CPT code 63085: Thoracic corpectomy, single vertebral segment2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $2,004.08 for 63085 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 63085 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 63085 covers

A spine surgeon reports this service when part or all of a thoracic vertebral body is removed to relieve pressure on the spinal cord or a nerve root. The work includes partial or complete removal of the disc at that level. Clinical reasons can include a thoracic vertebral tumor, destructive fracture, or infection causing neural compression. These operations are generally performed in a hospital operating room.

Select this code for one thoracic vertebral segment; document the level, the vertebral body resection, and the neural decompression performed. Additional thoracic segments are reported with the applicable add-on code, not by extending the single-segment service. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. CMS permits assistant-at-surgery, co-surgeon, and team-surgery payment for this service.

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 Washington, DC area compares for 63085

Across 109 of 109 payment localities, the facility rate for 63085 runs from $1,574.81 in Wisconsin to $2,333.91 in Miami, FL. Washington, DC area pays $2,004.08. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

63085 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 63085 in every payment locality

How the 63085 rate is calculated

Each of 63085’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.

Payment rules and modifiers for 63085

63085 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 63085

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 63085 has changed in Washington, DC area

Price 63085 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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

Open CMS sourceHow we calculate rates