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CMS RVU26D · Effective 2026-10-01

63282 Spinal lesion surgery Medicare reimbursement rates in Guam

Reports lumbar laminectomy access to biopsy or remove an intradural, extramedullary spinal lesion, such as a tumor outside the spinal cord. Compare 63282 office and facility rates across CMS payment localities in Guam.

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 63282 in Guam?

Guam 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

$1865.15

1 of 1 localities have a supported rate.

Payment area: Hawaii, Guam

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.

Find 63282 in your payment locality →

Neurosurgery

About 63282: Lumbar intradural extramedullary lesion surgery

Reports lumbar laminectomy access to biopsy or remove an intradural, extramedullary spinal lesion, such as a tumor outside the spinal cord.

A neurosurgeon uses a lumbar laminectomy to reach a lesion inside the dura but outside the spinal cord, then obtains a biopsy or removes the lesion. Typical cases include an intradural extramedullary tumor such as a schwannoma or meningioma. The code is selected for the lumbar location and the lesion’s compartment, not simply because the operation uses a laminectomy. It is typically performed in a hospital operating room.

The operative report should establish the lumbar level, the intradural extramedullary location, and whether tissue was sampled or the lesion was removed. This major surgery includes 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 other procedures 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 63282

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 RVU27.45 · 47%
  • Practice expense (office) RVU19.16 · 33%
  • Malpractice RVU11.41 · 20%

362

Medicare services in 2024 · #3820 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.

63282 compared with similar codes

Office rates for Guam, from the same CMS release.

63277

Spinal lesion surgery

Extradural, lumbar

No office rate

Use 63282 for a neoplasm inside the dura but outside the spinal cord. Use 63277 when the lumbar neoplasm is extradural.

63272

Spinal lesion surgery

Lumbar, non-neoplastic, intradural

No office rate

Both involve a lumbar intradural lesion, but 63272 is for a lesion other than a neoplasm. Code 63282 applies to a neoplasm outside the spinal cord.

63287

Spinal lesion surgery

Thoracolumbar, intramedullary

No office rate

Code 63287 describes an intradural, intramedullary lesion in the thoracolumbar region; 63282 is for an intradural lesion outside the cord at the lumbar level.

63281

Spinal lesion surgery

Thoracic intradural lesion

No office rate

The lesion type and compartment are the same, but 63281 is for the thoracic level rather than the lumbar level.

Compare 63282 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

Office and facility base rates · shared scale starting at $0

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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 63282 in Hawaii, Guam.

PPRRVU2026_Oct_nonQPP.csv

7,057

Code
63282
Physician work
27.45
Practice expense
19.16
Malpractice
11.41

GPCI2026.csv

46

Locality
Hawaii, Guam
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Facility calculation for 63282 in Hawaii, Guam
ComponentRVULocality factorAdjusted
Physician work27.45× 1.00027.4500
Practice expense19.16× 1.13721.7849
Malpractice11.41× 0.5796.6064
Total RVUs55.8413
Conversion factor× 33.4009

Facility rate, Hawaii, Guam$1865.15

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work27.451
Practice expense19.161.137
Malpractice11.410.579

(27.45 × 1 + 19.16 × 1.137 + 11.41 × 0.579) × $33.4009 = $1865.15

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.

63282 billing questions

How is this code distinguished from 63277?

Both concern lumbar intraspinal neoplasms, but 63282 is for a lesion inside the dura and outside the spinal cord. Code 63277 is for an extradural lesion.

When would 63272 be considered instead?

Code 63272 is for an intradural lesion other than a neoplasm. Use 63282 when the lesion is a neoplasm and is intradural but outside the spinal cord.

Does the 90-day global include postoperative visits?

It includes related postoperative care for 90 days, as well as the day-before preoperative visit.

Can modifier 50 be used for bilateral lumbar lesions?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

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.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

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.

RVUs for 63282PPRRVU2026_Oct_nonQPP.csv, line 7,057 (RVU26D)
Geographic factors for Hawaii, GuamGPCI2026.csv, line 46 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet