CPT code 63085: Thoracic corpectomy, single vertebral segment2026 Medicare rate & RVUs in Utah
Reports partial or complete removal of a thoracic vertebral body to decompress the spinal cord or nerve root at one segment.
In Utah, Medicare pays $1,754.88 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.
On this page 11 sections
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 Utah 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. Utah pays $1,754.88. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$1,754.88
- Los Angeles, CA · California$1,849.88+$95.00
- Washington, DC area · District of Columbia$2,004.08+$249.20
- Miami, FL · Florida$2,333.91+$579.03
- Chicago, IL · Illinois$2,245.96+$491.08
- Manhattan, NY · New York$2,157.20+$402.32
- Alaska · Alaska$2,190.42+$435.54
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,613.07 |
| ArkansasArkansas | — | $1,588.05 |
| ArizonaArizona | — | $1,757.00 |
| Bakersfield, CACalifornia | — | $1,764.20 |
| Chico, CACalifornia | — | $1,738.80 |
| El Centro, CACalifornia | — | $1,740.41 |
| Fresno, CACalifornia | — | $1,738.80 |
| Hanford, CACalifornia | — | $1,738.80 |
| Madera, CACalifornia | — | $1,738.80 |
| Merced, CACalifornia | — | $1,738.80 |
| Modesto, CACalifornia | — | $1,738.80 |
| Napa, CACalifornia | — | $1,893.54 |
| Oxnard, CACalifornia | — | $1,823.68 |
| Redding, CACalifornia | — | $1,738.80 |
| Rest of CaliforniaCalifornia | — | $1,738.80 |
| Riverside, CACalifornia | — | $1,841.73 |
| Sacramento, CACalifornia | — | $1,793.13 |
| Salinas, CACalifornia | — | $1,786.18 |
| San Diego, CACalifornia | — | $1,807.08 |
| Marin County, CACalifornia | — | $1,958.05 |
| San Francisco, CACalifornia | — | $1,947.12 |
| San Benito County, CACalifornia | — | $2,014.46 |
| Santa Clara County, CACalifornia | — | $1,969.75 |
| San Luis Obispo, CACalifornia | — | $1,761.97 |
| Santa Cruz, CACalifornia | — | $1,806.75 |
| Santa Maria, CACalifornia | — | $1,787.07 |
| Santa Rosa, CACalifornia | — | $1,822.39 |
| Stockton, CACalifornia | — | $1,738.80 |
| Vallejo, CACalifornia | — | $1,877.78 |
| Visalia, CACalifornia | — | $1,738.80 |
| Yuba City, CACalifornia | — | $1,738.80 |
| ColoradoColorado | — | $1,795.57 |
| ConnecticutConnecticut | — | $1,948.24 |
| DelawareDelaware | — | $1,785.86 |
| Fort Lauderdale, FLFlorida | — | $2,086.91 |
| Rest of FloridaFlorida | — | $1,958.10 |
| Atlanta, GAGeorgia | — | $1,896.17 |
| Rest of GeorgiaGeorgia | — | $1,823.59 |
| Hawaii, Guam, HIHawaii | — | $1,758.41 |
| IowaIowa | — | $1,580.27 |
| IdahoIdaho | — | $1,607.40 |
| East St. Louis, ILIllinois | — | $2,103.07 |
| Rest of IllinoisIllinois | — | $1,954.23 |
| Suburban Chicago, ILIllinois | — | $2,089.59 |
| IndianaIndiana | — | $1,615.36 |
| KansasKansas | — | $1,608.76 |
| KentuckyKentucky | — | $1,732.87 |
| New Orleans, LALouisiana | — | $1,831.97 |
| Rest of LouisianaLouisiana | — | $1,744.55 |
| Metropolitan Boston, MAMassachusetts | — | $1,928.50 |
| Rest of MassachusettsMassachusetts | — | $1,798.63 |
| Baltimore area, MDMaryland | — | $1,950.93 |
| Rest of MarylandMaryland | — | $1,809.70 |
| Rest of MaineMaine | — | $1,655.33 |
| Southern Maine, MEMaine | — | $1,696.48 |
| Detroit, MIMichigan | — | $2,021.81 |
| Rest of MichiganMichigan | — | $1,814.64 |
| MinnesotaMinnesota | — | $1,609.20 |
| Metropolitan Kansas City, MOMissouri | — | $1,779.75 |
| Metropolitan St. Louis, MOMissouri | — | $1,794.80 |
| Rest of MissouriMissouri | — | $1,737.30 |
| MississippiMississippi | — | $1,661.18 |
| MontanaMontana | — | $1,819.37 |
| North CarolinaNorth Carolina | — | $1,667.80 |
| North DakotaNorth Dakota | — | $1,628.95 |
| NebraskaNebraska | — | $1,578.46 |
| New HampshireNew Hampshire | — | $1,801.90 |
| Northern New JerseyNew Jersey | — | $1,988.54 |
| Rest of New JerseyNew Jersey | — | $1,939.17 |
| New MexicoNew Mexico | — | $1,839.95 |
| NevadaNevada | — | $1,766.84 |
| NYC suburbs and Long Island, NYNew York | — | $2,258.91 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,981.93 |
| Queens, NYNew York | — | $2,121.65 |
| Rest of New YorkNew York | — | $1,697.55 |
| OhioOhio | — | $1,775.72 |
| OklahomaOklahoma | — | $1,690.64 |
| Portland, OROregon | — | $1,812.83 |
| Rest of OregonOregon | — | $1,722.33 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,921.46 |
| Rest of PennsylvaniaPennsylvania | — | $1,758.15 |
| Puerto RicoPuerto Rico | — | $1,821.12 |
| Rhode IslandRhode Island | — | $1,821.29 |
| South CarolinaSouth Carolina | — | $1,730.82 |
| South DakotaSouth Dakota | — | $1,606.44 |
| TennesseeTennessee | — | $1,622.06 |
| Austin, TXTexas | — | $1,816.51 |
| Beaumont, TXTexas | — | $1,748.69 |
| Brazoria, TXTexas | — | $1,752.08 |
| Dallas, TXTexas | — | $1,780.82 |
| Fort Worth, TXTexas | — | $1,779.62 |
| Galveston, TXTexas | — | $1,768.60 |
| Houston, TXTexas | — | $1,944.86 |
| Rest of TexasTexas | — | $1,761.34 |
| VirginiaVirginia | — | $1,716.29 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,821.12 |
| VermontVermont | — | $1,655.73 |
| Rest of WashingtonWashington | — | $1,784.17 |
| King County, WAWashington | — | $1,931.43 |
| WisconsinWisconsin | — | $1,574.81 |
| West VirginiaWest Virginia | — | $1,888.07 |
| WyomingWyoming | — | $1,736.39 |
63085 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 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.
How the rate is built · 63085
RVUs × geographic indexes × conversion factor
Work28.73
28.73 RVUs× 1.000 GPCI
Practice expense16.13
16.13 RVUs× 1.000 GPCI
Malpractice9.63
9.63 RVUs× 1.000 GPCI
Adjusted RVUs
54.4900
Conversion factor
$33.4009
Medicare rate
$1,820.02
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,023
- Code
- 63085
- Physician work
- 28.73
- Practice expense
- 16.13
- Malpractice
- 9.63
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 28.73 | × 1.000 | 28.7300 |
| Practice expense | 16.13 | × 0.940 | 15.1622 |
| Malpractice | 9.63 | × 0.898 | 8.6477 |
| Total RVUs | 52.5399 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$1754.88
Facility: (28.73 × 1 + 16.13 × 0.94 + 9.63 × 0.898) × $33.4009 = $1754.88
Payment rules and modifiers for 63085
63085 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 63085
Thoracic corpectomy, single vertebral segment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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) | 2 | Permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 63085
Thoracic corpectomy, single vertebral segment
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
63085 without 51 · national facility
$1,820.02
Thoracic corpectomy, single vertebral segment
63085-51 · Second procedure: 50%
$910.01
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 63085 has changed in Utah
63085 · 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 | $1,754.88 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,754.88 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,754.88 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,754.88 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,831.76 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,831.76 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,831.76 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,831.76 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,890.90 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,890.90 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,890.90 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,890.90 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,860.04 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,868.81 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,868.81 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,868.81 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,868.81 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,863.75 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,863.75 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,863.75 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,863.75 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,865.09 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,865.09 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,865.09 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,865.09 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,956.31 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,956.31 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,956.31 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,956.31 | RVU20A |
| 2019-10-01 | Not available in this setting | $2,024.65 | RVU19D |
| 2019-07-01 | Not available in this setting | $2,024.65 | RVU19C |
| 2019-04-01 | Not available in this setting | $2,024.65 | RVU19B |
| 2019-01-01 | Not available in this setting | $2,024.65 | RVU19A |
| 2018-10-01 | Not available in this setting | $2,006.79 | RVU18D |
| 2018-07-01 | Not available in this setting | $2,006.79 | RVU18C |
| 2018-04-01 | Not available in this setting | $2,006.79 | RVU18B |
| 2018-01-01 | Not available in this setting | $2,006.79 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $2,008.67 | RVU17D |
| 2017-07-01 | Not available in this setting | $2,008.67 | RVU17C |
| 2017-04-01 | Not available in this setting | $2,008.67 | RVU17B |
| 2017-01-01 | Not available in this setting | $2,008.67 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,000.04 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,000.04 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,000.04 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,000.04 | RVU16A |
| 2015-10-01 | Not available in this setting | $2,020.70 | RVU15D |
| 2015-07-01 | Not available in this setting | $2,020.70 | RVU15C |
| 2015-04-01 | Not available in this setting | $2,010.64 | RVU15B |
| 2015-01-01 | Not available in this setting | $2,010.64 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,938.31 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,938.31 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,938.31 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,938.31 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,882.14 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,882.14 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,882.14 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,882.14 | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
63085 billing questions
When should this code be used instead of a thoracic decompression code?
Use it when the surgeon removes part or all of a thoracic vertebral body for spinal cord or nerve root decompression. A decompression performed without vertebral body resection is represented by a different code.
Does the service include disc removal at the treated level?
Yes. Partial or complete discectomy at the corpectomy level is included in the service.
How are additional thoracic segments reported?
Report the single-segment service for the first thoracic segment and use 63086 for each additional thoracic segment when the documented work meets that code’s requirements.
What documentation supports reporting this code?
The operative report should identify the thoracic level, describe partial or complete vertebral body removal, and explain the spinal cord or nerve root decompression performed.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery, co-surgeons, and team surgery for this service.
How does the multiple-procedure rule affect same-session services?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies the standard 50% reduction to the others.
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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