CPT code 63066: Spinal decompression, additional thoracic segment2026 Medicare rate & RVUs in Puerto Rico
Reports decompression at an additional thoracic segment performed through a costovertebral approach, alongside the primary procedure for that approach.
In Puerto Rico, Medicare pays $187.45 for 63066 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 63066 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 63066 covers
A spine surgeon reports 63066 for decompression at an additional thoracic segment using a costovertebral approach. The operation may involve removing part or all of a vertebral body to reach and relieve pressure on the spinal cord or nerve roots, with or without reconstruction. This is an operative service, generally performed in a hospital or other surgical setting; it is not a separate diagnostic or office procedure.
Use 63066 only for an additional segment and report it with the corresponding primary costovertebral procedure, 63064. The operative report should identify the thoracic levels treated, the approach, the decompression performed, and which segment represents the primary service versus each additional segment. CMS classifies this as an add-on code: it is billed only with a primary procedure and its payment falls within that procedure’s global period.
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.
How Puerto Rico compares for 63066
Across 109 of 109 payment localities, the facility rate for 63066 runs from $155.42 in Wisconsin to $257.16 in Miami, FL. Puerto Rico pays $187.45. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$187.45
- Los Angeles, CA · California$183.93−$3.52
- Washington, DC area · District of Columbia$205.07+$17.62
- Miami, FL · Florida$257.16+$69.71
- Chicago, IL · Illinois$246.17+$58.72
- Manhattan, NY · New York$226.55+$39.10
- Alaska · Alaska$223.28+$35.83
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $163.80 |
| ArkansasArkansas | — | $160.94 |
| ArizonaArizona | — | $180.17 |
| Bakersfield, CACalifornia | — | $175.92 |
| Chico, CACalifornia | — | $172.47 |
| El Centro, CACalifornia | — | $172.69 |
| Fresno, CACalifornia | — | $172.47 |
| Hanford, CACalifornia | — | $172.47 |
| Madera, CACalifornia | — | $172.47 |
| Merced, CACalifornia | — | $172.47 |
| Modesto, CACalifornia | — | $172.47 |
| Napa, CACalifornia | — | $184.34 |
| Oxnard, CACalifornia | — | $180.69 |
| Redding, CACalifornia | — | $172.47 |
| Rest of CaliforniaCalifornia | — | $172.47 |
| Riverside, CACalifornia | — | $186.65 |
| Sacramento, CACalifornia | — | $176.97 |
| Salinas, CACalifornia | — | $176.29 |
| San Diego, CACalifornia | — | $177.82 |
| Marin County, CACalifornia | — | $188.97 |
| San Francisco, CACalifornia | — | $187.46 |
| San Benito County, CACalifornia | — | $195.17 |
| Santa Clara County, CACalifornia | — | $189.00 |
| San Luis Obispo, CACalifornia | — | $174.06 |
| Santa Cruz, CACalifornia | — | $177.30 |
| Santa Maria, CACalifornia | — | $176.23 |
| Santa Rosa, CACalifornia | — | $178.74 |
| Stockton, CACalifornia | — | $172.47 |
| Vallejo, CACalifornia | — | $182.16 |
| Visalia, CACalifornia | — | $172.47 |
| Yuba City, CACalifornia | — | $172.47 |
| ColoradoColorado | — | $181.63 |
| ConnecticutConnecticut | — | $202.02 |
| DelawareDelaware | — | $183.31 |
| Fort Lauderdale, FLFlorida | — | $224.09 |
| Rest of FloridaFlorida | — | $208.43 |
| Atlanta, GAGeorgia | — | $197.55 |
| Rest of GeorgiaGeorgia | — | $192.24 |
| Hawaii, Guam, HIHawaii | — | $174.09 |
| IowaIowa | — | $157.77 |
| IdahoIdaho | — | $161.34 |
