Choose 63278 when the sacral neoplasm is extradural. This code requires an intradural lesion outside the spinal cord.
On this page
CMS RVU26D · Effective 2026-10-01
63283 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1777.24
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.
Spinal surgery
About 63283: Sacral intradural extramedullary tumor surgery
Reports laminectomy-based biopsy or removal of a neoplasm located inside the dura but outside the spinal cord at the sacral level.
A spine surgeon, commonly a neurosurgeon or orthopedic spine surgeon, uses a laminectomy to reach a sacral canal lesion, opens the dura, and biopsies or removes a tumor lying outside the spinal cord. A nerve-sheath tumor is a typical example of an intradural extramedullary lesion. The code is specific to the sacral level and does not describe a lesion outside the dura or one arising within the cord.
Report the service when the operative findings establish a sacral neoplasm in the intradural, extramedullary compartment and the surgeon performs biopsy or excision. The operative note should identify the level, lesion location relative to the dura and cord, and whether tissue was sampled or the lesion removed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In the same session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 63283
- 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 RVU26.09 · 47%
- Practice expense (office) RVU18.95 · 34%
- Malpractice RVU11.02 · 20%
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.
63283 compared with similar codes
Office rates for Redding, from the same CMS release.
Choose 63273 for a sacral intradural extramedullary lesion other than a neoplasm; this code is for biopsy or excision of a neoplasm.
Code 63287 concerns an intramedullary neoplasm in the thoracolumbar region. This code is for an extramedullary lesion at the sacral level.
Both address intradural extramedullary neoplasms, but 63282 is for the lumbar level and this code is for the sacral level.
The same code, a different location
How does Redding compare?
63283 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
Unavailable
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.
No comparable rate is available in this setting.
Other payment areas listed in California 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
Madera
California · 63283
Office
Unavailable
Facility
$1777.24
No comparable office rate is available.
Merced
California · 63283
Office
Unavailable
Facility
$1777.24
No comparable office rate is available.
Modesto
California · 63283
Office
Unavailable
Facility
$1777.24
No comparable office rate is available.
Napa
California · 63283
Office
Unavailable
Facility
$1947.54
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 63283
Office
Unavailable
Facility
$1873.29
No comparable office rate is available.
Rest Of California
California · 63283
Office
Unavailable
Facility
$1777.24
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 63283
Office
Unavailable
Facility
$1894.80
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 63283
Office
Unavailable
Facility
$1836.21
No comparable office rate is available.
Salinas
California · 63283
Office
Unavailable
Facility
$1829.32
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 63283
Office
Unavailable
Facility
$1854.08
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 63283
Office
Unavailable
Facility
$2015.62
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 63283
Office
Unavailable
Facility
$2003.10
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 63283
Office
Unavailable
Facility
$2077.29
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 63283
Office
Unavailable
Facility
$2026.12
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 63283
Office
Unavailable
Facility
$1804.46
No comparable office rate is available.
Santa Cruz-Watsonville
California · 63283
Office
Unavailable
Facility
$1856.05
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 63283
Office
Unavailable
Facility
$1831.14
No comparable office rate is available.
Santa Rosa-Petaluma
California · 63283
Office
Unavailable
Facility
$1872.12
No comparable office rate is available.
Stockton
California · 63283
Office
Unavailable
Facility
$1777.24
No comparable office rate is available.
Vallejo
California · 63283
Office
Unavailable
Facility
$1929.50
No comparable office rate is available.
Visalia
California · 63283
Office
Unavailable
Facility
$1777.24
No comparable office rate is available.
Yuba City
California · 63283
Office
Unavailable
Facility
$1777.24
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 63283
Office
Unavailable
Facility
$2073.77
No comparable office rate is available.
Miami
Florida · 63283
Office
Unavailable
Facility
$2461.20
No comparable office rate is available.
Chicago
Illinois · 63283
Office
Unavailable
Facility
$2358.38
No comparable office rate is available.
Manhattan
New York · 63283
Office
Unavailable
Facility
$2246.46
No comparable office rate is available.
Alaska*
Alaska · 63283
Office
Unavailable
Facility
$2184.04
No comparable office rate is available.
Alabama
Alabama · 63283
Office
Unavailable
Facility
$1633.59
No comparable office rate is available.
Arkansas
Arkansas · 63283
Office
Unavailable
Facility
$1604.69
No comparable office rate is available.
Arizona
Arizona · 63283
Office
Unavailable
Facility
$1799.83
No comparable office rate is available.
Colorado
Colorado · 63283
Office
Unavailable
Facility
$1842.81
No comparable office rate is available.
Connecticut
Connecticut · 63283
Office
Unavailable
Facility
$2015.92
No comparable office rate is available.
Delaware
Delaware · 63283
Office
Unavailable
Facility
$1832.04
No comparable office rate is available.
