes biopsy or excision. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 63277
- 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 RVU21.83 · 49%
- Practice expense (office) RVU15.06 · 33%
- Malpractice RVU8.09 · 18%
686
Medicare services in 2024 · #3284 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.
63277 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
This code is for an extradural lumbar neoplasm. Code 63272 concerns a non-neoplastic lesion in the intradural lumbar compartment.
No office rate
Both concern lumbar neoplasms, but 63277 is for an extradural lesion; 63282 is for an intradural, extramedullary lesion.
No office rate
The lesion type and extradural location are shared; choose 63276 for the thoracic region and 63277 for the lumbar region.
See how rates vary across the country
63277 · 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 63277 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 $1322.22 |
| Alaska* | Office Unavailable | Facility $1778.31 |
| Arizona | Office Unavailable | Facility $1447.87 |
| Arkansas | Office Unavailable | Facility $1300.39 |
| Atlanta | Office Unavailable | Facility $1566.92 |
| Austin | Office Unavailable | Facility $1502.20 |
| Bakersfield | Office Unavailable | Facility $1458.86 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $1614.80 |
| Beaumont | Office Unavailable | Facility $1437.92 |
| Brazoria | Office Unavailable | Facility $1444.23 |
| Chicago | Office Unavailable | Facility $1859.92 |
| Chico | Office Unavailable | Facility $1437.68 |
| Colorado | Office Unavailable | Facility $1484.14 |
| Connecticut | Office Unavailable | Facility $1612.43 |
| Dallas | Office Unavailable | Facility $1468.55 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $1661.82 |
| Delaware | Office Unavailable | Facility $1472.69 |
| Detroit | Office Unavailable | Facility $1670.13 |
| East St. Louis | Office Unavailable | Facility $1736.13 |
| El Centro | Office Unavailable | Facility $1439.03 |
| Fort Lauderdale | Office Unavailable | Facility $1727.24 |
| Fort Worth | Office Unavailable | Facility $1467.03 |
| Fresno | Office Unavailable | Facility $1437.68 |
| Galveston | Office Unavailable | Facility $1458.21 |
| Hanford-Corcoran | Office Unavailable | Facility $1437.68 |
| Hawaii, Guam | Office Unavailable | Facility $1457.53 |
| Houston | Office Unavailable | Facility $1606.28 |
| Idaho | Office Unavailable | Facility $1319.73 |
| Indiana | Office Unavailable | Facility $1326.76 |
| Iowa | Office Unavailable | Facility $1296.68 |
| Kansas | Office Unavailable | Facility $1320.06 |
| Kentucky | Office Unavailable | Facility $1423.57 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $1533.53 |
| Madera | Office Unavailable | Facility $1437.68 |
| Manhattan | Office Unavailable | Facility $1788.87 |
| Merced | Office Unavailable | Facility $1437.68 |
| Metropolitan Boston | Office Unavailable | Facility $1600.13 |
| Metropolitan Kansas City | Office Unavailable | Facility $1465.47 |
| Metropolitan Philadelphia | Office Unavailable | Facility $1588.27 |
| Metropolitan St. Louis | Office Unavailable | Facility $1478.77 |
| Miami | Office Unavailable | Facility $1936.15 |
| Minnesota | Office Unavailable | Facility $1326.73 |
| Mississippi | Office Unavailable | Facility $1361.93 |
| Modesto | Office Unavailable | Facility $1437.68 |
| Montana** | Office Unavailable | Facility $1501.83 |
| Napa | Office Unavailable | Facility $1575.32 |
| Nebraska | Office Unavailable | Facility $1295.57 |
| Nevada** | Office Unavailable | Facility $1457.75 |
| New Hampshire | Office Unavailable | Facility $1489.22 |
| New Mexico | Office Unavailable | Facility $1514.93 |
| New Orleans | Office Unavailable | Facility $1509.44 |
| North Carolina | Office Unavailable | Facility $1371.12 |
| North Dakota** | Office Unavailable | Facility $1341.87 |
| Northern Nj | Office Unavailable | Facility $1647.17 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $1875.68 |
| Ohio | Office Unavailable | Facility $1460.77 |
| Oklahoma | Office Unavailable | Facility $1388.29 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $1512.47 |
| Portland | Office Unavailable | Facility $1500.70 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $1639.72 |
| Puerto Rico | Office Unavailable | Facility $1503.85 |
