CPT code 63076: Cervical decompression, each additional interspace2026 Medicare rate & RVUs in Texas
Reports anterior cervical disc removal and spinal cord or nerve-root decompression at each additional interspace beyond the primary cervical level.
CMS doesn’t publish an office rate for 63076 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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.
Where 63076 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $215.09 |
| Beaumont, TX | Unavailable | $210.21 |
| Brazoria, TX | Unavailable | $208.51 |
| Dallas, TX | Unavailable | $212.14 |
| Fort Worth, TX | Unavailable | $212.25 |
| Galveston, TX | Unavailable | $210.62 |
| Houston, TX | Unavailable | $233.68 |
| Rest of Texas | Unavailable | $210.81 |
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.
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.
63076 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 63075Cervical discectomySingle interspace below C2
- 63075 reports the primary cervical interspace procedure. Use 63076 only for additional cervical interspaces treated in the same operative service.
- 63077Thoracic disc surgerySingle interspace, anterior approach
- 63077 describes the primary anterior disc decompression at a thoracic interspace; 63076 is for an additional cervical interspace.
- 63078Thoracic disk surgeryEach additional interspace
- 63078 is the additional-interspace code for thoracic disc decompression. Use 63076 for additional cervical levels.
- 22552Cervical fusionEach additional interspace
- 22552 reports an additional level of cervical interbody fusion. Disc removal and decompression included in fusion work at that level are not separately reported again as 63076.
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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