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See a sample rate comparisonCPT 63290 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. 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 11 - Office |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 63290 |
| Medicaid Fee Schedule | View Medicaid rates for 63290 |
National average reimbursement for CPT 63290 by major payers:
$3,313.35
$3,808.13
$3,916.85
$4,444.40
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CPT 63290
5 of 25 sample ratesHigher to lower in this preview
Aurora Surgery Centers, LLC
Aurora Surgery Centers LLC
$18,215.00Published rateSummit Ambulatory Surgical Center, LLC
$9,324.00Published rateSandpoint Surgery Center LLC
$5,744.00Published rateHouston Ivf Management
Houston Ivf Management Co., Lp
$3,350.00Published rateOphthalmic Outpatient Surgery Center Partners, LLC, Outpatient Surgery Center For Sight
Ophthalmic Outpatient Surgery Center Partners LLC
$434.00Published rate
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See a sample payer proposalCPT 63290 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 63290 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 63290 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 |
|---|---|---|
| 63290-CPT | High | Spine Surgery For Tumor, Surgery To Remove A Tumor Located Inside The Spine. The Procedure Requires Removing A Spine Bone (Vertebra) And May Include Removing A Sample Of Tissue For Testing (Biopsy). |
| 63295-CPT | Moderate | Repair Laminectomy Defect, Osteoplastic Reconstruction Of Dorsal Spinal Elements Following Primary Intraspinal Procedure (List Separately In Addition To Code For Primary Procedure) |
| 63308-CPT | Moderate | Remove Vertebral Body Add On, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete For Excision Of Intraspinal Lesion Single Segment Each Additional Segment List Separately In Addition To Codes For Single Segment |
| 63610-CPT | High | Stimulation Of Spinal Cord, Surgery To Stimulate A Precise Location In The Spinal Cord. Stereotactic Imaging Maps The Target Location In Three Dimensions. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63290. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63290 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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