No office rate
Choose 63280 for a cervical tumor within the dura and outside the cord; 63275 is for a tumor outside the dura.
On this page
CMS RVU26D · Effective 2026-10-01
63280 Spinal tumor surgery Medicare reimbursement rates in Utah
Reports an open cervical spinal procedure to obtain a biopsy or remove a tumor located inside the dura but outside the spinal cord. Compare 63280 office and facility rates across CMS payment localities in Utah.
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 63280 in Utah?
Utah 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
$1980.71
1 of 1 localities have a supported rate.
Payment area: Utah
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 63280: Cervical intradural extramedullary tumor surgery
Reports an open cervical spinal procedure to obtain a biopsy or remove a tumor located inside the dura but outside the spinal cord.
A neurosurgeon uses an open approach, typically with a laminectomy and opening of the dura, to biopsy or remove a cervical spinal tumor that lies within the dural sac but outside the spinal cord. Examples of intradural extramedullary tumors include spinal meningiomas and schwannomas. These procedures are generally performed in a hospital operating room when imaging and clinical findings support tissue diagnosis or removal.
Select this code when the operative report supports a neoplasm, a cervical level, and an intradural but extramedullary location; distinguish it from extradural lesions and tumors arising within the cord. Document the level, lesion location, and whether the surgeon obtained a biopsy or performed excision. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For separately reportable procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 63280
- 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 RVU29.53 · 48%
- Practice expense (office) RVU19.94 · 32%
- Malpractice RVU12.28 · 20%
225
Medicare services in 2024 · #4219 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.
63280 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
Choose 63280 for a cervical intradural tumor outside the spinal cord. Code 63285 is for a tumor within the cord.
No office rate
The lesion compartment and procedure are the same, but 63281 is for the thoracic level rather than the cervical level.
Compare 63280 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
Utah →
Office / nonfacility
Unavailable
Facility
$1980.71
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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 63280 in Utah.
PPRRVU2026_Oct_nonQPP.csv
7,055
- Code
- 63280
- Physician work
- 29.53
- Practice expense
- 19.94
- Malpractice
- 12.28
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 29.53 | × 1.000 | 29.5300 |
| Practice expense | 19.94 | × 0.940 | 18.7436 |
| Malpractice | 12.28 | × 0.898 | 11.0274 |
| Total RVUs | 59.3010 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$1980.71
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 29.53 | 1 |
| Practice expense | 19.94 | 0.94 |
| Malpractice | 12.28 | 0.898 |
(29.53 × 1 + 19.94 × 0.94 + 12.28 × 0.898) × $33.4009 = $1980.71
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.
63280 billing questions
How is this distinguished from 63275?
This code is for a cervical neoplasm inside the dura but outside the spinal cord. Code 63275 concerns an extradural neoplasm.
When is 63285 a better choice?
Use 63285 when the cervical neoplasm is within the spinal cord itself. This code describes an intradural lesion outside the cord.
Can modifier 50 be reported?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
What does the 90-day global include?
It includes the preoperative visit on the day before surgery and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures subject to the standard multiple procedure reduction are paid 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.
7,05263276,,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
7,05763282,,Bx/exc idrl spine lesn lmbr,A,,27.45,19.16,NA,19.16,,11.41,58.02,58.02,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,05863283,,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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985