No office rate
Use 63277 for a neoplasm in the extradural lumbar canal. Code 63267 applies to an extradural lumbar lesion other than a neoplasm.
On this page
CMS RVU26D · Effective 2026-10-01
63277 Spinal lesion surgery Medicare reimbursement rates in Tennessee
Reports lumbar laminectomy access to biopsy or remove a neoplasm located outside the dura but within the spinal canal. Compare 63277 office and facility rates across CMS payment localities in Tennessee.
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 63277 in Tennessee?
Tennessee 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
$1331.49
1 of 1 localities have a supported rate.
Payment area: Tennessee
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.
Neurosurgery
About 63277: Lumbar extradural spinal tumor biopsy or excision
Reports lumbar laminectomy access to biopsy or remove a neoplasm located outside the dura but within the spinal canal.
A neurosurgeon typically uses a lumbar laminectomy to reach a neoplasm within the spinal canal but outside the dura, then obtains tissue for diagnosis or removes the lesion. This service is generally performed in an operating room, often in a hospital or other facility setting. The code is specific to the extradural location and lumbar region; it is not the code for a lesion within the dura or for a non-neoplastic lesion.
Report the service when the operative documentation identifies the lumbar level, establishes the lesion’s extradural location, and describes biopsy or excision. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. 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 63277
- 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 RVU21.83 · 49%
- Practice expense (office) RVU15.06 · 33%
- Malpractice RVU8.09 · 18%
686
Medicare services in 2024 · #3284 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.
63277 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
This code is for an extradural lumbar neoplasm. Code 63272 concerns a non-neoplastic lesion in the intradural lumbar compartment.
No office rate
Both concern lumbar neoplasms, but 63277 is for an extradural lesion; 63282 is for an intradural, extramedullary lesion.
No office rate
The lesion type and extradural location are shared; choose 63276 for the thoracic region and 63277 for the lumbar region.
Compare 63277 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
Tennessee →
Office / nonfacility
Unavailable
Facility
$1331.49
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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 63277 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
7,053
- Code
- 63277
- Physician work
- 21.83
- Practice expense
- 15.06
- Malpractice
- 8.09
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.83 | × 1.000 | 21.8300 |
| Practice expense | 15.06 | × 0.909 | 13.6895 |
| Malpractice | 8.09 | × 0.537 | 4.3443 |
| Total RVUs | 39.8639 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$1331.49
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 21.83 | 1 |
| Practice expense | 15.06 | 0.909 |
| Malpractice | 8.09 | 0.537 |
(21.83 × 1 + 15.06 × 0.909 + 8.09 × 0.537) × $33.4009 = $1331.49
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.
63277 billing questions
How does this code differ from 63267?
Both concern an extradural lumbar lesion, but 63277 is for a neoplasm. Code 63267 is for an intraspinal lesion other than a neoplasm.
What distinguishes this service from 63282?
The lesion’s relationship to the dura is the key distinction: 63277 describes an extradural lumbar neoplasm, while 63282 is for an intradural, extramedullary lumbar neoplasm.
What documentation supports reporting 63277?
Document the lumbar level, the lesion’s extradural position within the spinal canal, its neoplastic nature, and whether the surgeon biopsied or excised it.
Is the laminectomy reported separately?
The laminectomy provides access for the biopsy or excision described by this service. The operative note should show the access and lesion work performed.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
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.
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.
7,05063273,,Excise intrspinl lesion scrl,A,,25.81,18.09,NA,18.09,,10.90,54.80,54.80,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,05163275,,Bx/exc xdrl spine lesn crvl,A,,25.21,16.86,NA,16.86,,9.78,51.85,51.85,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,05263276,,Bx/exc xdrl spine lesn thrc,A,,25.05,16.84,NA,16.84,,9.82,51.71,51.71,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,05363277,,Bx/exc xdrl spine lesn lmbr,A,,21.83,15.06,NA,15.06,,8.09,44.98,44.98,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,05463278,,Bx/exc xdrl spine lesn scrl,A,,21.57,16.60,NA,16.60,,9.12,47.29,47.29,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,05563280,,Bx/exc idrl spine lesn crvl,A,,29.53,19.94,NA,19.94,,12.28,61.75,61.75,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,05663281,,Bx/exc idrl spine lesn thrc,A,,29.24,19.83,NA,19.83,,12.20,61.27,61.27,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780