CPT code 63086: Vertebral corpectomy, each additional thoracic segment2026 Medicare rate & RVUs in Connecticut
Reports removal of each additional thoracic vertebral body segment during a corpectomy performed to decompress the spinal cord or nerve roots.
In Connecticut, Medicare pays $182.84 for 63086 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 63086 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 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.
How Connecticut compares for 63086
Across 109 of 109 payment localities, the facility rate for 63086 runs from $145.83 in Wisconsin to $224.96 in Miami, FL. Connecticut pays $182.84. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Connecticut · this page$182.84
- Los Angeles, CA · California$169.70−$13.14
- Washington, DC area · District of Columbia$186.34+$3.50
- Miami, FL · Florida$224.96+$42.12
- Chicago, IL · Illinois$216.46+$33.62
- Manhattan, NY · New York$203.12+$20.28
- Alaska · Alaska$209.63+$26.79
Other areas in Connecticut first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $151.99 |
| ArkansasArkansas | — | $149.71 |
| ArizonaArizona | — | $165.04 |
| Bakersfield, CACalifornia | — | $162.68 |
| Chico, CACalifornia | — | $159.96 |
| El Centro, CACalifornia | — | $160.13 |
| Fresno, CACalifornia | — | $159.96 |
| Hanford, CACalifornia | — | $159.96 |
| Madera, CACalifornia | — | $159.96 |
| Merced, CACalifornia | — | $159.96 |
| Modesto, CACalifornia | — | $159.96 |
| Napa, CACalifornia | — | $171.04 |
| Oxnard, CACalifornia | — | $166.91 |
| Redding, CACalifornia | — | $159.96 |
| Rest of CaliforniaCalifornia | — | $159.96 |
| Riverside, CACalifornia | — | $170.97 |
| Sacramento, CACalifornia | — | $164.12 |
| Salinas, CACalifornia | — | $163.47 |
| San Diego, CACalifornia | — | $164.79 |
| Marin County, CACalifornia | — | $175.69 |
| San Francisco, CACalifornia | — | $174.52 |
| San Benito County, CACalifornia | — | $180.94 |
| Santa Clara County, CACalifornia | — | $176.16 |
| San Luis Obispo, CACalifornia | — | $161.37 |
| Santa Cruz, CACalifornia | — | $164.27 |
| Santa Maria, CACalifornia | — | $163.39 |
| Santa Rosa, CACalifornia | — | $165.63 |
| Stockton, CACalifornia | — | $159.96 |
| Vallejo, CACalifornia | — | $169.35 |
| Visalia, CACalifornia | — | $159.96 |
| Yuba City, CACalifornia | — | $159.96 |
| ColoradoColorado | — | $166.82 |
| DelawareDelaware | — | $167.66 |
| Fort Lauderdale, FLFlorida | — | $199.24 |
| Rest of FloridaFlorida | — | $186.88 |
| Atlanta, GAGeorgia | — | $178.76 |
| Rest of GeorgiaGeorgia | — | $174.08 |
| Hawaii, Guam, HIHawaii | — | $161.01 |
| IowaIowa | — | $147.49 |
| IdahoIdaho | — | $150.26 |
| East St. Louis, ILIllinois | — | $203.28 |
| Rest of IllinoisIllinois | — | $187.53 |
| Suburban Chicago, ILIllinois | — | $199.18 |
| IndianaIndiana | — | $150.94 |
| KansasKansas | — | $150.81 |
| KentuckyKentucky | — | $164.46 |
| New Orleans, LALouisiana | — | $173.76 |
| Rest of LouisianaLouisiana | — | $165.80 |
| Metropolitan Boston, MAMassachusetts | — | $177.84 |
| Rest of MassachusettsMassachusetts | — | $167.43 |
