63290 biopsy/excision xdrl/idrl lsn any lvl
Also known as: spinal lesion excision, spinal tumor removal, spinal biopsy
Biopsy and/or excision of extramedullary or intramedullary spinal lesion at any spinal level. This is a comprehensive code covering lesions that may span multiple levels or regions.
In Plain Language
removal of spinal growth at any level
Clinical Context
Used as a comprehensive code for spinal lesion biopsies or excisions when the specific anatomical code does not apply or for complex multi-level pathology.
RVU Breakdown
| Work RVU | 39.80 |
| Total RVU | 39.80 |
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 39.80, this code ranks in the 97th percentile among Surgery codes — 5.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 63290?
CPT 63290 (biopsy/excision xdrl/idrl lsn any lvl) is a Surgery code. Biopsy and/or excision of extramedullary or intramedullary spinal lesion at any spinal level. This is a comprehensive code covering lesions that may span multiple levels or regions.
What is the wRVU value for CPT 63290?
The work RVU for CPT 63290 is 39.80. This code is primarily used by Neurosurgery, Spine Oncology. It has a 90-day global period.
When is CPT 63290 used?
Used as a comprehensive code for spinal lesion biopsies or excisions when the specific anatomical code does not apply or for complex multi-level 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.