No office rate
Use 63600 for operative removal of a spinal cord lesion; 63620 represents treatment with stereotactic radiosurgery.
On this page
CMS RVU26D · Effective 2026-10-01
63600 Spinal lesion removal Medicare reimbursement rates in Massachusetts
Operative removal of a lesion involving the spinal cord, reported for surgical treatment rather than stereotactic radiation or neurostimulator procedures. Compare 63600 office and facility rates across CMS payment localities in Massachusetts.
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 63600 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1071.04–$1156.94
2 of 2 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.
Spinal surgery
About 63600: Surgical spinal cord lesion removal
Operative removal of a lesion involving the spinal cord, reported for surgical treatment rather than stereotactic radiation or neurostimulator procedures.
This code represents operative removal of a lesion involving the spinal cord. A neurosurgeon typically performs the procedure in a hospital operating room, using the operative approach and exposure needed to reach the documented lesion. The record should identify the lesion, its spinal location, the surgical target, and the work performed to remove it. It is distinct from stereotactic radiosurgery, which treats a spinal lesion with focused radiation, and from procedures involving spinal cord stimulation hardware.
Select the code based on the procedure actually performed and the applicable CPT descriptor; document the lesion’s location, operative findings, and removal. The service has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. 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% multiple-procedure reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 63600
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.74 · 45%
- Practice expense (office) RVU11.53 · 35%
- Malpractice RVU6.21 · 19%
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.
63600 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
This is another defined intraspinal lesion excision service. Choose the code whose descriptor matches the lesion and operative details documented.
No office rate
This is another defined intraspinal lesion excision service. The operative report and applicable descriptor determine whether it or 63600 represents the procedure.
Compare 63600 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$1156.94
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$1071.04
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63600 billing questions
How does this differ from spinal stereotactic radiosurgery?
This code describes operative removal of a spinal cord lesion. Code 63620 describes treatment of a spinal lesion with stereotactic radiosurgery rather than surgical excision.
What documentation supports reporting this service?
Document the lesion and its spinal location, the operative target and findings, and the removal performed. The operative report should support that the service was lesion removal, not radiation treatment or neurostimulator work.
Can modifier 50 be used for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is this paid when other procedures occur in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.
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.
7,07063306,,Remov vert idrl bdy thrclmbr,A,,34.66,21.95,NA,21.95,,14.64,71.25,71.25,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07163307,,Remov vert idrl bdy lmbr/sac,A,,34.09,21.14,NA,21.14,,14.39,69.62,69.62,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07263308,,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