| East St. Louis, ILIllinois | — | $229.79 |
| Rest of IllinoisIllinois | — | $209.50 |
| Suburban Chicago, ILIllinois | — | $223.75 |
| IndianaIndiana | — | $162.17 |
| KansasKansas | — | $162.12 |
| KentuckyKentucky | — | $179.82 |
| New Orleans, LALouisiana | — | $191.57 |
| Rest of LouisianaLouisiana | — | $181.58 |
| Metropolitan Boston, MAMassachusetts | — | $194.37 |
| Rest of MassachusettsMassachusetts | — | $182.36 |
| Baltimore area, MDMaryland | — | $202.65 |
| Rest of MarylandMaryland | — | $185.58 |
| Rest of MaineMaine | — | $167.96 |
| Southern Maine, MEMaine | — | $170.99 |
| Detroit, MIMichigan | — | $216.89 |
| Rest of MichiganMichigan | — | $190.22 |
| MinnesotaMinnesota | — | $157.51 |
| Metropolitan Kansas City, MOMissouri | — | $184.43 |
| Metropolitan St. Louis, MOMissouri | — | $186.02 |
| Rest of MissouriMissouri | — | $181.44 |
| MississippiMississippi | — | $170.97 |
| MontanaMontana | — | $187.62 |
| North CarolinaNorth Carolina | — | $169.19 |
| North DakotaNorth Dakota | — | $161.33 |
| NebraskaNebraska | — | $157.23 |
| New HampshireNew Hampshire | — | $183.68 |
| Northern New JerseyNew Jersey | — | $203.36 |
| Rest of New JerseyNew Jersey | — | $199.68 |
| New MexicoNew Mexico | — | $193.56 |
| NevadaNevada | — | $180.33 |
| NYC suburbs and Long Island, NYNew York | — | $239.59 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $205.34 |
| Queens, NYNew York | — | $220.89 |
| Rest of New YorkNew York | — | $172.67 |
| OhioOhio | — | $184.84 |
| OklahomaOklahoma | — | $173.84 |
| Portland, OROregon | — | $182.16 |
| Rest of OregonOregon | — | $174.37 |
| Metropolitan Philadelphia, PAPennsylvania | — | $199.72 |
| Rest of PennsylvaniaPennsylvania | — | $182.23 |
| Rhode IslandRhode Island | — | $186.16 |
| South CarolinaSouth Carolina | — | $178.23 |
| South DakotaSouth Dakota | — | $158.22 |
| TennesseeTennessee | — | $163.77 |
| Austin, TXTexas | — | $185.01 |
| Beaumont, TXTexas | — | $181.22 |
| Brazoria, TXTexas | — | $178.46 |
| Dallas, TXTexas | — | $182.21 |
| Fort Worth, TXTexas | — | $182.42 |
| Galveston, TXTexas | — | $180.66 |
| Houston, TXTexas | — | $205.01 |
| Rest of TexasTexas | — | $181.51 |
| UtahUtah | — | $180.96 |
| VirginiaVirginia | — | $174.02 |
| Virgin Islands, VIUnited States Virgin Islands | — | $187.45 |
| VermontVermont | — | $165.40 |
| Rest of WashingtonWashington | — | $180.44 |
| King County, WAWashington | — | $193.31 |
| WisconsinWisconsin | — | $155.42 |
| West VirginiaWest Virginia | — | $202.00 |
| WyomingWyoming | — | $176.16 |
63066 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 63066 rate is calculated
Each of 63066’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 63066
RVUs × geographic indexes × conversion factor
Work3.18
3.18 RVUs× 1.000 GPCI
Practice expense1.11
1.11 RVUs× 1.000 GPCI
Malpractice1.33
1.33 RVUs× 1.000 GPCI
Adjusted RVUs
5.6200
Conversion factor
$33.4009
Medicare rate
$187.71
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,016
- Code
- 63066
- Physician work
- 3.18
- Practice expense
- 1.11
- Malpractice
- 1.33
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.18 | × 1.000 | 3.1800 |
| Practice expense | 1.11 | × 1.011 | 1.1222 |
| Malpractice | 1.33 | × 0.985 | 1.3101 |
| Total RVUs | 5.6123 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Puerto Rico$187.45
Facility: (3.18 × 1 + 1.11 × 1.011 + 1.33 × 0.985) × $33.4009 = $187.45
Payment rules and modifiers for 63066
The CMS indicators that decide how 63066 is paid alongside other services.
