CPT code 63087: Vertebral body removal, thoracolumbar, single segment2026 Medicare rate & RVUs in Montana

Reports anterior removal of a thoracolumbar vertebral body segment to decompress the spinal cord or nerve roots at that level.

CMS RVU26DEffective Oct 1, 2026One payment locality313 Medicare services in 2024

In Montana, Medicare pays $2,263.44 for 63087 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$2,263.44Hospital or facility

Check a contract rate as a % of Medicare · 63087 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 63087 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 63087 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 63087 covers

CPT 63087 covers partial or complete removal of one thoracolumbar vertebral body through an anterior approach, with decompression of the spinal cord or nerve roots. Spine surgeons, including orthopedic spine surgeons and neurosurgeons, typically perform it in an operating room for conditions such as a destructive vertebral lesion or collapse that compresses neural structures. The operative report should establish the treated level, anterior approach, vertebral-body resection, and decompression performed.

Select 63087 for one thoracolumbar segment; report the add-on code 63088 for each additional qualifying segment. The record should distinguish the resected segments and describe the decompression rather than relying only on a diagnosis. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are permitted.

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 Montana compares for 63087

Across 109 of 109 payment localities, the facility rate for 63087 runs from $1,956.91 in Wisconsin to $2,910.34 in Miami, FL. Montana pays $2,263.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

63087 in Montana vs other payment areas
  1. Montana · this page$2,263.44
  2. Los Angeles, CA · California$2,294.61+$31.17
  3. Washington, DC area · District of Columbia$2,489.38+$225.94
  4. Miami, FL · Florida$2,910.34+$646.90
  5. Chicago, IL · Illinois$2,801.09+$537.65
  6. Manhattan, NY · New York$2,683.21+$419.77
  7. Alaska · Alaska$2,734.63+$471.19

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

Every other payment area

63087 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$2,008.69
ArkansasArkansas—$1,977.82
ArizonaArizona—$2,186.12
Bakersfield, CACalifornia—$2,190.04
Chico, CACalifornia—$2,157.99
El Centro, CACalifornia—$2,160.02
Fresno, CACalifornia—$2,157.99
Hanford, CACalifornia—$2,157.99

63087 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
63087 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 63087 in every payment locality

How the 63087 rate is calculated

Each of 63087’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 · 63087

RVUs × geographic indexes × conversion factor

Office or facility?

Work36.59

36.59 RVUs× 1.000 GPCI

Practice expense19.06

19.06 RVUs× 1.000 GPCI

Malpractice12.14

12.14 RVUs× 1.000 GPCI

Adjusted RVUs

67.7900

Conversion factor

$33.4009

Medicare rate

$2,264.25

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

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,025

Code
63087
Physician work
36.59
Practice expense
19.06
Malpractice
12.14

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 63087 in Montana
ComponentRVULocality factorAdjusted
Physician work36.59× 1.00036.5900
Practice expense19.06× 1.00019.0600
Malpractice12.14× 0.99812.1157
Total RVUs67.7657
Conversion factor× 33.4009

Facility rate, Montana$2263.44

Facility: (36.59 × 1 + 19.06 × 1 + 12.14 × 0.998) × $33.4009 = $2263.44

Open 63087 in the RVU calculator

Payment rules and modifiers for 63087

63087 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 63087

Vertebral body removal, thoracolumbar, single 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 · 63087

Vertebral body removal, thoracolumbar, single 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

63087 without 51 · national facility

$2,264.25

Vertebral body removal, thoracolumbar, single segment

63087-51 · Second procedure: 50%

$1,132.13

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 63087 has changed in Montana