Fort Lauderdale
Florida · 63283
Office
Unavailable
Facility
$2178.09
No comparable office rate is available.
Rest Of Florida
Florida · 63283
Office
Unavailable
Facility
$2029.75
No comparable office rate is available.
Atlanta
Georgia · 63283
Office
Unavailable
Facility
$1959.18
No comparable office rate is available.
Rest Of Georgia
Georgia · 63283
Office
Unavailable
Facility
$1874.77
No comparable office rate is available.
Hawaii, Guam
Hawaii · 63283
Office
Unavailable
Facility
$1804.21
No comparable office rate is available.
Iowa
Iowa · 63283
Office
Unavailable
Facility
$1596.70
No comparable office rate is available.
Idaho
Idaho · 63283
Office
Unavailable
Facility
$1627.84
No comparable office rate is available.
East St. Louis
Illinois · 63283
Office
Unavailable
Facility
$2195.05
No comparable office rate is available.
Rest Of Illinois
Illinois · 63283
Office
Unavailable
Facility
$2024.62
No comparable office rate is available.
Suburban Chicago
Illinois · 63283
Office
Unavailable
Facility
$2179.80
No comparable office rate is available.
Indiana
Indiana · 63283
Office
Unavailable
Facility
$1637.06
No comparable office rate is available.
Kansas
Kansas · 63283
Office
Unavailable
Facility
$1629.12
No comparable office rate is available.
Kentucky
Kentucky · 63283
Office
Unavailable
Facility
$1770.91
No comparable office rate is available.
New Orleans
Louisiana · 63283
Office
Unavailable
Facility
$1885.17
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 63283
Office
Unavailable
Facility
$1784.21
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 63283
Office
Unavailable
Facility
$1990.49
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 63283
Office
Unavailable
Facility
$1845.22
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 63283
Office
Unavailable
Facility
$2019.84
No comparable office rate is available.
Rest Of Maryland
Maryland · 63283
Office
Unavailable
Facility
$1858.58
No comparable office rate is available.
Rest Of Maine
Maine · 63283
Office
Unavailable
Facility
$1682.69
No comparable office rate is available.
Southern Maine
Maine · 63283
Office
Unavailable
Facility
$1730.94
No comparable office rate is available.
Detroit
Michigan · 63283
Office
Unavailable
Facility
$2102.80
No comparable office rate is available.
Rest Of Michigan
Michigan · 63283
Office
Unavailable
Facility
$1864.87
No comparable office rate is available.
Minnesota
Minnesota · 63283
Office
Unavailable
Facility
$1631.68
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 63283
Office
Unavailable
Facility
$1825.38
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 63283
Office
Unavailable
Facility
$1842.81
No comparable office rate is available.
Rest Of Missouri
Missouri · 63283
Office
Unavailable
Facility
$1775.54
No comparable office rate is available.
Mississippi
Mississippi · 63283
Office
Unavailable
Facility
$1688.41
No comparable office rate is available.
Montana**
Montana · 63283
Office
Unavailable
Facility
$1871.72
No comparable office rate is available.
North Carolina
North Carolina · 63283
Office
Unavailable
Facility
$1697.17
No comparable office rate is available.
North Dakota**
North Dakota · 63283
Office
Unavailable
Facility
$1653.82
No comparable office rate is available.
Nebraska
Nebraska · 63283
Office
Unavailable
Facility
$1594.77
No comparable office rate is available.
New Hampshire
New Hampshire · 63283
Office
Unavailable
Facility
$1852.40
No comparable office rate is available.
Northern Nj
New Jersey · 63283
Office
Unavailable
Facility
$2053.66
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 63283
Office
Unavailable
Facility
$2001.25
No comparable office rate is available.
New Mexico
New Mexico · 63283
Office
Unavailable
Facility
$1893.90
No comparable office rate is available.
Nevada**
Nevada · 63283
Office
Unavailable
Facility
$1811.62
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 63283
Office
Unavailable
Facility
$2363.30
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 63283
Office
Unavailable
Facility
$2049.10
No comparable office rate is available.
Queens
New York · 63283
Office
Unavailable
Facility
$2206.11
No comparable office rate is available.
Rest Of New York
New York · 63283
Office
Unavailable
Facility
$1731.49
No comparable office rate is available.
Ohio
Ohio · 63283
Office
Unavailable
Facility
$1820.33
No comparable office rate is available.
Oklahoma
Oklahoma · 63283
Office
Unavailable
Facility
$1722.65
No comparable office rate is available.
Portland
Oregon · 63283
Office
Unavailable
Facility
$1862.43
No comparable office rate is available.
Rest Of Oregon
Oregon · 63283
Office
Unavailable
Facility
$1760.60
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 63283
Office
Unavailable
Facility
$1985.13
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 63283
Office
Unavailable
Facility
$1800.31
No comparable office rate is available.
