Billing code 63282: Spinal lesion surgeryMedicare rate & RVUs in Nevada
Reports lumbar laminectomy access to biopsy or remove an intradural, extramedullary spinal lesion, such as a tumor outside the spinal cord.
CMS doesn’t publish an office rate for 63282 in Nevada.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 63282 covers
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.
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 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $1,874.92 |
How the 63282 rate is calculated
Each of 63282’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 63282
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 27.45Practice expense 19.16Malpractice 11.41
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 63282
63282 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 63282
Spinal lesion surgery
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 63282
Spinal lesion surgery
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
63282 without 51 · national facility
$1,937.92
Spinal lesion surgery
63282-51 · Second procedure: 50%
$968.96
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
63282 compared with similar codes
Compare codes
63282 vs 63277 vs 63272 vs 63287 vs 63281: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 63277Spinal lesion surgery
- Use 63282 for a neoplasm inside the dura but outside the spinal cord. Use 63277 when the lumbar neoplasm is extradural.
- 63272Spinal lesion surgery
- 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.
- 63287Spinal lesion surgery
- Code 63287 describes an intradural, intramedullary lesion in the thoracolumbar region; 63282 is for an intradural lesion outside the cord at the lumbar level.
- 63281Spinal lesion surgery
- The lesion type and compartment are the same, but 63281 is for the thoracic level rather than the lumbar level.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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