63278 biopsy/excision xdrl spine lesion scrl
Also known as: sacral extradural lesion removal, sacral epidural tumor excision
Biopsy and/or excision of extradural spinal lesion in the sacral region. This procedure involves sampling or removal of pathological lesions outside the dura at the sacral level.
In Plain Language
removal of growth outside spinal sac in sacral area
Clinical Context
Used for sacral epidural lesions including metastases or other extradural pathology.
RVU Breakdown
| Work RVU | 21.57 |
| Total RVU | 21.57 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 21.57, this code ranks in the 84th percentile among Surgery codes — 2.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 63278?
CPT 63278 (biopsy/excision xdrl spine lesion scrl) is a Surgery code. Biopsy and/or excision of extradural spinal lesion in the sacral region. This procedure involves sampling or removal of pathological lesions outside the dura at the sacral level.
What is the wRVU value for CPT 63278?
The work RVU for CPT 63278 is 21.57. This code is primarily used by Neurosurgery, Spine Oncology. It has a 90-day global period.
When is CPT 63278 used?
Used for sacral epidural lesions including metastases or other extradural pathology.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.