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CMS RVU26D · Effective 2026-10-01

63270 in Austin

Office / nonfacility

Not available in this setting

Base rate per service

Facility setting

$2015.53

Base rate per service

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.

Spine surgery

About 63270: Cervical Intradural Extramedullary Lesion Excision

Cervical laminectomy to remove or evacuate a non-neoplastic lesion within the dura but outside the spinal cord, reported when that site and compartment are documented.

A spine surgeon, commonly a neurosurgeon, approaches the cervical spinal canal through a laminectomy, opens the dura, and removes or evacuates a non-neoplastic lesion located within the dural sac but outside the spinal cord. A cystic lesion such as an arachnoid cyst may fit when the operative findings establish this location and the lesion is not a neoplasm. The code is specific to the cervical region and the intradural, extramedullary compartment.

The operative report should identify the cervical level, the lesion’s relationship to the dura and spinal cord, and the removal or evacuation performed. This is major surgery with a 90-day global period, including 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 other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be made; co-surgeons require supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this code.

CMS billing rules for 63270

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 RVU29.06 · 48%
  • Practice expense (office) RVU19.23 · 32%
  • Malpractice RVU12.28 · 20%

50

Medicare services in 2024 · #5358 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.

63270 compared with similar codes

Office rates for Austin, from the same CMS release.

63265

Spinal lesion removal

Cervical extradural, nonneoplastic

No office rate

Both concern cervical non-neoplastic lesions, but 63265 is for an extradural lesion. Use 63270 when the lesion is inside the dura and outside the cord.

63271

Spinal lesion excision

Thoracic, intradural extramedullary

No office rate

The lesion compartment and non-neoplastic status are shared; 63271 is for the thoracic region, while 63270 is cervical.

63280

Spinal tumor surgery

Cervical, intradural extramedullary

No office rate

Both address a cervical intradural, extramedullary lesion. Code 63280 is for a neoplasm; 63270 is for a lesion other than a neoplasm.

63285

Spinal cord lesion

Cervical, intramedullary

No office rate

Code 63285 addresses a cervical intradural lesion within the spinal cord and a neoplasm. Code 63270 concerns a non-neoplastic lesion outside the cord.

The same code, a different location

How does Austin compare?

63270 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    Unavailable

  2. Beaumont

    Unavailable

    No comparable rate is available in this setting.

  3. Brazoria

    Unavailable

    No comparable rate is available in this setting.

  4. Dallas

    Unavailable

    No comparable rate is available in this setting.

  5. Fort Worth

    Unavailable

    No comparable rate is available in this setting.

  6. Galveston

    Unavailable

    No comparable rate is available in this setting.

  7. Houston

    Unavailable

    No comparable rate is available in this setting.

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Rest Of Texas

    Texas · 63270

    Office

    Unavailable

    Facility

    $1950.55

    No comparable office rate is available.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 63270

    Office

    Unavailable

    Facility

    $2042.61

    No comparable office rate is available.

  • Dc + Md/Va Suburbs

    District of Columbia · 63270

    Office

    Unavailable

    Facility

    $2236.18

    No comparable office rate is available.

  • Miami

    Florida · 63270

    Office

    Unavailable

    Facility

    $2676.57

    No comparable office rate is available.

  • Chicago

    Illinois · 63270

    Office

    Unavailable

    Facility

    $2564.26

    No comparable office rate is available.

  • Manhattan

    New York · 63270

    Office

    Unavailable

    Facility

    $2429.62

    No comparable office rate is available.

  • Alaska*

    Alaska · 63270

    Office

    Unavailable

    Facility

    $2365.99

    No comparable office rate is available.

  • Alabama

    Alabama · 63270

    Office

    Unavailable

    Facility

    $1764.79

    No comparable office rate is available.

  • Arkansas

    Arkansas · 63270

    Office

    Unavailable

    Facility

    $1733.60

    No comparable office rate is available.

  • Arizona

    Arizona · 63270

    Office

    Unavailable

    Facility

    $1944.12

    No comparable office rate is available.

  • Bakersfield

    California · 63270

    Office

    Unavailable

    Facility

    $1942.82

    No comparable office rate is available.

  • Chico

    California · 63270

    Office

    Unavailable

    Facility

    $1910.94

    No comparable office rate is available.

  • El Centro

    California · 63270

    Office

    Unavailable

    Facility

    $1912.99

    No comparable office rate is available.

  • Fresno

    California · 63270

    Office

    Unavailable

    Facility

    $1910.94

    No comparable office rate is available.

  • Hanford-Corcoran

    California · 63270

    Office

    Unavailable

    Facility

    $1910.94

    No comparable office rate is available.

