No office rate
Both address cervical intradural lesions, but 63285 is for a lesion within the spinal cord; 63280 is for one outside the cord.
On this page
CMS RVU26D · Effective 2026-10-01
63285 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$2468.33
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.
Neurosurgery
About 63285: Cervical intramedullary lesion biopsy or excision
Reports cervical laminectomy to biopsy or remove a neoplasm located within the spinal cord, beneath the dura.
This service involves a posterior cervical laminectomy to reach an intradural, intramedullary neoplasm—one located within the spinal cord itself. The surgeon opens the dura to obtain a diagnostic tissue sample or remove the lesion. A neurosurgeon typically performs the operation in a hospital operating room; the code applies to the cervical region, not a lesion outside the dura or one in the surrounding space within the dura.
Select the code based on the documented cervical location and the lesion’s intramedullary position, rather than the biopsy-versus-removal intent alone. The operative report should identify the level, the lesion’s relationship to the dura and spinal cord, and whether tissue was sampled or the lesion was removed. Medicare assigns 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%. An assistant may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 63285
- 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 RVU37.10 · 49%
- Practice expense (office) RVU22.81 · 30%
- Malpractice RVU15.66 · 21%
56
Medicare services in 2024 · #5286 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.
63285 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
Use 63275 when the cervical neoplasm is extradural. Code 63285 requires an intradural, intramedullary location.
No office rate
The lesion compartment and biopsy-or-excision service are similar, but 63286 is for the thoracic region rather than the cervical region.
The same code, a different location
How does Delaware compare?
63285 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware 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
Alabama
Alabama · 63285
Office
Unavailable
Facility
$2201.86
No comparable office rate is available.
Arkansas
Arkansas · 63285
Office
Unavailable
Facility
$2163.00
No comparable office rate is available.
Arizona
Arizona · 63285
Office
Unavailable
Facility
$2425.17
No comparable office rate is available.
Bakersfield
California · 63285
Office
Unavailable
Facility
$2416.27
No comparable office rate is available.
Chico
California · 63285
Office
Unavailable
Facility
$2375.61
No comparable office rate is available.
El Centro
California · 63285
Office
Unavailable
Facility
$2378.23
No comparable office rate is available.
Fresno
California · 63285
Office
Unavailable
Facility
$2375.61
No comparable office rate is available.
Hanford-Corcoran
California · 63285
Office
Unavailable
Facility
$2375.61
No comparable office rate is available.
Madera
California · 63285
Office
Unavailable
Facility
$2375.61
No comparable office rate is available.
Merced
California · 63285
Office
Unavailable
Facility
$2375.61
No comparable office rate is available.
Modesto
California · 63285
Office
Unavailable
Facility
$2375.61
No comparable office rate is available.
Napa
California · 63285
Office
Unavailable
Facility
$2587.11
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 63285
Office
Unavailable
Facility
$2500.27
No comparable office rate is available.
Redding
California · 63285
Office
Unavailable
Facility
$2375.61
No comparable office rate is available.
Rest Of California
California · 63285
Office
Unavailable
Facility
$2375.61
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 63285
Office
Unavailable
Facility
$2542.66
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 63285
Office
Unavailable
Facility
$2450.20
No comparable office rate is available.
Salinas
California · 63285
Office
Unavailable
Facility
$2440.96
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 63285
Office
Unavailable
Facility
$2471.05
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 63285
Office
Unavailable
Facility
$2671.22
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 63285
Office
Unavailable
Facility
$2653.44
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 63285
Office
Unavailable
Facility
$2754.46
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 63285
Office
Unavailable
Facility
$2681.76
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 63285
Office
Unavailable
Facility
$2408.37
No comparable office rate is available.
Santa Cruz-Watsonville
California · 63285
Office
Unavailable
Facility
$2471.23
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 63285
Office
Unavailable
Facility
$2442.58
No comparable office rate is available.
Santa Rosa-Petaluma
California · 63285
Office
Unavailable
Facility
$2492.29
No comparable office rate is available.
Stockton
California · 63285
Office
Unavailable
Facility
$2375.61
No comparable office rate is available.
Vallejo
California · 63285
Office
Unavailable
Facility
$2561.48
No comparable office rate is available.
Visalia
California · 63285
Office
Unavailable
Facility
$2375.61
No comparable office rate is available.
Yuba City
California · 63285
Office
Unavailable
Facility
$2375.61
No comparable office rate is available.
Colorado
Colorado · 63285
Office
Unavailable
Facility
$2473.19
No comparable office rate is available.
Connecticut
Connecticut · 63285
Office
Unavailable
Facility
$2717.40
No comparable office rate is available.
Fort Lauderdale
Florida · 63285
Office
Unavailable
Facility
$2956.64
No comparable office rate is available.
Rest Of Florida
Florida · 63285
Office
Unavailable
Facility
$2753.68
No comparable office rate is available.
