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See a sample rate comparisonCPT 63286 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Spine Surgery For Tumor, Surgery To Remove A Tumor Located Inside The Spine In The Middle Back. The Procedure Requires Removing A Spine Bone (Vertebra) And May Include Removing A Sample Of Tissue For Testing (Biopsy).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 63286 |
| Medicaid Fee Schedule | View Medicaid rates for 63286 |
National average reimbursement for CPT 63286 by major payers:
$3,205.65
$3,536.74
$3,632.41
$4,137.53
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CPT 63286
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Richmond, LLC, Memorial Hermann Surgery Center Richmond
$5,554.00Published rateGateway Ambulatory Surgery Center LLC, Gateway Surgery Center
Gateway Ambulatory Surgery Center
$1,075.00Published rateCypresswood Surgery Center LLC, Legent Surgery Center Cypresswood
Cypresswood Surgery Center LLC
$850.00Published rateDallas Ivf Surgery Center, LLC, Dallas Ivf Surgery Center
Dallas Ivf Surgery Center LLC
$410.00Published rateThe Overland Park Ks Endoscopy Asc LLC, Endoscopic Imaging Center
The Overland Park Ks Endoscopy Asc LLC
$124.00Published rate
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See a sample payer proposalCPT 63286 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 63286 code is part of the Surgery services used for Surgical Procedures on the Nervous System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 63286 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 63271-CPT | High | Remove Lesion From Spine, Surgery To Remove A Portion Of Vertebra (Spine) And Abnormal Tissue (Lesion) From The Spinal Cord In The Upper Back. |
| 63276-CPT | High | Spine Surgery For Tumor, Surgery To Remove A Tumor Located Inside The Spine In The Middle Back. The Procedure Requires Removing A Spine Bone (Vertebra) And May Include Removing A Sample Of Tissue For Testing (Biopsy). |
| 63281-CPT | High | Spine Surgery For Tumor, Surgery To Remove A Tumor Located Inside The Spine In The Middle Back. The Procedure Requires Removing A Spine Bone (Vertebra) And May Include Removing A Sample Of Tissue For Testing (Biopsy). |
| 63286-CPT | High | Spine Surgery For Tumor, Surgery To Remove A Tumor Located Inside The Spine In The Middle Back. The Procedure Requires Removing A Spine Bone (Vertebra) And May Include Removing A Sample Of Tissue For Testing (Biopsy). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63286. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63286 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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