  • Madera

    California · 63270

    Office

    Unavailable

    Facility

    $1910.94

    No comparable office rate is available.

  • Merced

    California · 63270

    Office

    Unavailable

    Facility

    $1910.94

    No comparable office rate is available.

  • Modesto

    California · 63270

    Office

    Unavailable

    Facility

    $1910.94

    No comparable office rate is available.

  • Napa

    California · 63270

    Office

    Unavailable

    Facility

    $2086.69

    No comparable office rate is available.

  • Oxnard-Thousand Oaks-Ventura

    California · 63270

    Office

    Unavailable

    Facility

    $2012.54

    No comparable office rate is available.

  • Redding

    California · 63270

    Office

    Unavailable

    Facility

    $1910.94

    No comparable office rate is available.

  • Rest Of California

    California · 63270

    Office

    Unavailable

    Facility

    $1910.94

    No comparable office rate is available.

  • Riverside-San Bernardino-Ontario

    California · 63270

    Office

    Unavailable

    Facility

    $2041.93

    No comparable office rate is available.

  • Sacramento-Roseville-Folsom

    California · 63270

    Office

    Unavailable

    Facility

    $1972.41

    No comparable office rate is available.

  • Salinas

    California · 63270

    Office

    Unavailable

    Facility

    $1964.99

    No comparable office rate is available.

  • San Diego-Chula Vista-Carlsbad

    California · 63270

    Office

    Unavailable

    Facility

    $1990.25

    No comparable office rate is available.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 63270

    Office

    Unavailable

    Facility

    $2156.75

    No comparable office rate is available.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 63270

    Office

    Unavailable

    Facility

    $2142.80

    No comparable office rate is available.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 63270

    Office

    Unavailable

    Facility

    $2223.44

    No comparable office rate is available.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 63270

    Office

    Unavailable

    Facility

    $2166.43

    No comparable office rate is available.

  • San Luis Obispo-Paso Robles

    California · 63270

    Office

    Unavailable

    Facility

    $1938.56

    No comparable office rate is available.

  • Santa Cruz-Watsonville

    California · 63270

    Office

    Unavailable

    Facility

    $1991.25

    No comparable office rate is available.

  • Santa Maria-Santa Barbara

    California · 63270

    Office

    Unavailable

    Facility

    $1966.58

    No comparable office rate is available.

  • Santa Rosa-Petaluma

    California · 63270

    Office

    Unavailable

    Facility

    $2008.34

    No comparable office rate is available.

  • Stockton

    California · 63270

    Office

    Unavailable

    Facility

    $1910.94

    No comparable office rate is available.

  • Vallejo

    California · 63270

    Office

    Unavailable

    Facility

    $2066.60

    No comparable office rate is available.

  • Visalia

    California · 63270

    Office

    Unavailable

    Facility

    $1910.94

    No comparable office rate is available.

  • Yuba City

    California · 63270

    Office

    Unavailable

    Facility

    $1910.94

    No comparable office rate is available.

  • Colorado

    Colorado · 63270

    Office

    Unavailable

    Facility

    $1986.02

    No comparable office rate is available.

  • Connecticut

    Connecticut · 63270

    Office

    Unavailable

    Facility

    $2178.10

    No comparable office rate is available.

  • Delaware

    Delaware · 63270

    Office

    Unavailable

    Facility

    $1978.81

    No comparable office rate is available.

  • Fort Lauderdale

    Florida · 63270

    Office

    Unavailable

    Facility

    $2362.85

    No comparable office rate is available.

  • Rest Of Florida

    Florida · 63270

    Office

    Unavailable

    Facility

    $2201.14

    No comparable office rate is available.

  • Atlanta

    Georgia · 63270

    Office

    Unavailable

    Facility

    $2118.72

    No comparable office rate is available.

  • Rest Of Georgia

    Georgia · 63270

    Office

    Unavailable

    Facility

    $2032.48

    No comparable office rate is available.

  • Hawaii, Guam

    Hawaii · 63270

    Office

    Unavailable

    Facility

    $1938.41

    No comparable office rate is available.

  • Iowa

    Iowa · 63270

    Office

    Unavailable

    Facility

    $1721.17

    No comparable office rate is available.

  • Idaho

    Idaho · 63270

    Office

    Unavailable

    Facility

    $1755.55

    No comparable office rate is available.

  • East St. Louis

    Illinois · 63270

    Office

    Unavailable

    Facility

    $2387.61

    No comparable office rate is available.

  • Rest Of Illinois

    Illinois · 63270

    Office

    Unavailable

    Facility

    $2198.13

    No comparable office rate is available.