Atlanta
Georgia · 63285
Office
Unavailable
Facility
$2645.15
No comparable office rate is available.
Rest Of Georgia
Georgia · 63285
Office
Unavailable
Facility
$2542.25
No comparable office rate is available.
Hawaii, Guam
Hawaii · 63285
Office
Unavailable
Facility
$2408.28
No comparable office rate is available.
Iowa
Iowa · 63285
Office
Unavailable
Facility
$2143.94
No comparable office rate is available.
Idaho
Idaho · 63285
Office
Unavailable
Facility
$2187.50
No comparable office rate is available.
East St. Louis
Illinois · 63285
Office
Unavailable
Facility
$2993.54
No comparable office rate is available.
Rest Of Illinois
Illinois · 63285
Office
Unavailable
Facility
$2752.30
No comparable office rate is available.
Suburban Chicago
Illinois · 63285
Office
Unavailable
Facility
$2957.15
No comparable office rate is available.
Indiana
Indiana · 63285
Office
Unavailable
Facility
$2199.64
No comparable office rate is available.
Kansas
Kansas · 63285
Office
Unavailable
Facility
$2191.53
No comparable office rate is available.
Kentucky
Kentucky · 63285
Office
Unavailable
Facility
$2395.08
No comparable office rate is available.
New Orleans
Louisiana · 63285
Office
Unavailable
Facility
$2550.29
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 63285
Office
Unavailable
Facility
$2414.52
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 63285
Office
Unavailable
Facility
$2665.18
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 63285
Office
Unavailable
Facility
$2478.13
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 63285
Office
Unavailable
Facility
$2723.51
No comparable office rate is available.
Rest Of Maryland
Maryland · 63285
Office
Unavailable
Facility
$2502.75
No comparable office rate is available.
Rest Of Maine
Maine · 63285
Office
Unavailable
Facility
$2265.44
No comparable office rate is available.
Southern Maine
Maine · 63285
Office
Unavailable
Facility
$2324.24
No comparable office rate is available.
Detroit
Michigan · 63285
Office
Unavailable
Facility
$2856.26
No comparable office rate is available.
Rest Of Michigan
Michigan · 63285
Office
Unavailable
Facility
$2525.30
No comparable office rate is available.
Minnesota
Minnesota · 63285
Office
Unavailable
Facility
$2177.97
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 63285
Office
Unavailable
Facility
$2465.60
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 63285
Office
Unavailable
Facility
$2488.58
No comparable office rate is available.
Rest Of Missouri
Missouri · 63285
Office
Unavailable
Facility
$2405.37
No comparable office rate is available.
Mississippi
Mississippi · 63285
Office
Unavailable
Facility
$2281.69
No comparable office rate is available.
Montana**
Montana · 63285
Office
Unavailable
Facility
$2523.06
No comparable office rate is available.
North Carolina
North Carolina · 63285
Office
Unavailable
Facility
$2284.24
No comparable office rate is available.
North Dakota**
North Dakota · 63285
Office
Unavailable
Facility
$2213.41
No comparable office rate is available.
Nebraska
Nebraska · 63285
Office
Unavailable
Facility
$2140.10
No comparable office rate is available.
New Hampshire
New Hampshire · 63285
Office
Unavailable
Facility
$2489.96
No comparable office rate is available.
Northern Nj
New Jersey · 63285
Office
Unavailable
Facility
$2759.64
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 63285
Office
Unavailable
Facility
$2694.50
No comparable office rate is available.
New Mexico
New Mexico · 63285
Office
Unavailable
Facility
$2566.01
No comparable office rate is available.
Nevada**
Nevada · 63285
Office
Unavailable
Facility
$2437.52
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 63285
Office
Unavailable
Facility
$3195.67
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 63285
Office
Unavailable
Facility
$2762.09
No comparable office rate is available.
Queens
New York · 63285
Office
Unavailable
Facility
$2973.27
No comparable office rate is available.
Rest Of New York
New York · 63285
Office
Unavailable
Facility
$2330.66
No comparable office rate is available.
Ohio
Ohio · 63285
Office
Unavailable
Facility
$2462.01
No comparable office rate is available.
Oklahoma
Oklahoma · 63285
Office
Unavailable
Facility
$2325.94
No comparable office rate is available.
Portland
Oregon · 63285
Office
Unavailable
Facility
$2494.60
No comparable office rate is available.
Rest Of Oregon
Oregon · 63285
Office
Unavailable
Facility
$2365.71
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 63285
Office
Unavailable
Facility
$2678.60
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 63285
Office
Unavailable
Facility
$2432.86
No comparable office rate is available.
Puerto Rico
Puerto Rico · 63285
Office
Unavailable
Facility
$2524.64
No comparable office rate is available.
Rhode Island
Rhode Island · 63285
Office
Unavailable
Facility
$2516.30
No comparable office rate is available.
South Carolina
South Carolina · 63285
Office
Unavailable
Facility
$2387.74
No comparable office rate is available.
