CPT code 63076: Cervical decompression, each additional interspace2026 Medicare rate & RVUs in South Dakota
Reports anterior cervical disc removal and spinal cord or nerve-root decompression at each additional interspace beyond the primary cervical level.
In South Dakota, Medicare pays $189.16 for 63076 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 63076 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 63076 covers
This add-on describes anterior removal of disc material and decompression of the spinal cord or nerve roots at an additional cervical interspace. A neurosurgeon or orthopedic spine surgeon may perform it for multilevel cervical disc disease, such as when compression affects more than one disc space. The service may be performed in a hospital or another surgical facility, with or without a separately coded fusion procedure.
Report 63076 for each additional cervical interspace treated after the primary level, and pair it with 63075. The operative report should identify the cervical levels treated and describe the disc removal and neural decompression at each level. If an anterior cervical fusion code includes the discectomy and decompression at a level, those services are not separately reported again for that same level. CMS classifies 63076 as an add-on: it is billed only with a primary procedure and paid 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 South Dakota compares for 63076
Across 109 of 109 payment localities, the facility rate for 63076 runs from $186.16 in Wisconsin to $283.23 in Miami, FL. South Dakota pays $189.16. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$189.16
- Los Angeles, CA · California$216.31+$27.15
- Washington, DC area · District of Columbia$236.70+$47.54
- Miami, FL · Florida$283.23+$94.07
- Chicago, IL · Illinois$272.74+$83.58
- Manhattan, NY · New York$257.22+$68.06
- Alaska · Alaska$266.83+$77.67
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $193.41 |
| ArkansasArkansas | — | $190.57 |
| ArizonaArizona | — | $209.70 |
| Bakersfield, CACalifornia | — | $207.32 |
| Chico, CACalifornia | — | $203.98 |
| El Centro, CACalifornia | — | $204.19 |
| Fresno, CACalifornia | — | $203.98 |
| Hanford, CACalifornia | — | $203.98 |
| Madera, CACalifornia | — | $203.98 |
| Merced, CACalifornia | — | $203.98 |
| Modesto, CACalifornia | — | $203.98 |
| Napa, CACalifornia | — | $218.50 |
| Oxnard, CACalifornia | — | $212.83 |
| Redding, CACalifornia | — | $203.98 |
| Rest of CaliforniaCalifornia | — | $203.98 |
| Riverside, CACalifornia | — | $217.46 |
| Sacramento, CACalifornia | — | $209.39 |
| Salinas, CACalifornia | — | $208.56 |
| San Diego, CACalifornia | — | $210.29 |
| Marin County, CACalifornia | — | $224.64 |
| San Francisco, CACalifornia | — | $223.21 |
| San Benito County, CACalifornia | — | $231.25 |
| Santa Clara County, CACalifornia | — | $225.40 |
| San Luis Obispo, CACalifornia | — | $205.85 |
| Santa Cruz, CACalifornia | — | $209.68 |
| Santa Maria, CACalifornia | — | $208.47 |
| Santa Rosa, CACalifornia | — | $211.43 |
| Stockton, CACalifornia | — | $203.98 |
| Vallejo, CACalifornia | — | $216.44 |
| Visalia, CACalifornia | — | $203.98 |
| Yuba City, CACalifornia | — | $203.98 |
| ColoradoColorado | — | $212.25 |
| ConnecticutConnecticut | — | $231.92 |
| DelawareDelaware | — | $212.99 |
| Fort Lauderdale, FLFlorida | — | $251.68 |
| Rest of FloridaFlorida | — | $236.36 |
| Atlanta, GAGeorgia | — | $226.65 |
| Rest of GeorgiaGeorgia | — | $220.50 |
| Hawaii, Guam, HIHawaii | — | $205.34 |
| IowaIowa | — | $188.04 |