Puerto Rico
Puerto Rico · 63283
Office
Unavailable
Facility
$1873.90
No comparable office rate is available.
Rhode Island
Rhode Island · 63283
Office
Unavailable
Facility
$1870.15
No comparable office rate is available.
South Carolina
South Carolina · 63283
Office
Unavailable
Facility
$1769.14
No comparable office rate is available.
South Dakota**
South Dakota · 63283
Office
Unavailable
Facility
$1628.05
No comparable office rate is available.
Tennessee
Tennessee · 63283
Office
Unavailable
Facility
$1644.44
No comparable office rate is available.
Austin
Texas · 63283
Office
Unavailable
Facility
$1868.95
No comparable office rate is available.
Beaumont
Texas · 63283
Office
Unavailable
Facility
$1789.36
No comparable office rate is available.
Brazoria
Texas · 63283
Office
Unavailable
Facility
$1792.75
No comparable office rate is available.
Dallas
Texas · 63283
Office
Unavailable
Facility
$1825.50
No comparable office rate is available.
Fort Worth
Texas · 63283
Office
Unavailable
Facility
$1823.95
No comparable office rate is available.
Galveston
Texas · 63283
Office
Unavailable
Facility
$1811.69
No comparable office rate is available.
Houston
Texas · 63283
Office
Unavailable
Facility
$2013.39
No comparable office rate is available.
Rest Of Texas
Texas · 63283
Office
Unavailable
Facility
$1804.47
No comparable office rate is available.
Utah
Utah · 63283
Office
Unavailable
Facility
$1796.93
No comparable office rate is available.
Virginia
Virginia · 63283
Office
Unavailable
Facility
$1753.48
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 63283
Office
Unavailable
Facility
$1873.90
No comparable office rate is available.
Vermont
Vermont · 63283
Office
Unavailable
Facility
$1684.29
No comparable office rate is available.
Rest Of Washington
Washington · 63283
Office
Unavailable
Facility
$1829.36
No comparable office rate is available.
Seattle (King Cnty)
Washington · 63283
Office
Unavailable
Facility
$1992.35
No comparable office rate is available.
Wisconsin
Wisconsin · 63283
Office
Unavailable
Facility
$1591.16
No comparable office rate is available.
West Virginia
West Virginia · 63283
Office
Unavailable
Facility
$1948.18
No comparable office rate is available.
Wyoming**
Wyoming · 63283
Office
Unavailable
Facility
$1776.75
No comparable office rate is available.
See how rates vary across the country
63283 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, 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 63283 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1954.96
$1777.24 × 110% = $1954.96
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 63283 in Redding.
PPRRVU2026_Oct_nonQPP.csv
7,058
- Code
- 63283
- Physician work
- 26.09
- Practice expense
- 18.95
- Malpractice
- 11.02
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 26.09 | × 1.017 | 26.5335 |
| Practice expense | 18.95 | × 1.096 | 20.7692 |
| Malpractice | 11.02 | × 0.536 | 5.9067 |
| Total RVUs | 53.2094 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$1777.24
Open 63283 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 26.09 | 1.017 |
| Practice expense | 18.95 | 1.096 |
| Malpractice | 11.02 | 0.536 |
(26.09 × 1.017 + 18.95 × 1.096 + 11.02 × 0.536) × $33.4009 = $1777.24
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
63283 · 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 | $1777.24 | RVU26D |
| 2026-07-01 | Not available in this setting | $1777.24 | RVU26C |
| 2026-04-01 | Not available in this setting | $1777.24 | RVU26B |
| 2026-01-01 | Not available in this setting | $1777.24 | RVU26A |
| 2025-10-01 | Not available in this setting | $1805.45 | RVU25D |
| 2025-07-01 | Not available in this setting | $1805.45 | RVU25C |
| 2025-04-01 | Not available in this setting | $1805.45 | RVU25B |
| 2025-01-01 | Not available in this setting | $1805.45 | RVU25A |
63283 billing questions
How is this code different from 63278?
This code is for a sacral neoplasm inside the dura but outside the spinal cord. Code 63278 describes a sacral neoplasm outside the dura.
When would 63273 be considered instead?
Code 63273 is for excision of a sacral intradural, extramedullary lesion other than a neoplasm. Use this code when the lesion is a neoplasm and the surgeon performs biopsy or excision.
Does this code cover a tumor within the spinal cord?
No. It describes an intradural lesion outside the cord; a neoplasm arising within the cord belongs to the intramedullary code family.
Can modifier 50 be used for a bilateral sacral lesion?
No. The CMS bilateral adjustment does not apply to this service, and modifier 50 is inappropriate.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
What documentation supports reporting this code?
Document the sacral level, the neoplasm's intradural extramedullary location, and whether the surgeon biopsied or excised it. The operative report should distinguish the lesion from one outside the dura or within the cord.
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.
