No office rate
This code describes the cervical region specifically and an extradural lesion. Code 63290 covers an extradural or intradural lesion at any level.
On this page
CMS RVU26D · Effective 2026-10-01
63290 Spinal lesion surgery Medicare reimbursement rates in Arkansas
Reports laminectomy exposure to biopsy or remove an extradural or intradural spinal lesion when the service is not limited to a specific spinal level. Compare 63290 office and facility rates across CMS payment localities in Arkansas.
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 63290 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2300.22
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
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.
Neurosurgery
About 63290: Spinal lesion biopsy or excision, any level
Reports laminectomy exposure to biopsy or remove an extradural or intradural spinal lesion when the service is not limited to a specific spinal level.
A surgeon uses a laminectomy to reach an intraspinal lesion for tissue sampling or removal. The lesion may be extradural or intradural and may occur at any spinal level. Neurosurgeons and orthopedic spine surgeons typically perform this operation in a hospital operating room, often when imaging identifies a spinal mass or another lesion requiring tissue diagnosis or surgical treatment.
Report the code when the operative service fits the any-level extradural or intradural description; the operative report should identify the lesion, its location and compartment, the exposure performed, and whether the surgeon biopsied or excised it. This major procedure has a 90-day global period, which includes 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 the others 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 63290
- 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 RVU39.80 · 50%
- Practice expense (office) RVU23.76 · 30%
- Malpractice RVU16.81 · 21%
40
Medicare services in 2024 · #5508 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.
63290 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
This code is specific to a cervical intradural lesion. Code 63290 is the any-level option for an extradural or intradural lesion.
No office rate
Code 63265 is for excision or evacuation of an extradural lesion other than a neoplasm at a specified spinal region; code 63290 covers biopsy or excision at any level.
Compare 63290 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.
1 of 1 payment localities
Arkansas →
Office / nonfacility
Unavailable
Facility
$2300.22
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 63290 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
7,062
- Code
- 63290
- Physician work
- 39.80
- Practice expense
- 23.76
- Malpractice
- 16.81
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 39.80 | × 1.000 | 39.8000 |
| Practice expense | 23.76 | × 0.859 | 20.4098 |
| Malpractice | 16.81 | × 0.515 | 8.6571 |
| Total RVUs | 68.8670 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$2300.22
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 39.8 | 1 |
| Practice expense | 23.76 | 0.859 |
| Malpractice | 16.81 | 0.515 |
(39.8 × 1 + 23.76 × 0.859 + 16.81 × 0.515) × $33.4009 = $2300.22
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.
63290 billing questions
How does this code differ from the level-specific spinal lesion codes?
This code describes an extradural or intradural lesion at any level. Codes 63275–63278 and 63280–63283 identify specific spinal regions, so use the code matching the documented level when that description applies.
Does the code cover biopsy as well as removal?
Yes. It covers laminectomy exposure for biopsy or excision of the lesion. The operative report should make clear which service was performed.
Can modifier 50 be used for lesions on both sides?
No. The bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
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. The surgeon's related routine care during that period is not separately reported as another service.
May an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
What happens when another procedure is performed during the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. The operative record should support each distinct procedure reported.
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.
7,05963285,,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
7,06363295,,Repair laminectomy defect,A,,5.12,1.79,NA,1.79,,2.15,9.06,9.06,0,ZZZ,0.00,0.00,0.00,0,2,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,06463300,,Remove vert xdrl body crvcl,A,,26.13,16.47,NA,16.47,,9.53,52.13,52.13,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,06563301,,Remove vert xdrl body thrc,A,,30.78,20.59,NA,20.59,,12.99,64.36,64.36,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541