| IdahoIdaho | — | $191.45 |
| East St. Louis, ILIllinois | — | $256.31 |
| Rest of IllinoisIllinois | — | $237.02 |
| Suburban Chicago, ILIllinois | — | $251.69 |
| IndianaIndiana | — | $192.30 |
| KansasKansas | — | $192.06 |
| KentuckyKentucky | — | $208.71 |
| New Orleans, LALouisiana | — | $220.27 |
| Rest of LouisianaLouisiana | — | $210.34 |
| Metropolitan Boston, MAMassachusetts | — | $226.30 |
| Rest of MassachusettsMassachusetts | — | $212.97 |
| Baltimore area, MDMaryland | — | $232.36 |
| Rest of MarylandMaryland | — | $215.49 |
| Rest of MaineMaine | — | $197.72 |
| Southern Maine, MEMaine | — | $201.19 |
| Detroit, MIMichigan | — | $244.46 |
| Rest of MichiganMichigan | — | $218.76 |
| MinnesotaMinnesota | — | $188.74 |
| Metropolitan Kansas City, MOMissouri | — | $213.49 |
| Metropolitan St. Louis, MOMissouri | — | $215.11 |
| Rest of MissouriMissouri | — | $210.02 |
| MississippiMississippi | — | $200.09 |
| MontanaMontana | — | $217.02 |
| North CarolinaNorth Carolina | — | $199.00 |
| North DakotaNorth Dakota | — | $192.11 |
| NebraskaNebraska | — | $187.59 |
| New HampshireNew Hampshire | — | $213.63 |
| Northern New JerseyNew Jersey | — | $235.21 |
| Rest of New JerseyNew Jersey | — | $230.45 |
| New MexicoNew Mexico | — | $221.96 |
| NevadaNevada | — | $210.12 |
| NYC suburbs and Long Island, NYNew York | — | $269.80 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $235.99 |
| Queens, NYNew York | — | $252.03 |
| Rest of New YorkNew York | — | $202.44 |
| OhioOhio | — | $213.66 |
| OklahomaOklahoma | — | $203.07 |
| Portland, OROregon | — | $213.26 |
| Rest of OregonOregon | — | $204.43 |
| Metropolitan Philadelphia, PAPennsylvania | — | $229.38 |
| Rest of PennsylvaniaPennsylvania | — | $211.23 |
| Puerto RicoPuerto Rico | — | $216.95 |
| Rhode IslandRhode Island | — | $216.49 |
| South CarolinaSouth Carolina | — | $207.49 |
| TennesseeTennessee | — | $193.67 |
| Austin, TXTexas | — | $215.09 |
| Beaumont, TXTexas | — | $210.21 |
| Brazoria, TXTexas | — | $208.51 |
| Dallas, TXTexas | — | $212.14 |
| Fort Worth, TXTexas | — | $212.25 |
| Galveston, TXTexas | — | $210.62 |
| Houston, TXTexas | — | $233.68 |
| Rest of TexasTexas | — | $210.81 |
| UtahUtah | — | $210.21 |
| VirginiaVirginia | — | $203.99 |
| Virgin Islands, VIUnited States Virgin Islands | — | $216.95 |
| VermontVermont | — | $195.88 |
| Rest of WashingtonWashington | — | $211.06 |
| King County, WAWashington | — | $225.84 |
| WisconsinWisconsin | — | $186.16 |
| West VirginiaWest Virginia | — | $229.56 |
| WyomingWyoming | — | $206.16 |
63076 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 63076 rate is calculated
Each of 63076’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 · 63076
RVUs × geographic indexes × conversion factor
Work3.94
3.94 RVUs× 1.000 GPCI
Practice expense1.30
1.30 RVUs× 1.000 GPCI
Malpractice1.26
1.26 RVUs× 1.000 GPCI
Adjusted RVUs
6.5000
Conversion factor
$33.4009
Medicare rate
$217.11
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,018
- Code
- 63076
- Physician work
- 3.94
- Practice expense
- 1.30
- Malpractice
- 1.26
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.94 | × 1.000 | 3.9400 |
| Practice expense | 1.30 | × 1.000 | 1.3000 |
| Malpractice | 1.26 | × 0.336 | 0.4234 |
| Total RVUs | 5.6634 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, South Dakota$189.16
Facility: (3.94 × 1 + 1.3 × 1 + 1.26 × 0.336) × $33.4009 = $189.16
Payment rules and modifiers for 63076
The CMS indicators that decide how 63076 is paid alongside other services.