| Baltimore area, MDMaryland | — | $183.22 |
| Rest of MarylandMaryland | — | $169.62 |
| Rest of MaineMaine | — | $155.39 |
| Southern Maine, MEMaine | — | $158.02 |
| Detroit, MIMichigan | — | $193.47 |
| Rest of MichiganMichigan | — | $172.60 |
| MinnesotaMinnesota | — | $147.74 |
| Metropolitan Kansas City, MOMissouri | — | $168.22 |
| Metropolitan St. Louis, MOMissouri | — | $169.51 |
| Rest of MissouriMissouri | — | $165.60 |
| MississippiMississippi | — | $157.48 |
| MontanaMontana | — | $170.94 |
| North CarolinaNorth Carolina | — | $156.40 |
| North DakotaNorth Dakota | — | $150.58 |
| NebraskaNebraska | — | $147.09 |
| New HampshireNew Hampshire | — | $168.05 |
| Northern New JerseyNew Jersey | — | $185.13 |
| Rest of New JerseyNew Jersey | — | $181.52 |
| New MexicoNew Mexico | — | $175.21 |
| NevadaNevada | — | $165.30 |
| NYC suburbs and Long Island, NYNew York | — | $213.33 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $186.02 |
| Queens, NYNew York | — | $198.82 |
| Rest of New YorkNew York | — | $159.16 |
| OhioOhio | — | $168.44 |
| OklahomaOklahoma | — | $159.84 |
| Portland, OROregon | — | $167.50 |
| Rest of OregonOregon | — | $160.66 |
| Metropolitan Philadelphia, PAPennsylvania | — | $180.86 |
| Rest of PennsylvaniaPennsylvania | — | $166.44 |
| Puerto RicoPuerto Rico | — | $170.86 |
| Rhode IslandRhode Island | — | $170.35 |
| South CarolinaSouth Carolina | — | $163.36 |
| South DakotaSouth Dakota | — | $148.17 |
| TennesseeTennessee | — | $152.11 |
| Austin, TXTexas | — | $169.20 |
| Beaumont, TXTexas | — | $165.62 |
| Brazoria, TXTexas | — | $163.98 |
| Dallas, TXTexas | — | $166.93 |
| Fort Worth, TXTexas | — | $167.05 |
| Galveston, TXTexas | — | $165.70 |
| Houston, TXTexas | — | $184.55 |
| Rest of TexasTexas | — | $166.01 |
| UtahUtah | — | $165.54 |
| VirginiaVirginia | — | $160.34 |
| Virgin Islands, VIUnited States Virgin Islands | — | $170.86 |
| VermontVermont | — | $153.69 |
| Rest of WashingtonWashington | — | $165.88 |
| King County, WAWashington | — | $177.34 |
| WisconsinWisconsin | — | $145.83 |
| West VirginiaWest Virginia | — | $181.55 |
| WyomingWyoming | — | $162.07 |
63086 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 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
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.
The exact Connecticut inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,024
- Code
- 63086
- Physician work
- 3.11
- Practice expense
- 0.98
- Malpractice
- 1.03
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.11 | × 1.020 | 3.1722 |
| Practice expense | 0.98 | × 1.077 | 1.0555 |
| Malpractice | 1.03 | × 1.210 | 1.2463 |
| Total RVUs | 5.4740 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$182.84
Facility: (3.11 × 1.02 + 0.98 × 1.077 + 1.03 × 1.21) × $33.4009 = $182.84
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
| 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) | 2 | 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
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.
