FeeBase
Log inGet started
Menu

CPT code 63086: Vertebral corpectomy, each additional thoracic segment2026 Medicare rate & RVUs

Reports removal of each additional thoracic vertebral body segment during a corpectomy performed to decompress the spinal cord or nerve roots.

CMS RVU26DEffective Oct 1, 2026109 payment localities75 Medicare services in 2024

Medicare pays $171.01 for 63086 nationally in a facility.

Medicare rate · 63086

Vertebral corpectomy, each additional thoracic segment

Office or facility?

Work RVUs
3.11
Total RVUs
5.12
Global days
ZZZ

National rate · 2026

$171.01

Facility setting, before claim adjustments.

See every locality for 63086 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 63086 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 63086 covers

A spine surgeon removes an additional thoracic vertebral body segment to create space for spinal cord or nerve-root decompression. This work is performed through an anterior transthoracic exposure, typically in an operating room. It is reported when the operation requires removal of more than one thoracic vertebral segment, rather than for work limited to the first segment.

Report 63086 with the primary thoracic corpectomy code 63085, counting each additional segment beyond the first. The operative report should identify the thoracic levels treated, the approach, and the extent of vertebral body removal supporting the additional segment. This is an add-on code and is not reported by itself; CMS treats its payment as part of the primary 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 63086 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

63086 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$151.99
AlaskaUnavailable$209.63
ArizonaUnavailable$165.04
ArkansasUnavailable$149.71
Atlanta, GAUnavailable$178.76
Austin, TXUnavailable$169.20
Bakersfield, CAUnavailable$162.68
Baltimore area, MDUnavailable$183.22
Beaumont, TXUnavailable$165.62
Brazoria, TXUnavailable$163.98

63086 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
63086 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

How the 63086 rate is calculated

Each of 63086’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 · 63086

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.11

3.11 RVUs× 1.000 GPCI

Practice expense0.98

0.98 RVUs× 1.000 GPCI

Malpractice1.03

1.03 RVUs× 1.000 GPCI

Adjusted RVUs

5.1200

Conversion factor

$33.4009

Medicare rate

$171.01

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 63086

The CMS indicators that decide how 63086 is paid alongside other services.

CMS payment indicators · 63086

Vertebral corpectomy, each additional thoracic segment

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

63086 without 80 · national facility

$171.01

Vertebral corpectomy, each additional thoracic segment

63086-80 · Assistant: 16%

$27.36

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

63086 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 63086

    Vertebral corpectomy, each additional thoracic segment3.11 wRVU

    Not priced

  • 63085

    Thoracic corpectomy, single vertebral segment28.73 wRVU

    Not priced

  • 63082

    Vertebral decompression, additional cervical segment4.25 wRVU

    Not priced

  • 63088

    Vertebral resection, additional thoracolumbar segment4.21 wRVU

    Not priced

  • 63091

    Vertebral body removal, additional lumbar segment2.95 wRVU

    Not priced

How to choose

63085Thoracic corpectomySingle vertebral segment
63085 covers the initial thoracic segment; 63086 reports each additional thoracic segment and is used with the primary code.
63082Vertebral decompressionAdditional cervical segment
Both are additional-segment corpectomy codes, but 63082 is for cervical segments and 63086 is for thoracic segments.
63088Vertebral resectionAdditional thoracolumbar segment
63088 covers additional thoracolumbar segments with the specified transperitoneal or retroperitoneal approach; 63086 is for additional thoracic segments.
63091Vertebral body removalAdditional lumbar segment
63091 reports additional lumbar corpectomy segments; 63086 reports additional thoracic segments.

Codes related to 63086

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

Codes related to 63086
CodeHow it relatesNational office range
Add-on codes
63085Thoracic corpectomy, single vertebral segmentPrimary thoracic corpectomy code reported with this additional-segment service.No office rate
Same family
63082Vertebral decompression, additional cervical segmentAdditional-segment corpectomy code for the cervical region.No office rate
63088Vertebral resection, additional thoracolumbar segmentAdditional-segment corpectomy code for the thoracolumbar region and specified approach.No office rate
63091Vertebral body removal, additional lumbar segmentAdditional-segment corpectomy code for the lumbar region.No office rate
63087Vertebral body removal, thoracolumbar, single segmentPrimary thoracolumbar corpectomy code for a transperitoneal or retroperitoneal approach.No office rate

63086 billing questions

Which primary code is reported with 63086?

Report 63086 with 63085 for the initial thoracic segment. It is an add-on code and should not be submitted by itself.

How many units of 63086 should be reported?

Report an additional unit for each thoracic vertebral segment removed beyond the first. The operative documentation should make the levels and number of segments clear.

How does 63086 differ from 63082?

63086 is for additional thoracic segments in a corpectomy. 63082 is the corresponding additional-segment code for a cervical corpectomy.

How does 63086 differ from 63088?

63086 applies to additional thoracic segments. 63088 is for additional segments in a thoracolumbar corpectomy performed through a transperitoneal or retroperitoneal approach.

What documentation supports reporting an additional segment?

The operative report should identify each thoracic vertebral level treated and describe the additional body removal and decompression work, along with the approach.

How does the global period affect 63086?

CMS treats this add-on service as paid within the global period of the primary procedure.

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 63086PPRRVU2026_Oct_nonQPP.csv, line 7,024 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 63086 pays?

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

Fee sheets · Coming soon

Put 63086 and the rest of your codes on one sheet

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

Join the waitlist