  • Suburban Chicago

    Illinois · 63270

    Office

    Unavailable

    Facility

    $2363.87

    No comparable office rate is available.

  • Indiana

    Indiana · 63270

    Office

    Unavailable

    Facility

    $1765.38

    No comparable office rate is available.

  • Kansas

    Kansas · 63270

    Office

    Unavailable

    Facility

    $1757.99

    No comparable office rate is available.

  • Kentucky

    Kentucky · 63270

    Office

    Unavailable

    Facility

    $1916.93

    No comparable office rate is available.

  • New Orleans

    Louisiana · 63270

    Office

    Unavailable

    Facility

    $2040.98

    No comparable office rate is available.

  • Rest Of Louisiana

    Louisiana · 63270

    Office

    Unavailable

    Facility

    $1932.00

    No comparable office rate is available.

  • Metropolitan Boston

    Massachusetts · 63270

    Office

    Unavailable

    Facility

    $2142.38

    No comparable office rate is available.

  • Rest Of Massachusetts

    Massachusetts · 63270

    Office

    Unavailable

    Facility

    $1989.40

    No comparable office rate is available.

  • Baltimore/Surr. Cntys

    Maryland · 63270

    Office

    Unavailable

    Facility

    $2182.72

    No comparable office rate is available.

  • Rest Of Maryland

    Maryland · 63270

    Office

    Unavailable

    Facility

    $2006.87

    No comparable office rate is available.

  • Rest Of Maine

    Maine · 63270

    Office

    Unavailable

    Facility

    $1816.67

    No comparable office rate is available.

  • Southern Maine

    Maine · 63270

    Office

    Unavailable

    Facility

    $1865.96

    No comparable office rate is available.

  • Detroit

    Michigan · 63270

    Office

    Unavailable

    Facility

    $2281.98

    No comparable office rate is available.

  • Rest Of Michigan

    Michigan · 63270

    Office

    Unavailable

    Facility

    $2020.12

    No comparable office rate is available.

  • Minnesota

    Minnesota · 63270

    Office

    Unavailable

    Facility

    $1752.96

    No comparable office rate is available.

  • Metropolitan Kansas City

    Missouri · 63270

    Office

    Unavailable

    Facility

    $1974.48

    No comparable office rate is available.

  • Metropolitan St. Louis

    Missouri · 63270

    Office

    Unavailable

    Facility

    $1993.08

    No comparable office rate is available.

  • Rest Of Missouri

    Missouri · 63270

    Office

    Unavailable

    Facility

    $1923.79

    No comparable office rate is available.

  • Mississippi

    Mississippi · 63270

    Office

    Unavailable

    Facility

    $1826.76

    No comparable office rate is available.

  • Montana**

    Montana · 63270

    Office

    Unavailable

    Facility

    $2022.27

    No comparable office rate is available.

  • North Carolina

    North Carolina · 63270

    Office

    Unavailable

    Facility

    $1831.99

    No comparable office rate is available.

  • North Dakota**

    North Dakota · 63270

    Office

    Unavailable

    Facility

    $1779.46

    No comparable office rate is available.

  • Nebraska

    Nebraska · 63270

    Office

    Unavailable

    Facility

    $1718.51

    No comparable office rate is available.

  • New Hampshire

    New Hampshire · 63270

    Office

    Unavailable

    Facility

    $1998.16

    No comparable office rate is available.

  • Northern Nj

    New Jersey · 63270

    Office

    Unavailable

    Facility

    $2214.90

    No comparable office rate is available.

  • Rest Of New Jersey

    New Jersey · 63270

    Office

    Unavailable

    Facility

    $2160.80

    No comparable office rate is available.

  • New Mexico

    New Mexico · 63270

    Office

    Unavailable

    Facility

    $2052.22

    No comparable office rate is available.

  • Nevada**

    Nevada · 63270

    Office

    Unavailable

    Facility

    $1955.24

    No comparable office rate is available.

  • Nyc Suburbs/Long Island

    New York · 63270

    Office

    Unavailable

    Facility

    $2558.12

    No comparable office rate is available.

  • Poughkpsie/N Nyc Suburbs

    New York · 63270

    Office

    Unavailable

    Facility

    $2213.92

    No comparable office rate is available.

  • Queens

    New York · 63270

    Office

    Unavailable

    Facility

    $2383.40

    No comparable office rate is available.

  • Rest Of New York

    New York · 63270

    Office

    Unavailable

    Facility

    $1869.16

    No comparable office rate is available.

  • Ohio

    Ohio · 63270

    Office

    Unavailable

    Facility

    $1970.49

    No comparable office rate is available.

  • Oklahoma

    Oklahoma · 63270

    Office

    Unavailable

    Facility

    $1862.90

    No comparable office rate is available.

