No office rate
Use 63251 when the treated spinal cord arteriovenous malformation is at the thoracic level; this code is for the cervical level.
On this page
CMS RVU26D · Effective 2026-10-01
63250 Spinal AVM surgery Medicare reimbursement rates in Connecticut
Reports cervical-level surgery to remove or occlude a spinal cord arteriovenous malformation through a laminectomy approach. Compare 63250 office and facility rates across CMS payment localities in Connecticut.
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 63250 in Connecticut?
Connecticut 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
$3051.42
1 of 1 localities have a supported rate.
Payment area: Connecticut
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 63250: Cervical spinal cord arteriovenous malformation surgery
Reports cervical-level surgery to remove or occlude a spinal cord arteriovenous malformation through a laminectomy approach.
This code describes operative treatment of an arteriovenous malformation involving the spinal cord at a cervical level, using a laminectomy approach to expose and remove or occlude the abnormal vessels. Neurosurgeons typically perform the procedure in a hospital operating room, often with microsurgical techniques. The operative report should establish the vascular malformation, the cervical location, and the treatment performed.
Select this code for the cervical spinal level; thoracic and thoracolumbar locations have separate sibling codes. The service has 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%. Bilateral adjustment is inappropriate. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 63250
- 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 RVU42.76 · 50%
- Practice expense (office) RVU24.05 · 28%
- Malpractice RVU18.05 · 21%
23
Medicare services in 2024 · #5850 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.
63250 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
Use 63252 for the thoracolumbar level. This code identifies cervical-level treatment.
No office rate
Code 63270 describes excision of an intramedullary cervical spinal lesion, rather than the excision or occlusion of a spinal cord arteriovenous malformation.
Compare 63250 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
Connecticut →
Office / nonfacility
Unavailable
Facility
$3051.42
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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 63250 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
7,040
- Code
- 63250
- Physician work
- 42.76
- Practice expense
- 24.05
- Malpractice
- 18.05
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 42.76 | × 1.020 | 43.6152 |
| Practice expense | 24.05 | × 1.077 | 25.9018 |
| Malpractice | 18.05 | × 1.210 | 21.8405 |
| Total RVUs | 91.3576 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$3051.42
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 42.76 | 1.02 |
| Practice expense | 24.05 | 1.077 |
| Malpractice | 18.05 | 1.21 |
(42.76 × 1.02 + 24.05 × 1.077 + 18.05 × 1.21) × $33.4009 = $3051.42
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.
63250 billing questions
How do I distinguish this code from 63251 or 63252?
Use this code for a cervical spinal cord arteriovenous malformation. Code 63251 identifies the thoracic level, and 63252 identifies the thoracolumbar level.
Does this code describe excision of any cervical spinal lesion?
No. It describes operative treatment of a spinal cord arteriovenous malformation. Other intraspinal lesion excision codes describe different lesion types or procedures.
What documentation supports this code?
The operative report should identify the arteriovenous malformation, its cervical location, and whether it was removed or occluded through the operative approach.
Can modifier 50 be used for bilateral treatment?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate for its descriptor and anatomy.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation.
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.
7,03763191,,Incise spine accessory nerve,A,,18.45,15.00,NA,15.00,,7.77,41.22,41.22,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,03863197,,Lam w/cordotomy 1stg thrc,A,,23.48,17.01,NA,17.01,,9.92,50.41,50.41,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,03963200,,Release spinal cord lumbar,A,,20.90,16.33,NA,16.33,,8.73,45.96,45.96,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,04063250,,Revise spinal cord vsls crvl,A,,42.76,24.05,NA,24.05,,18.05,84.86,84.86,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,04163251,,Revise spinal cord vsls thrc,A,,43.52,25.07,NA,25.07,,18.37,86.96,86.96,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,04263252,,Revise spine cord vsl thrlmb,A,,43.51,25.06,NA,25.06,,18.37,86.94,86.94,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,04363265,,Excise intraspinl lesion crv,A,,23.22,16.09,NA,16.09,,9.00,48.31,48.31,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
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