CMS payment indicators · 63066
Spinal decompression, additional thoracic segment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
63066 without 80 · national facility
$187.71
Spinal decompression, additional thoracic segment
63066-80 · Assistant: 16%
$30.03
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 63066 has changed in Puerto Rico
63066 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $187.45 | RVU26D |
| 2026-07-01 | Not available in this setting | $187.45 | RVU26C |
| 2026-04-01 | Not available in this setting | $187.45 | RVU26B |
| 2026-01-01 | Not available in this setting | $187.45 | RVU26A |
| 2025-10-01 | Not available in this setting | $200.12 | RVU25D |
| 2025-07-01 | Not available in this setting | $200.12 | RVU25C |
| 2025-04-01 | Not available in this setting | $200.12 | RVU25B |
| 2025-01-01 | Not available in this setting | $200.12 | RVU25A |
| 2024-10-01 | Not available in this setting | $204.94 | RVU24D |
| 2024-07-01 | Not available in this setting | $204.94 | RVU24C |
| 2024-04-01 | Not available in this setting | $204.94 | RVU24B |
| 2024-03-09 | Not available in this setting | $204.94 | RVU24AR |
| 2024-01-01 | Not available in this setting | $201.59 | RVU24A |
| 2023-10-01 | Not available in this setting | $208.12 | RVU23D |
| 2023-07-01 | Not available in this setting | $208.41 | RVU23C |
| 2023-04-01 | Not available in this setting | $208.41 | RVU23B |
| 2023-01-01 | Not available in this setting | $208.41 | RVU23A |
| 2022-10-01 | Not available in this setting | $209.54 | RVU22D |
| 2022-07-01 | Not available in this setting | $209.54 | RVU22C |
| 2022-04-01 | Not available in this setting | $209.54 | RVU22B |
| 2022-01-01 | Not available in this setting | $209.54 | RVU22A |
| 2021-10-01 | Not available in this setting | $210.60 | RVU21D |
| 2021-07-01 | Not available in this setting | $210.60 | RVU21C |
| 2021-04-01 | Not available in this setting | $210.60 | RVU21B |
| 2021-01-01 | Not available in this setting | $210.60 | RVU21A |
| 2020-10-01 | Not available in this setting | $215.36 | RVU20D |
| 2020-07-01 | Not available in this setting | $215.36 | RVU20C |
| 2020-04-01 | Not available in this setting | $215.36 | RVU20B |
| 2020-01-01 | Not available in this setting | $215.36 | RVU20A |
| 2019-10-01 | Not available in this setting | $219.37 | RVU19D |
| 2019-07-01 | Not available in this setting | $219.37 | RVU19C |
| 2019-04-01 | Not available in this setting | $217.23 | RVU19B |
| 2019-01-01 | Not available in this setting | $217.23 | RVU19A |
| 2018-10-01 | Not available in this setting | $219.85 | RVU18D |
| 2018-07-01 | Not available in this setting | $219.85 | RVU18C |
| 2018-04-01 | Not available in this setting | $219.85 | RVU18B |
| 2018-01-01 | Not available in this setting | $219.85 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $193.72 | RVU17D |
| 2017-07-01 | Not available in this setting | $193.72 | RVU17C |
| 2017-04-01 | Not available in this setting | $193.72 | RVU17B |
| 2017-01-01 | Not available in this setting | $193.72 | RVU17A |
| 2016-10-01 | Not available in this setting | $169.36 | RVU16D |
| 2016-07-01 | Not available in this setting | $169.36 | RVU16C |
| 2016-04-01 | Not available in this setting | $169.36 | RVU16B |
| 2016-01-01 | Not available in this setting | $169.36 | RVU16A |
| 2015-10-01 | Not available in this setting | $170.43 | RVU15D |
| 2015-07-01 | Not available in this setting | $170.43 | RVU15C |
| 2015-04-01 | Not available in this setting | $169.58 | RVU15B |
| 2015-01-01 | Not available in this setting | $169.58 | RVU15A |
| 2014-10-01 | Not available in this setting | $166.08 | RVU14D |
| 2014-07-01 | Not available in this setting | $166.08 | RVU14C |
| 2014-04-01 | Not available in this setting | $166.08 | RVU14B |
| 2014-01-01 | Not available in this setting | $166.08 | RVU14A |
| 2013-10-01 | Not available in this setting | $159.12 | RVU13D |
| 2013-07-01 | Not available in this setting | $159.12 | RVU13C |
| 2013-04-01 | Not available in this setting | $159.12 | RVU13B |
| 2013-01-01 | Not available in this setting | $159.12 | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
63066 billing questions
When should 63066 be reported instead of 63064?
Report 63064 for the primary thoracic segment treated through the costovertebral approach. Use 63066 for each additional segment treated by that approach.
Can 63066 be billed by itself?
No. It is an add-on code and must be reported with the corresponding primary procedure, 63064.
How should the operative note support additional units?
Document the thoracic segments treated and the decompression performed at each one. The record should distinguish the primary segment from each additional segment.
How does 63066 differ from 63057?
Both describe additional-segment decompression, but 63066 is for the costovertebral approach. Code 63057 is the additional-segment code associated with a transpedicular approach.
What is the payment relationship to the primary procedure?
CMS treats 63066 as an add-on billed with a primary procedure, with payment within that procedure’s global period.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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