CMS payment indicators · 63076
Cervical decompression, each additional interspace
| 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) | 2 | Permitted. |
| 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
63076 without 80 · national facility
$217.11
Cervical decompression, each additional interspace
63076-80 · Assistant: 16%
$34.74
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 63076 has changed in South Dakota
63076 · 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 | $189.16 | RVU26D |
| 2026-07-01 | Not available in this setting | $189.16 | RVU26C |
| 2026-04-01 | Not available in this setting | $189.16 | RVU26B |
| 2026-01-01 | Not available in this setting | $189.16 | RVU26A |
| 2025-10-01 | Not available in this setting | $211.91 | RVU25D |
| 2025-07-01 | Not available in this setting | $211.91 | RVU25C |
| 2025-04-01 | Not available in this setting | $211.91 | RVU25B |
| 2025-01-01 | Not available in this setting | $211.91 | RVU25A |
| 2024-10-01 | Not available in this setting | $216.06 | RVU24D |
| 2024-07-01 | Not available in this setting | $216.06 | RVU24C |
| 2024-04-01 | Not available in this setting | $216.06 | RVU24B |
| 2024-03-09 | Not available in this setting | $216.06 | RVU24AR |
| 2024-01-01 | Not available in this setting | $212.53 | RVU24A |
| 2023-10-01 | Not available in this setting | $219.79 | RVU23D |
| 2023-07-01 | Not available in this setting | $219.79 | RVU23C |
| 2023-04-01 | Not available in this setting | $219.79 | RVU23B |
| 2023-01-01 | Not available in this setting | $219.79 | RVU23A |
| 2022-10-01 | Not available in this setting | $222.26 | RVU22D |
| 2022-07-01 | Not available in this setting | $222.26 | RVU22C |
| 2022-04-01 | Not available in this setting | $222.26 | RVU22B |
| 2022-01-01 | Not available in this setting | $222.26 | RVU22A |
| 2021-10-01 | Not available in this setting | $224.33 | RVU21D |
| 2021-07-01 | Not available in this setting | $224.33 | RVU21C |
| 2021-04-01 | Not available in this setting | $224.33 | RVU21B |
| 2021-01-01 | Not available in this setting | $224.33 | RVU21A |
| 2020-10-01 | Not available in this setting | $230.99 | RVU20D |
| 2020-07-01 | Not available in this setting | $230.99 | RVU20C |
| 2020-04-01 | Not available in this setting | $230.99 | RVU20B |
| 2020-01-01 | Not available in this setting | $230.99 | RVU20A |
| 2019-10-01 | Not available in this setting | $232.18 | RVU19D |
| 2019-07-01 | Not available in this setting | $232.18 | RVU19C |
| 2019-04-01 | Not available in this setting | $232.18 | RVU19B |
| 2019-01-01 | Not available in this setting | $232.18 | RVU19A |
| 2018-10-01 | Not available in this setting | $232.28 | RVU18D |
| 2018-07-01 | Not available in this setting | $232.28 | RVU18C |
| 2018-04-01 | Not available in this setting | $232.28 | RVU18B |
| 2018-01-01 | Not available in this setting | $232.28 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $232.76 | RVU17D |
| 2017-07-01 | Not available in this setting | $232.76 | RVU17C |
| 2017-04-01 | Not available in this setting | $232.76 | RVU17B |
| 2017-01-01 | Not available in this setting | $232.76 | RVU17A |
| 2016-10-01 | Not available in this setting | $231.51 | RVU16D |
| 2016-07-01 | Not available in this setting | $231.51 | RVU16C |
| 2016-04-01 | Not available in this setting | $231.51 | RVU16B |
| 2016-01-01 | Not available in this setting | $231.51 | RVU16A |
| 2015-10-01 | Not available in this setting | $232.99 | RVU15D |
| 2015-07-01 | Not available in this setting | $232.99 | RVU15C |
| 2015-04-01 | Not available in this setting | $231.83 | RVU15B |
| 2015-01-01 | Not available in this setting | $231.83 | RVU15A |
| 2014-10-01 | Not available in this setting | $231.39 | RVU14D |
| 2014-07-01 | Not available in this setting | $231.39 | RVU14C |
| 2014-04-01 | Not available in this setting | $231.39 | RVU14B |
| 2014-01-01 | Not available in this setting | $231.39 | RVU14A |
| 2013-10-01 | Not available in this setting | $226.59 | RVU13D |
| 2013-07-01 | Not available in this setting | $226.59 | RVU13C |
| 2013-04-01 | Not available in this setting | $226.59 | RVU13B |
| 2013-01-01 | Not available in this setting | $226.59 | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
63076 billing questions
Can 63076 be reported by itself?
No. It is an add-on for additional cervical interspaces and must be reported with the primary procedure, 63075.
How many units should be reported?
Report one unit for each additional cervical interspace treated beyond the primary interspace. The operative report should support the levels and work performed.
Can 63076 be reported with cervical fusion?
Do not separately report disc removal and decompression at a level when the cervical fusion service includes that work at the same level.
What documentation supports the additional level?
The operative report should identify each cervical interspace and describe the anterior disc removal and decompression performed there.
How does CMS treat the global period?
CMS treats 63076 as an add-on billed only with a primary procedure, with payment within that primary 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
Show the CMS file lines behind this rate
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