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.

CMS RVU26DEffective Oct 1, 2026One payment locality242 Medicare services in 2024

In Utah, Medicare pays $1,754.88 for 63085 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,754.88Hospital or facility

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.

We’ll open 63085 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 63085 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

63085 in Utah vs other payment areas
  1. Utah · this page$1,754.88
  2. Los Angeles, CA · California$1,849.88+$95.00
  3. Washington, DC area · District of Columbia$2,004.08+$249.20
  4. Miami, FL · Florida$2,333.91+$579.03
  5. Chicago, IL · Illinois$2,245.96+$491.08
  6. Manhattan, NY · New York$2,157.20+$402.32
  7. Alaska · Alaska$2,190.42+$435.54

Other areas in Utah first, then benchmark localities. Bars start at $0.

Every other payment area

63085 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
63085 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

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.

How the rate is built · 63085

RVUs × geographic indexes × conversion factor

Office or facility?

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
Facility calculation for 63085 in Utah
ComponentRVULocality factorAdjusted
Physician work28.73× 1.00028.7300
Practice expense16.13× 0.94015.1622
Malpractice9.63× 0.8988.6477
Total RVUs52.5399
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

Open 63085 in the RVU calculator

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

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)2Permitted.
Team surgery (66)2Permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.76/0.13Share 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

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%).

When to use modifier 51

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.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,754.88RVU26D
2026-07-01Not available in this setting$1,754.88RVU26C
2026-04-01Not available in this setting$1,754.88RVU26B
2026-01-01Not available in this setting$1,754.88RVU26A
2025-10-01Not available in this setting$1,831.76RVU25D
2025-07-01Not available in this setting$1,831.76RVU25C
2025-04-01Not available in this setting$1,831.76RVU25B
2025-01-01Not available in this setting$1,831.76RVU25A
2024-10-01Not available in this setting$1,890.90RVU24D
2024-07-01Not available in this setting$1,890.90RVU24C
2024-04-01Not available in this setting$1,890.90RVU24B
2024-03-09Not available in this setting$1,890.90RVU24AR
2024-01-01Not available in this setting$1,860.04RVU24A
2023-10-01Not available in this setting$1,868.81RVU23D
2023-07-01Not available in this setting$1,868.81RVU23C
2023-04-01Not available in this setting$1,868.81RVU23B
2023-01-01Not available in this setting$1,868.81RVU23A
2022-10-01Not available in this setting$1,863.75RVU22D
2022-07-01Not available in this setting$1,863.75RVU22C
2022-04-01Not available in this setting$1,863.75RVU22B
2022-01-01Not available in this setting$1,863.75RVU22A
2021-10-01Not available in this setting$1,865.09RVU21D
2021-07-01Not available in this setting$1,865.09RVU21C
2021-04-01Not available in this setting$1,865.09RVU21B
2021-01-01Not available in this setting$1,865.09RVU21A
2020-10-01Not available in this setting$1,956.31RVU20D
2020-07-01Not available in this setting$1,956.31RVU20C
2020-04-01Not available in this setting$1,956.31RVU20B
2020-01-01Not available in this setting$1,956.31RVU20A
2019-10-01Not available in this setting$2,024.65RVU19D
2019-07-01Not available in this setting$2,024.65RVU19C
2019-04-01Not available in this setting$2,024.65RVU19B
2019-01-01Not available in this setting$2,024.65RVU19A
2018-10-01Not available in this setting$2,006.79RVU18D
2018-07-01Not available in this setting$2,006.79RVU18C
2018-04-01Not available in this setting$2,006.79RVU18B
2018-01-01Not available in this setting$2,006.79RVU18AR1
2017-10-01Not available in this setting$2,008.67RVU17D
2017-07-01Not available in this setting$2,008.67RVU17C
2017-04-01Not available in this setting$2,008.67RVU17B
2017-01-01Not available in this setting$2,008.67RVU17A
2016-10-01Not available in this setting$2,000.04RVU16D
2016-07-01Not available in this setting$2,000.04RVU16C
2016-04-01Not available in this setting$2,000.04RVU16B
2016-01-01Not available in this setting$2,000.04RVU16A
2015-10-01Not available in this setting$2,020.70RVU15D
2015-07-01Not available in this setting$2,020.70RVU15C
2015-04-01Not available in this setting$2,010.64RVU15B
2015-01-01Not available in this setting$2,010.64RVU15A
2014-10-01Not available in this setting$1,938.31RVU14D
2014-07-01Not available in this setting$1,938.31RVU14C
2014-04-01Not available in this setting$1,938.31RVU14B
2014-01-01Not available in this setting$1,938.31RVU14A
2013-10-01Not available in this setting$1,882.14RVU13D
2013-07-01Not available in this setting$1,882.14RVU13C
2013-04-01Not available in this setting$1,882.14RVU13B
2013-01-01Not available in this setting$1,882.14RVU13AR

Price 63085 for an earlier date of service

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

Browse all communities in Utah

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
RVUs for 63085PPRRVU2026_Oct_nonQPP.csv, line 7,023 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 63085 pays in Utah?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 63085 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet