No office rate
Both concern thoracic extradural lesions. Choose 63276 for a neoplasm; 63266 is for an extradural lesion other than a neoplasm.
On this page
CMS RVU26D · Effective 2026-10-01
63276 Spinal lesion surgery Medicare reimbursement rates in Connecticut
Reports thoracic laminectomy to biopsy or remove a neoplasm located in the spinal canal outside the dura. Compare 63276 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 63276 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
$1856.08
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 63276: Thoracic extradural spinal lesion biopsy or excision
Reports thoracic laminectomy to biopsy or remove a neoplasm located in the spinal canal outside the dura.
A neurosurgeon or spine surgeon uses a thoracic laminectomy to reach a lesion in the spinal canal that lies outside the dura, then obtains a biopsy or removes the lesion. The code is for an extradural neoplasm in the thoracic region; examples may include a tumor involving the epidural space or extending into it. The operative report should establish the lesion’s location and compartment, the thoracic level, and whether the surgeon sampled or excised it.
Select this code when the lesion is both neoplastic and extradural, rather than by the amount of tissue removed. A non-neoplastic extradural lesion and a neoplasm within the dura belong to different code choices. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this anatomically defined service. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 63276
- 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 RVU25.05 · 48%
- Practice expense (office) RVU16.84 · 33%
- Malpractice RVU9.82 · 19%
1.5K
Medicare services in 2024 · #2687 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.
63276 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
63271 concerns a thoracic intradural lesion other than a neoplasm. This code is for an extradural neoplasm.
No office rate
Both address thoracic neoplasms, but 63281 is for an intradural, extramedullary lesion; this code is for an extradural lesion.
No office rate
The lesion type and extradural location match, but 63277 applies to the lumbar region rather than the thoracic region.
Compare 63276 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
$1856.08
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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 63276 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
7,052
- Code
- 63276
- Physician work
- 25.05
- Practice expense
- 16.84
- Malpractice
- 9.82
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 25.05 | × 1.020 | 25.5510 |
| Practice expense | 16.84 | × 1.077 | 18.1367 |
| Malpractice | 9.82 | × 1.210 | 11.8822 |
| Total RVUs | 55.5699 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$1856.08
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 25.05 | 1.02 |
| Practice expense | 16.84 | 1.077 |
| Malpractice | 9.82 | 1.21 |
(25.05 × 1.02 + 16.84 × 1.077 + 9.82 × 1.21) × $33.4009 = $1856.08
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.
63276 billing questions
How does this differ from 63266?
63276 is for biopsy or excision of an extradural neoplasm in the thoracic region. 63266 is for an extradural lesion other than a neoplasm.
When is 63281 a better fit?
Use 63281 for a thoracic neoplasm located within the dura but outside the spinal cord. The lesion’s relationship to the dura and cord should be clear in the operative report.
Does the code include postoperative visits?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
Can modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this anatomically defined service.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in the session are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; 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.
7,04963272,,Excise intrspinl lesion lmbr,A,,26.81,17.42,NA,17.42,,10.54,54.77,54.77,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,05063273,,Excise intrspinl lesion scrl,A,,25.81,18.09,NA,18.09,,10.90,54.80,54.80,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,05163275,,Bx/exc xdrl spine lesn crvl,A,,25.21,16.86,NA,16.86,,9.78,51.85,51.85,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,05263276,,Bx/exc xdrl spine lesn thrc,A,,25.05,16.84,NA,16.84,,9.82,51.71,51.71,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,05363277,,Bx/exc xdrl spine lesn lmbr,A,,21.83,15.06,NA,15.06,,8.09,44.98,44.98,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,05463278,,Bx/exc xdrl spine lesn scrl,A,,21.57,16.60,NA,16.60,,9.12,47.29,47.29,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,05563280,,Bx/exc idrl spine lesn crvl,A,,29.53,19.94,NA,19.94,,12.28,61.75,61.75,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,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