| Queens | Office Unavailable | Facility $1760.02 |
| Redding | Office Unavailable | Facility $1437.68 |
| Rest Of California | Office Unavailable | Facility $1437.68 |
| Rest Of Florida | Office Unavailable | Facility $1616.16 |
| Rest Of Georgia | Office Unavailable | Facility $1499.93 |
| Rest Of Illinois | Office Unavailable | Facility $1610.74 |
| Rest Of Louisiana | Office Unavailable | Facility $1433.18 |
| Rest Of Maine | Office Unavailable | Facility $1359.99 |
| Rest Of Maryland | Office Unavailable | Facility $1493.54 |
| Rest Of Massachusetts | Office Unavailable | Facility $1485.85 |
| Rest Of Michigan | Office Unavailable | Facility $1493.47 |
| Rest Of Missouri | Office Unavailable | Facility $1425.93 |
| Rest Of New Jersey | Office Unavailable | Facility $1604.03 |
| Rest Of New York | Office Unavailable | Facility $1396.97 |
| Rest Of Oregon | Office Unavailable | Facility $1420.11 |
| Rest Of Pennsylvania | Office Unavailable | Facility $1446.26 |
| Rest Of Texas | Office Unavailable | Facility $1450.51 |
| Rest Of Washington | Office Unavailable | Facility $1473.93 |
| Rhode Island | Office Unavailable | Facility $1503.64 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $1524.07 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $1485.23 |
| Salinas | Office Unavailable | Facility $1479.58 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $1499.08 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1631.69 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1622.51 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1679.53 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1641.97 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $1459.31 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $1500.45 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $1480.91 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $1513.56 |
| Seattle (King Cnty) | Office Unavailable | Facility $1603.57 |
| South Carolina | Office Unavailable | Facility $1423.61 |
| South Dakota** | Office Unavailable | Facility $1322.95 |
| Southern Maine | Office Unavailable | Facility $1398.14 |
| Stockton | Office Unavailable | Facility $1437.68 |
| Suburban Chicago | Office Unavailable | Facility $1729.66 |
| Tennessee | Office Unavailable | Facility $1331.49 |
| Utah | Office Unavailable | Facility $1444.63 |
| Vallejo | Office Unavailable | Facility $1562.08 |
| Vermont | Office Unavailable | Facility $1363.86 |
| Virgin Islands | Office Unavailable | Facility $1503.85 |
| Virginia | Office Unavailable | Facility $1414.38 |
| Visalia | Office Unavailable | Facility $1437.68 |
| West Virginia | Office Unavailable | Facility $1552.94 |
| Wisconsin | Office Unavailable | Facility $1294.26 |
| Wyoming** | Office Unavailable | Facility $1432.12 |
| Yuba City | Office Unavailable | Facility $1437.68 |
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63277 billing questions
How does this code differ from 63267?
Both concern an extradural lumbar lesion, but 63277 is for a neoplasm. Code 63267 is for an intraspinal lesion other than a neoplasm.
What distinguishes this service from 63282?
The lesion’s relationship to the dura is the key distinction: 63277 describes an extradural lumbar neoplasm, while 63282 is for an intradural, extramedullary lumbar neoplasm.
What documentation supports reporting 63277?
Document the lumbar level, the lesion’s extradural position within the spinal canal, its neoplastic nature, and whether the surgeon biopsied or excised it.
Is the laminectomy reported separately?
The laminectomy provides access for the biopsy or excision described by this service. The operative note should show the access and lesion work performed.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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.
7,05063273,,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
7,05363277,,Bx/exc xdrl spine lesn lmbr,A,,21.83,15.06,NA,15.06,,8.09,44.98,44.98,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,05463278,,Bx/exc xdrl spine lesn scrl,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,,Bx/exc idrl spine lesn crvl,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,,Bx/exc idrl spine lesn thrc,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