No office rate
Choose 63278 when the sacral neoplasm is extradural. This code requires an intradural lesion outside the spinal cord.
On this page
CMS RVU26D · Effective 2026-10-01
63283 Spinal tumor surgery Medicare reimbursement rates in Wyoming
Reports laminectomy-based biopsy or removal of a neoplasm located inside the dura but outside the spinal cord at the sacral level. Compare 63283 office and facility rates across CMS payment localities in Wyoming.
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 63283 in Wyoming?
Wyoming 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
$1776.75
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 63283: Sacral intradural extramedullary tumor surgery
Reports laminectomy-based biopsy or removal of a neoplasm located inside the dura but outside the spinal cord at the sacral level.
A spine surgeon, commonly a neurosurgeon or orthopedic spine surgeon, uses a laminectomy to reach a sacral canal lesion, opens the dura, and biopsies or removes a tumor lying outside the spinal cord. A nerve-sheath tumor is a typical example of an intradural extramedullary lesion. The code is specific to the sacral level and does not describe a lesion outside the dura or one arising within the cord.
Report the service when the operative findings establish a sacral neoplasm in the intradural, extramedullary compartment and the surgeon performs biopsy or excision. The operative note should identify the level, lesion location relative to the dura and cord, and whether tissue was sampled or the lesion removed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In the same session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 63283
- 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 RVU26.09 · 47%
- Practice expense (office) RVU18.95 · 34%
- Malpractice RVU11.02 · 20%
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.
63283 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
Choose 63273 for a sacral intradural extramedullary lesion other than a neoplasm; this code is for biopsy or excision of a neoplasm.
No office rate
Code 63287 concerns an intramedullary neoplasm in the thoracolumbar region. This code is for an extramedullary lesion at the sacral level.
No office rate
Both address intradural extramedullary neoplasms, but 63282 is for the lumbar level and this code is for the sacral level.
Compare 63283 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$1776.75
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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 63283 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
7,058
- Code
- 63283
- Physician work
- 26.09
- Practice expense
- 18.95
- Malpractice
- 11.02
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 26.09 | × 1.000 | 26.0900 |
| Practice expense | 18.95 | × 1.000 | 18.9500 |
| Malpractice | 11.02 | × 0.740 | 8.1548 |
| Total RVUs | 53.1948 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1776.75
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 26.09 | 1 |
| Practice expense | 18.95 | 1 |
| Malpractice | 11.02 | 0.74 |
(26.09 × 1 + 18.95 × 1 + 11.02 × 0.74) × $33.4009 = $1776.75
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.
63283 billing questions
How is this code different from 63278?
This code is for a sacral neoplasm inside the dura but outside the spinal cord. Code 63278 describes a sacral neoplasm outside the dura.
When would 63273 be considered instead?
Code 63273 is for excision of a sacral intradural, extramedullary lesion other than a neoplasm. Use this code when the lesion is a neoplasm and the surgeon performs biopsy or excision.
Does this code cover a tumor within the spinal cord?
No. It describes an intradural lesion outside the cord; a neoplasm arising within the cord belongs to the intramedullary code family.
Can modifier 50 be used for a bilateral sacral lesion?
No. The CMS bilateral adjustment does not apply to this service, and modifier 50 is inappropriate.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
What documentation supports reporting this code?
Document the sacral level, the neoplasm's intradural extramedullary location, and whether the surgeon biopsied or excised it. The operative report should distinguish the lesion from one outside the dura or within the cord.
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.
7,05563280,,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
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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,