No office rate
Both concern non-neoplastic lumbar lesions, but 63272 is for a lesion inside the dura and outside the spinal cord; this code is for an extradural lesion.
On this page
CMS RVU26D · Effective 2026-10-01
63267 Spinal lesion excision Medicare reimbursement rates in Florida
Reported for lumbar laminectomy to remove or evacuate a non-neoplastic lesion outside the dura, such as an epidural abscess or hematoma. Compare 63267 office and facility rates across CMS payment localities in Florida.
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 63267 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1414.94–$1684.43
3 of 3 localities have a supported rate.
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.
Where 63267 pays more and less in Florida
Spine surgery
About 63267: Lumbar extradural lesion excision
Reported for lumbar laminectomy to remove or evacuate a non-neoplastic lesion outside the dura, such as an epidural abscess or hematoma.
A neurosurgeon or orthopedic spine surgeon uses a lumbar laminectomy to reach and remove or evacuate a lesion in the spinal canal but outside the dura. Typical clinical examples include an extradural abscess or hematoma when surgical removal or evacuation is performed. The service is generally provided in an operating room, with the operative report identifying the lumbar level and the lesion’s extradural location.
Choose this code when the treated lesion is non-neoplastic and extradural; a different code applies when the lesion is intradural or a neoplasm. Documentation should support the approach, site, compartment, and work performed. Medicare assigns a 90-day major-surgery global period, including the day-before preoperative visit and related postoperative care through day 90. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 63267
- 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 RVU18.96 · 48%
- Practice expense (office) RVU13.93 · 35%
- Malpractice RVU6.71 · 17%
11.1K
Medicare services in 2024 · #1422 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.
63267 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
Both involve lumbar extradural lesions, but 63277 is used for a neoplasm. This code is for a non-neoplastic lesion.
No office rate
Code 63282 concerns an intradural, extramedullary neoplasm at the lumbar level. This code concerns a non-neoplastic lesion outside the dura.
No office rate
The lesion type and extradural location are comparable, but 63266 applies at the thoracic level rather than the lumbar level.
Compare 63267 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$1509.81
Miami →
Office / nonfacility
Unavailable
Facility
$1684.43
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$1414.94
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.
63267 billing questions
How is this code distinguished from 63272?
This code is for a non-neoplastic lesion outside the dura. Code 63272 is for a non-neoplastic lesion inside the dura but outside the spinal cord.
Can this code be used for a lumbar spinal tumor?
No. This code is for a non-neoplastic extradural lesion; a code for an extradural neoplasm is the relevant comparison when the lesion is a tumor.
What documentation supports the code?
The operative report should identify the lumbar level, establish that the lesion was extradural and non-neoplastic, and describe the removal or evacuation performed through the laminectomy.
How does the global period affect postoperative billing?
Medicare includes the day-before preoperative visit and related postoperative care through day 90 in the major-surgery global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. 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.
7,04263252,,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
7,04463266,,Excise intrspinl lesion thrc,A,,24.06,16.33,NA,16.33,,9.25,49.64,49.64,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,04563267,,Excise intrspinl lesion lmbr,A,,18.96,13.93,NA,13.93,,6.71,39.60,39.60,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,04663268,,Excise intrspinl lesion scrl,A,,19.52,15.88,NA,15.88,,8.24,43.64,43.64,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,04763270,,Excise intrspinl lesion crvl,A,,29.06,19.23,NA,19.23,,12.28,60.57,60.57,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,04863271,,Excise intrspinl lesion thrc,A,,29.17,19.03,NA,19.03,,12.05,60.25,60.25,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00