No office rate
63621 is for each additional spinal lesion treated in the session; 63620 reports the first lesion.
On this page
CMS RVU26D · Effective 2026-10-01
63620 Spinal radiosurgery Medicare reimbursement rates in Hawaii
Reports stereotactic radiosurgery delivered to one spinal lesion in a treatment session, such as a focused radiation treatment for a spinal tumor. Compare 63620 office and facility rates across CMS payment localities in Hawaii.
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 63620 in Hawaii?
Hawaii 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
$1076.89
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.
Radiation oncology
About 63620: Spinal lesion stereotactic radiosurgery
Reports stereotactic radiosurgery delivered to one spinal lesion in a treatment session, such as a focused radiation treatment for a spinal tumor.
Code 63620 reports stereotactic radiosurgery directed at one lesion in the spine during a treatment session. The treatment uses precisely targeted radiation rather than open removal of the lesion. Radiation oncologists and neurosurgeons may be involved in planning and delivering treatment, commonly in a hospital or radiation oncology facility. A typical clinical situation is focused treatment of a spinal tumor, including a vertebral metastasis, when the care team selects stereotactic radiation.
Report 63620 for the first spinal lesion treated; report 63621 for each additional spinal lesion treated in the same session. The record should identify the spinal target, number of lesions, and treatment performed. CMS assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during the following 90 days. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 63620
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU15.21 · 46%
- Practice expense (office) RVU11.72 · 35%
- Malpractice RVU6.40 · 19%
579
Medicare services in 2024 · #3429 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.
63620 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
63600 describes surgical treatment of an intraspinal lesion. Use 63620 when the service is stereotactic radiosurgery, not surgical removal.
No office rate
61796 is stereotactic radiosurgery for a cranial lesion. 63620 is the corresponding spinal-lesion service.
$659.06
77435 reports stereotactic body radiation therapy treatment management; 63620 reports the stereotactic radiosurgery service for a spinal lesion.
Compare 63620 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$1076.89
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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 63620 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
7,075
- Code
- 63620
- Physician work
- 15.21
- Practice expense
- 11.72
- Malpractice
- 6.40
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.21 | × 1.000 | 15.2100 |
| Practice expense | 11.72 | × 1.137 | 13.3256 |
| Malpractice | 6.40 | × 0.579 | 3.7056 |
| Total RVUs | 32.2412 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$1076.89
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.21 | 1 |
| Practice expense | 11.72 | 1.137 |
| Malpractice | 6.4 | 0.579 |
(15.21 × 1 + 11.72 × 1.137 + 6.4 × 0.579) × $33.4009 = $1076.89
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.
63620 billing questions
When is 63621 reported with 63620?
Report 63620 for the first spinal lesion treated in the session. Use 63621 for each additional spinal lesion treated.
How does 63620 differ from 63600?
63620 describes stereotactic radiation treatment of a spinal lesion. 63600 describes a surgical approach to an intraspinal lesion rather than radiation treatment.
Can modifier 50 be used for lesions on both sides?
No. CMS identifies bilateral adjustment as inappropriate for 63620, so do not append modifier 50.
What documentation supports reporting 63620?
Document the spinal target, the number of lesions treated, and the stereotactic radiosurgery delivered. The lesion count helps distinguish the primary service from additional-lesion reporting with 63621.
What is included in the 90-day global period?
The day-before preoperative visit and related postoperative care for 90 days are included in the global period.
May an assistant or another surgeon be reported?
CMS allows payment for an assistant at surgery. Co-surgeons and team surgery are not permitted for this code.
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.
7,07263308,,Remove vertebral body add-on,A,,5.11,1.71,NA,1.71,,1.83,8.65,8.65,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07363600,,Remove spinal cord lesion,A,,14.74,11.53,NA,11.53,,6.21,32.48,32.48,0,090,0.11,0.76,0.13,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07463610,,Stimulation of spinal cord,A,,8.50,4.35,NA,4.35,,3.58,16.43,16.43,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07563620,,Srs spinal lesion,A,,15.21,11.72,NA,11.72,,6.40,33.33,33.33,0,090,0.11,0.76,0.13,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07663621,,Srs spinal lesion addl,A,,3.90,1.37,NA,1.37,,1.64,6.91,6.91,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07763650,,Implant neuroelectrodes,A,,6.97,63.75,,3.48,,0.79,71.51,11.24,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07863655,,Implant neuroelectrodes,A,,10.65,10.63,NA,10.63,,3.83,25.11,25.11,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014