How 63086 has changed in Connecticut
63086 · 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 | $182.84 | RVU26D |
| 2026-07-01 | Not available in this setting | $182.84 | RVU26C |
| 2026-04-01 | Not available in this setting | $182.84 | RVU26B |
| 2026-01-01 | Not available in this setting | $182.84 | RVU26A |
| 2025-10-01 | Not available in this setting | $198.84 | RVU25D |
| 2025-07-01 | Not available in this setting | $198.84 | RVU25C |
| 2025-04-01 | Not available in this setting | $198.84 | RVU25B |
| 2025-01-01 | Not available in this setting | $198.84 | RVU25A |
| 2024-10-01 | Not available in this setting | $204.82 | RVU24D |
| 2024-07-01 | Not available in this setting | $204.82 | RVU24C |
| 2024-04-01 | Not available in this setting | $204.82 | RVU24B |
| 2024-03-09 | Not available in this setting | $204.82 | RVU24AR |
| 2024-01-01 | Not available in this setting | $201.48 | RVU24A |
| 2023-10-01 | Not available in this setting | $201.46 | RVU23D |
| 2023-07-01 | Not available in this setting | $201.46 | RVU23C |
| 2023-04-01 | Not available in this setting | $201.46 | RVU23B |
| 2023-01-01 | Not available in this setting | $201.46 | RVU23A |
| 2022-10-01 | Not available in this setting | $202.36 | RVU22D |
| 2022-07-01 | Not available in this setting | $202.36 | RVU22C |
| 2022-04-01 | Not available in this setting | $202.36 | RVU22B |
| 2022-01-01 | Not available in this setting | $202.36 | RVU22A |
| 2021-10-01 | Not available in this setting | $202.15 | RVU21D |
| 2021-07-01 | Not available in this setting | $202.15 | RVU21C |
| 2021-04-01 | Not available in this setting | $202.15 | RVU21B |
| 2021-01-01 | Not available in this setting | $202.15 | RVU21A |
| 2020-10-01 | Not available in this setting | $211.85 | RVU20D |
| 2020-07-01 | Not available in this setting | $211.85 | RVU20C |
| 2020-04-01 | Not available in this setting | $211.85 | RVU20B |
| 2020-01-01 | Not available in this setting | $211.85 | RVU20A |
| 2019-10-01 | Not available in this setting | $218.00 | RVU19D |
| 2019-07-01 | Not available in this setting | $218.00 | RVU19C |
| 2019-04-01 | Not available in this setting | $218.00 | RVU19B |
| 2019-01-01 | Not available in this setting | $218.00 | RVU19A |
| 2018-10-01 | Not available in this setting | $217.31 | RVU18D |
| 2018-07-01 | Not available in this setting | $217.31 | RVU18C |
| 2018-04-01 | Not available in this setting | $217.31 | RVU18B |
| 2018-01-01 | Not available in this setting | $217.31 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $217.12 | RVU17D |
| 2017-07-01 | Not available in this setting | $217.12 | RVU17C |
| 2017-04-01 | Not available in this setting | $217.12 | RVU17B |
| 2017-01-01 | Not available in this setting | $217.12 | RVU17A |
| 2016-10-01 | Not available in this setting | $216.22 | RVU16D |
| 2016-07-01 | Not available in this setting | $216.22 | RVU16C |
| 2016-04-01 | Not available in this setting | $216.22 | RVU16B |
| 2016-01-01 | Not available in this setting | $216.22 | RVU16A |
| 2015-10-01 | Not available in this setting | $218.73 | RVU15D |
| 2015-07-01 | Not available in this setting | $218.73 | RVU15C |
| 2015-04-01 | Not available in this setting | $217.64 | RVU15B |
| 2015-01-01 | Not available in this setting | $217.64 | RVU15A |
| 2014-10-01 | Not available in this setting | $211.68 | RVU14D |
| 2014-07-01 | Not available in this setting | $211.68 | RVU14C |
| 2014-04-01 | Not available in this setting | $211.68 | RVU14B |
| 2014-01-01 | Not available in this setting | $211.68 | RVU14A |
| 2013-10-01 | Not available in this setting | $205.85 | RVU13D |
| 2013-07-01 | Not available in this setting | $205.85 | RVU13C |
| 2013-04-01 | Not available in this setting | $205.85 | RVU13B |
| 2013-01-01 | Not available in this setting | $205.85 | RVU13AR |
Where the Connecticut rate applies
Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.
- Ansonia
- Ball Pond
- Baltic
- Bantam
- Bethel
- Bethlehem Village
- Bigelow Corners
- Blue Hills
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
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