No office rate
This code is for an intradural, intramedullary lesion in the thoracolumbar region; 63286 identifies the thoracic region.
On this page
CMS RVU26D · Effective 2026-10-01
63287 Spinal lesion surgery Medicare reimbursement rates in Tennessee
Reports operative biopsy or removal of a lesion within the spinal cord substance in the thoracolumbar region, rather than outside the cord. Compare 63287 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 63287 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
$2314.57
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.
Spinal surgery
About 63287: Thoracolumbar intramedullary lesion surgery
Reports operative biopsy or removal of a lesion within the spinal cord substance in the thoracolumbar region, rather than outside the cord.
A neurosurgeon uses an operative approach to reach a lesion within the spinal cord substance in the thoracolumbar region, obtain tissue, remove the lesion, or do both. The code is specific to an intradural, intramedullary lesion; a mass outside the cord, even if it is intradural, has a different anatomic relationship. These procedures are generally performed in a hospital operating room, and the operative report should establish the lesion’s level and its location within the cord.
Report the service when the documented operation is a biopsy or excision of an intramedullary lesion at the thoracolumbar level. The record should support the treated segment, the lesion’s intradural and intramedullary location, and the work performed. Medicare assigns a 90-day global period, including 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 others are subject to the standard 50% reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 63287
- 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 RVU39.08 · 49%
- Practice expense (office) RVU23.50 · 30%
- Malpractice RVU16.49 · 21%
43
Medicare services in 2024 · #5456 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.
63287 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
63282 concerns an intradural spinal lesion in the lumbar region, not specifically a lesion within the spinal cord substance. Confirm the lesion compartment before choosing.
No office rate
63277 is for biopsy or excision of an extradural lesion in the lumbar region. This code requires an intradural, intramedullary lesion at the thoracolumbar level.
Compare 63287 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
$2314.57
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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 63287 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
7,061
- Code
- 63287
- Physician work
- 39.08
- Practice expense
- 23.50
- Malpractice
- 16.49
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 39.08 | × 1.000 | 39.0800 |
| Practice expense | 23.50 | × 0.909 | 21.3615 |
| Malpractice | 16.49 | × 0.537 | 8.8551 |
| Total RVUs | 69.2966 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$2314.57
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 39.08 | 1 |
| Practice expense | 23.5 | 0.909 |
| Malpractice | 16.49 | 0.537 |
(39.08 × 1 + 23.5 × 0.909 + 16.49 × 0.537) × $33.4009 = $2314.57
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.
63287 billing questions
How does this differ from code 63286?
Both address intradural, intramedullary lesions, but 63286 is for the thoracic region. Use 63287 when the operative level is thoracolumbar.
Can this code be used for a lesion outside the spinal cord?
No. The lesion must be within the cord substance. An extradural lesion or an intradural lesion outside the cord is coded according to its different compartment.
What documentation supports reporting this code?
Document the thoracolumbar level, the lesion’s intradural and intramedullary location, and whether the surgeon biopsied or excised it. The operative report should make the anatomic compartment clear.
How does the 90-day global period affect related postoperative care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. Medicare also applies its standard multiple-procedure reduction when other procedures are performed in the same session.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
Should modifier 50 be used for a lesion on one side of the cord?
No. The code’s anatomy and descriptor make bilateral adjustment inappropriate; modifier 50 is not the way to represent a unilateral cord lesion.
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.
7,05863283,,Bx/exc idrl spine lesn scrl,A,,26.09,18.95,NA,18.95,,11.02,56.06,56.06,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,05963285,,Bx/exc idrl imed lesn cervl,A,,37.10,22.81,NA,22.81,,15.66,75.57,75.57,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,06063286,,Bx/exc idrl imed lesn thrc,A,,36.68,22.61,NA,22.61,,15.39,74.68,74.68,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,06163287,,Bx/exc idrl imed lesn thrlmb,A,,39.08,23.50,NA,23.50,,16.49,79.07,79.07,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,06263290,,Bx/exc xdrl/idrl lsn any lvl,A,,39.80,23.76,NA,23.76,,16.81,80.37,80.37,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,06363295,,Repair laminectomy defect,A,,5.12,1.79,NA,1.79,,2.15,9.06,9.06,0,ZZZ,0.00,0.00,0.00,0,2,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,06463300,,Remove vert xdrl body crvcl,A,,26.13,16.47,NA,16.47,,9.53,52.13,52.13,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,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