No office rate
This code is for the thoracic region; 63250 is the corresponding spinal cord vascular lesion procedure at the cervical level.
On this page
CMS RVU26D · Effective 2026-10-01
63251 Spinal vascular surgery Medicare reimbursement rates in Missouri
Reports operative treatment of an abnormal vascular lesion involving the thoracic spinal cord when the documented lesion and operative level match. Compare 63251 office and facility rates across CMS payment localities in Missouri.
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 63251 in Missouri?
Missouri 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
$2773.03–$2865.58
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 63251 pays more and less in Missouri
Neurosurgery
About 63251: Thoracic spinal cord vascular lesion surgery
Reports operative treatment of an abnormal vascular lesion involving the thoracic spinal cord when the documented lesion and operative level match.
A neurosurgeon uses this code for operative treatment or revision of an abnormal vascular lesion of the spinal cord in the thoracic region, such as a spinal arteriovenous malformation. The service is typically performed in a hospital operating room and may involve microsurgical work to address the abnormal vessels. The operative report should establish the vascular nature of the lesion and its thoracic location.
Select this code based on the lesion treated and the spinal level documented, rather than simply the presence of a thoracic approach. It has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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 multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 63251
- 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 RVU43.52 · 50%
- Practice expense (office) RVU25.07 · 29%
- Malpractice RVU18.37 · 21%
80
Medicare services in 2024 · #5054 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.
63251 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
This code identifies the thoracic region. Use 63252 for the corresponding vascular lesion procedure when the documented level is thoracolumbar.
No office rate
63266 addresses a thoracic extradural intraspinal lesion other than a neoplasm. Use 63251 when the target is a spinal cord vascular lesion.
No office rate
63271 addresses a thoracic extradural intraspinal neoplasm. 63251 is for operative treatment of a spinal cord vascular lesion.
Compare 63251 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
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$2839.35
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$2865.58
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$2773.03
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63251 billing questions
How does this differ from 63250 or 63252?
Those codes describe spinal cord vascular lesion surgery at other spinal levels. Use 63251 when the operative documentation identifies the thoracic region.
What documentation supports reporting 63251?
The operative report should identify the abnormal vascular lesion, its thoracic spinal cord location, and the operative work performed to treat or revise it.
Can modifier 50 be used for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How is 63251 affected when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What care is included in the global period?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
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.
7,03863197,,Lam w/cordotomy 1stg thrc,A,,23.48,17.01,NA,17.01,,9.92,50.41,50.41,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,03963200,,Release spinal cord lumbar,A,,20.90,16.33,NA,16.33,,8.73,45.96,45.96,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,04063250,,Revise spinal cord vsls crvl,A,,42.76,24.05,NA,24.05,,18.05,84.86,84.86,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,04163251,,Revise spinal cord vsls thrc,A,,43.52,25.07,NA,25.07,,18.37,86.96,86.96,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,04263252,,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