South Dakota**
South Dakota · 63285
Office
Unavailable
Facility
$2176.80
No comparable office rate is available.
Tennessee
Tennessee · 63285
Office
Unavailable
Facility
$2212.60
No comparable office rate is available.
Austin
Texas · 63285
Office
Unavailable
Facility
$2511.14
No comparable office rate is available.
Beaumont
Texas · 63285
Office
Unavailable
Facility
$2418.40
No comparable office rate is available.
Brazoria
Texas · 63285
Office
Unavailable
Facility
$2412.09
No comparable office rate is available.
Dallas
Texas · 63285
Office
Unavailable
Facility
$2457.94
No comparable office rate is available.
Fort Worth
Texas · 63285
Office
Unavailable
Facility
$2457.12
No comparable office rate is available.
Galveston
Texas · 63285
Office
Unavailable
Facility
$2438.72
No comparable office rate is available.
Houston
Texas · 63285
Office
Unavailable
Facility
$2725.36
No comparable office rate is available.
Rest Of Texas
Texas · 63285
Office
Unavailable
Facility
$2434.51
No comparable office rate is available.
Utah
Utah · 63285
Office
Unavailable
Facility
$2425.04
No comparable office rate is available.
Virginia
Virginia · 63285
Office
Unavailable
Facility
$2357.38
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 63285
Office
Unavailable
Facility
$2524.64
No comparable office rate is available.
Vermont
Vermont · 63285
Office
Unavailable
Facility
$2258.10
No comparable office rate is available.
Rest Of Washington
Washington · 63285
Office
Unavailable
Facility
$2455.58
No comparable office rate is available.
Seattle (King Cnty)
Washington · 63285
Office
Unavailable
Facility
$2663.29
No comparable office rate is available.
Wisconsin
Wisconsin · 63285
Office
Unavailable
Facility
$2130.15
No comparable office rate is available.
West Virginia
West Virginia · 63285
Office
Unavailable
Facility
$2649.74
No comparable office rate is available.
Wyoming**
Wyoming · 63285
Office
Unavailable
Facility
$2388.11
No comparable office rate is available.
See how rates vary across the country
63285 · 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 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 63285 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2715.16
$2468.33 × 110% = $2715.16
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.
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 63285 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
7,059
- Code
- 63285
- Physician work
- 37.10
- Practice expense
- 22.81
- Malpractice
- 15.66
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 37.10 | × 1.005 | 37.2855 |
| Practice expense | 22.81 | × 0.988 | 22.5363 |
| Malpractice | 15.66 | × 0.899 | 14.0783 |
| Total RVUs | 73.9001 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$2468.33
Open 63285 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 37.1 | 1.005 |
| Practice expense | 22.81 | 0.988 |
| Malpractice | 15.66 | 0.899 |
(37.1 × 1.005 + 22.81 × 0.988 + 15.66 × 0.899) × $33.4009 = $2468.33
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
63285 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $2468.33 | RVU26D |
| 2026-07-01 | Not available in this setting | $2468.33 | RVU26C |
| 2026-04-01 | Not available in this setting | $2468.33 | RVU26B |
| 2026-01-01 | Not available in this setting | $2468.33 | RVU26A |
| 2025-10-01 | Not available in this setting | $2561.35 | RVU25D |
| 2025-07-01 | Not available in this setting | $2561.35 | RVU25C |
| 2025-04-01 | Not available in this setting | $2561.35 | RVU25B |
| 2025-01-01 | Not available in this setting | $2561.35 | RVU25A |
63285 billing questions
How is this distinguished from code 63280?
Use 63285 for a lesion within the spinal cord. Code 63280 describes a cervical intradural lesion outside the cord.
Does this code cover biopsy as well as removal?
Yes. The code covers the cervical laminectomy service for biopsy or excision of an intradural, intramedullary neoplasm.
What operative documentation supports this code?
Document the cervical level, the lesion’s intradural and intramedullary location, and whether the surgeon sampled or removed it.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How does Medicare handle other procedures in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under 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.
7,05663281,,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
7,05763282,,Bx/exc idrl spine lesn lmbr,A,,27.45,19.16,NA,19.16,,11.41,58.02,58.02,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,05863283,,Bx/exc idrl spine lesn scrl,A,,26.09,18.95,NA,18.95,,11.02,56.06,56.06,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,05963285,,Bx/exc idrl imed lesn cervl,A,,37.10,22.81,NA,22.81,,15.66,75.57,75.57,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,06063286,,Bx/exc idrl imed lesn thrc,A,,36.68,22.61,NA,22.61,,15.39,74.68,74.68,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,06163287,,Bx/exc idrl imed lesn thrlmb,A,,39.08,23.50,NA,23.50,,16.49,79.07,79.07,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,06263290,,Bx/exc xdrl/idrl lsn any lvl,A,,39.80,23.76,NA,23.76,,16.81,80.37,80.37,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503