  • Portland

    Oregon · 63270

    Office

    Unavailable

    Facility

    $2004.92

    No comparable office rate is available.

  • Rest Of Oregon

    Oregon · 63270

    Office

    Unavailable

    Facility

    $1898.70

    No comparable office rate is available.

  • Metropolitan Philadelphia

    Pennsylvania · 63270

    Office

    Unavailable

    Facility

    $2146.06

    No comparable office rate is available.

  • Rest Of Pennsylvania

    Pennsylvania · 63270

    Office

    Unavailable

    Facility

    $1947.87

    No comparable office rate is available.

  • Puerto Rico

    Puerto Rico · 63270

    Office

    Unavailable

    Facility

    $2024.01

    No comparable office rate is available.

  • Rhode Island

    Rhode Island · 63270

    Office

    Unavailable

    Facility

    $2018.43

    No comparable office rate is available.

  • South Carolina

    South Carolina · 63270

    Office

    Unavailable

    Facility

    $1912.75

    No comparable office rate is available.

  • South Dakota**

    South Dakota · 63270

    Office

    Unavailable

    Facility

    $1750.74

    No comparable office rate is available.

  • Tennessee

    Tennessee · 63270

    Office

    Unavailable

    Facility

    $1774.74

    No comparable office rate is available.

  • Utah

    Utah · 63270

    Office

    Unavailable

    Facility

    $1942.72

    No comparable office rate is available.

  • Virginia

    Virginia · 63270

    Office

    Unavailable

    Facility

    $1891.59

    No comparable office rate is available.

  • Virgin Islands

    United States Virgin Islands · 63270

    Office

    Unavailable

    Facility

    $2024.01

    No comparable office rate is available.

  • Vermont

    Vermont · 63270

    Office

    Unavailable

    Facility

    $1814.05

    No comparable office rate is available.

  • Rest Of Washington

    Washington · 63270

    Office

    Unavailable

    Facility

    $1971.72

    No comparable office rate is available.

  • Seattle (King Cnty)

    Washington · 63270

    Office

    Unavailable

    Facility

    $2142.37

    No comparable office rate is available.

  • Wisconsin

    Wisconsin · 63270

    Office

    Unavailable

    Facility

    $1712.28

    No comparable office rate is available.

  • West Virginia

    West Virginia · 63270

    Office

    Unavailable

    Facility

    $2115.73

    No comparable office rate is available.

  • Wyoming**

    Wyoming · 63270

    Office

    Unavailable

    Facility

    $1916.45

    No comparable office rate is available.

See how rates vary across the country

63270 · 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 / territoryRate 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

Explore 63270 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 63270 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$2217.08

$2015.53 × 110% = $2217.08

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 63270 in Austin.

PPRRVU2026_Oct_nonQPP.csv

7,047

Code
63270
Physician work
29.06
Practice expense
19.23
Malpractice
12.28

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Facility calculation for 63270 in Austin
ComponentRVULocality factorAdjusted
Physician work29.06× 1.00229.1181
Practice expense19.23× 1.05820.3453
Malpractice12.28× 0.88610.8801
Total RVUs60.3435
Conversion factor× 33.4009

Facility rate, Austin$2015.53

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 63270 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work29.061.002
Practice expense19.231.058
Malpractice12.280.886

(29.06 × 1.002 + 19.23 × 1.058 + 12.28 × 0.886) × $33.4009 = $2015.53

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

63270 · 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

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01Not available in this setting$2015.53RVU26D
2026-07-01Not available in this setting$2015.53RVU26C
2026-04-01Not available in this setting$2015.53RVU26B
2026-01-01Not available in this setting$2015.53RVU26A
2025-10-01Not available in this setting$2054.17RVU25D
2025-07-01Not available in this setting$2054.17RVU25C
2025-04-01Not available in this setting$2054.17RVU25B
2025-01-01Not available in this setting$2054.17RVU25A

63270 billing questions

How does this differ from code 63265?

Code 63270 is for a non-neoplastic lesion inside the dura and outside the cord. Code 63265 describes the extradural compartment.

When should the thoracic sibling be used instead?

Use 63271 when the non-neoplastic intradural, extramedullary lesion is in the thoracic region. Code 63270 is specific to the cervical region.

What should the operative report document?

Document the cervical site, whether the lesion is intradural and outside the cord, its non-neoplastic character, and the excision or evacuation performed.

Should modifier 50 be appended for bilateral findings?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures in the session are subject to the standard multiple-procedure reduction.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeons are paid only when supporting documentation is provided; 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.

RVUs for 63270PPRRVU2026_Oct_nonQPP.csv, line 7,047 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)