63087 · 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$2,263.44RVU26D
2026-07-01Not available in this setting$2,263.44RVU26C
2026-04-01Not available in this setting$2,263.44RVU26B
2026-01-01Not available in this setting$2,263.44RVU26A
2025-10-01Not available in this setting$2,372.83RVU25D
2025-07-01Not available in this setting$2,372.83RVU25C
2025-04-01Not available in this setting$2,372.83RVU25B
2025-01-01Not available in this setting$2,372.83RVU25A
2024-10-01Not available in this setting$2,424.75RVU24D
2024-07-01Not available in this setting$2,424.75RVU24C
2024-04-01Not available in this setting$2,424.75RVU24B
2024-03-09Not available in this setting$2,424.75RVU24AR
2024-01-01Not available in this setting$2,385.18RVU24A
2023-10-01Not available in this setting$2,442.42RVU23D
2023-07-01Not available in this setting$2,442.42RVU23C
2023-04-01Not available in this setting$2,442.42RVU23B
2023-01-01Not available in this setting$2,442.42RVU23A
2022-10-01Not available in this setting$2,458.33RVU22D
2022-07-01Not available in this setting$2,458.33RVU22C
2022-04-01Not available in this setting$2,458.33RVU22B
2022-01-01Not available in this setting$2,458.33RVU22A
2021-10-01Not available in this setting$2,464.52RVU21D
2021-07-01Not available in this setting$2,464.52RVU21C
2021-04-01Not available in this setting$2,464.52RVU21B
2021-01-01Not available in this setting$2,464.52RVU21A
2020-10-01Not available in this setting$2,637.10RVU20D
2020-07-01Not available in this setting$2,637.10RVU20C
2020-04-01Not available in this setting$2,637.10RVU20B
2020-01-01Not available in this setting$2,637.10RVU20A
2019-10-01Not available in this setting$2,793.97RVU19D
2019-07-01Not available in this setting$2,793.97RVU19C
2019-04-01Not available in this setting$2,793.97RVU19B
2019-01-01Not available in this setting$2,793.97RVU19A
2018-10-01Not available in this setting$2,780.21RVU18D
2018-07-01Not available in this setting$2,780.21RVU18C
2018-04-01Not available in this setting$2,780.21RVU18B
2018-01-01Not available in this setting$2,780.21RVU18AR1
2017-10-01Not available in this setting$2,691.67RVU17D
2017-07-01Not available in this setting$2,691.67RVU17C
2017-04-01Not available in this setting$2,691.67RVU17B
2017-01-01Not available in this setting$2,691.67RVU17A
2016-10-01Not available in this setting$2,601.27RVU16D
2016-07-01Not available in this setting$2,601.27RVU16C
2016-04-01Not available in this setting$2,601.27RVU16B
2016-01-01Not available in this setting$2,601.27RVU16A
2015-10-01Not available in this setting$2,628.81RVU15D
2015-07-01Not available in this setting$2,628.81RVU15C
2015-04-01Not available in this setting$2,615.73RVU15B
2015-01-01Not available in this setting$2,615.73RVU15A
2014-10-01Not available in this setting$2,512.47RVU14D
2014-07-01Not available in this setting$2,512.47RVU14C
2014-04-01Not available in this setting$2,512.47RVU14B
2014-01-01Not available in this setting$2,512.47RVU14A
2013-10-01Not available in this setting$2,439.86RVU13D
2013-07-01Not available in this setting$2,439.86RVU13C
2013-04-01Not available in this setting$2,439.86RVU13B
2013-01-01Not available in this setting$2,439.86RVU13AR

Price 63087 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

63087 billing questions

When is 63087 selected instead of 63085 or 63090?

Choose by the vertebral segment’s region: 63087 is for a thoracolumbar segment, 63085 for a thoracic segment, and 63090 for a lumbar segment.

How are additional thoracolumbar segments reported?

Report 63087 for the first segment and 63088 for each additional qualifying thoracolumbar segment. The operative note should identify the segments treated.

Does 63087 include neural decompression?

Yes. The reported service includes vertebral-body removal with decompression of the spinal cord or nerve roots.

What documentation supports 63087?

The operative report should identify the thoracolumbar level, anterior approach, partial or complete vertebral-body removal, and the neural structures decompressed.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

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 63087PPRRVU2026_Oct_nonQPP.csv, line 7,025 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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