CPT code 63088: Vertebral resection, additional thoracolumbar segment2026 Medicare rate & RVUs in North Carolina

Reports each additional thoracolumbar vertebral segment removed through an anterior approach for spinal cord or nerve root decompression.

CMS RVU26DEffective Oct 1, 2026One payment locality114 Medicare services in 2024

In North Carolina, Medicare pays $214.05 for 63088 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$214.05Hospital or facility

Check a contract rate as a % of Medicare · 63088 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 63088 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 63088 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 63088 covers

This add-on represents removal of an additional vertebral body segment in the thoracolumbar region through an anterior approach to decompress the spinal cord or a nerve root. It may be part of surgery for a compressive lesion involving more than one vertebral segment. A spine surgeon, such as an orthopedic spine surgeon or neurosurgeon, typically performs the work in a hospital operating room.

Report 63088 only with the primary thoracolumbar vertebral body resection code, 63087. Use it for each additional segment beyond the primary segment, and document the operative levels and the additional vertebral body resection performed. The operative report should make clear which segment was primary and which additional segment or segments were treated. Under the CMS add-on rule, 63088 is paid within the global period of the primary procedure and is not reported by itself.

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 North Carolina compares for 63088

Across 109 of 109 payment localities, the facility rate for 63088 runs from $199.27 in Wisconsin to $309.89 in Miami, FL. North Carolina pays $214.05. The RVUs are the same everywhere; the geographic indexes change the dollars.

63088 in North Carolina vs other payment areas
  1. North Carolina · this page$214.05
  2. Los Angeles, CA · California$232.45+$18.40
  3. Washington, DC area · District of Columbia$255.65+$41.60
  4. Miami, FL · Florida$309.89+$95.84
  5. Chicago, IL · Illinois$297.97+$83.92
  6. Manhattan, NY · New York$279.07+$65.02
  7. Alaska · Alaska$286.16+$72.11

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

Every other payment area

63088 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$207.88
ArkansasArkansas—$204.70
ArizonaArizona—$226.13
Bakersfield, CACalifornia—$222.73
Chico, CACalifornia—$218.94
El Centro, CACalifornia—$219.18
Fresno, CACalifornia—$218.94
Hanford, CACalifornia—$218.94

63088 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
63088 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 63088 in every payment locality

How the 63088 rate is calculated

Each of 63088’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 · 63088

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.21

4.21 RVUs× 1.000 GPCI

Practice expense1.37

1.37 RVUs× 1.000 GPCI

Malpractice1.44

1.44 RVUs× 1.000 GPCI

Adjusted RVUs

7.0200

Conversion factor

$33.4009

Medicare rate

$234.47

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

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,026

Code
63088
Physician work
4.21
Practice expense
1.37
Malpractice
1.44

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Facility calculation for 63088 in North Carolina
ComponentRVULocality factorAdjusted
Physician work4.21× 1.0004.2100
Practice expense1.37× 0.9331.2782
Malpractice1.44× 0.6390.9202
Total RVUs6.4084
Conversion factor× 33.4009

Facility rate, North Carolina$214.05

Facility: (4.21 × 1 + 1.37 × 0.933 + 1.44 × 0.639) × $33.4009 = $214.05

Open 63088 in the RVU calculator

Payment rules and modifiers for 63088

The CMS indicators that decide how 63088 is paid alongside other services.

CMS payment indicators · 63088

Vertebral resection, additional thoracolumbar 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

63088 without 80 · national facility

$234.47

Vertebral resection, additional thoracolumbar segment

63088-80 · Assistant: 16%

$37.52

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

When to use modifier 80

How 63088 has changed in North Carolina

63088 · 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$214.05RVU26D
2026-07-01Not available in this setting$214.05RVU26C
2026-04-01Not available in this setting$214.05RVU26B
2026-01-01Not available in this setting$214.05RVU26A
2025-10-01Not available in this setting$231.04RVU25D
2025-07-01Not available in this setting$231.04RVU25C
2025-04-01Not available in this setting$231.04RVU25B
2025-01-01Not available in this setting$231.04RVU25A
2024-10-01Not available in this setting$237.02RVU24D
2024-07-01Not available in this setting$237.02RVU24C
2024-04-01Not available in this setting$237.02RVU24B
2024-03-09Not available in this setting$237.02RVU24AR
2024-01-01Not available in this setting$233.15RVU24A
2023-10-01Not available in this setting$243.73RVU23D
2023-07-01Not available in this setting$243.73RVU23C
2023-04-01Not available in this setting$243.73RVU23B
2023-01-01Not available in this setting$243.73RVU23A
2022-10-01Not available in this setting$248.95RVU22D
2022-07-01Not available in this setting$248.95RVU22C
2022-04-01Not available in this setting$248.95RVU22B
2022-01-01Not available in this setting$248.95RVU22A
2021-10-01Not available in this setting$252.23RVU21D
2021-07-01Not available in this setting$252.23RVU21C
2021-04-01Not available in this setting$252.23RVU21B
2021-01-01Not available in this setting$252.23RVU21A
2020-10-01Not available in this setting$253.05RVU20D
2020-07-01Not available in this setting$253.05RVU20C
2020-04-01Not available in this setting$253.05RVU20B
2020-01-01Not available in this setting$253.05RVU20A
2019-10-01Not available in this setting$253.02RVU19D
2019-07-01Not available in this setting$253.02RVU19C
2019-04-01Not available in this setting$253.02RVU19B
2019-01-01Not available in this setting$253.02RVU19A
2018-10-01Not available in this setting$244.90RVU18D
2018-07-01Not available in this setting$244.90RVU18C
2018-04-01Not available in this setting$244.90RVU18B
2018-01-01Not available in this setting$244.90RVU18AR1
2017-10-01Not available in this setting$255.97RVU17D
2017-07-01Not available in this setting$255.97RVU17C
2017-04-01Not available in this setting$255.97RVU17B
2017-01-01Not available in this setting$255.97RVU17A
2016-10-01Not available in this setting$256.42RVU16D
2016-07-01Not available in this setting$256.42RVU16C
2016-04-01Not available in this setting$256.42RVU16B
2016-01-01Not available in this setting$256.42RVU16A
2015-10-01Not available in this setting$260.60RVU15D
2015-07-01Not available in this setting$260.60RVU15C
2015-04-01Not available in this setting$259.31RVU15B
2015-01-01Not available in this setting$259.31RVU15A
2014-10-01Not available in this setting$249.79RVU14D
2014-07-01Not available in this setting$249.79RVU14C
2014-04-01Not available in this setting$249.79RVU14B
2014-01-01Not available in this setting$249.79RVU14A
2013-10-01Not available in this setting$241.75RVU13D
2013-07-01Not available in this setting$241.75RVU13C
2013-04-01Not available in this setting$241.75RVU13B
2013-01-01Not available in this setting$241.75RVU13AR

Price 63088 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

63088 billing questions

Can 63088 be reported by itself?

No. It is an add-on code and must be reported with the primary thoracolumbar vertebral body resection code, 63087.

How many units should be reported?

Report one unit for each additional thoracolumbar vertebral segment resected beyond the primary segment. The operative documentation should identify each treated level.

How is 63088 different from 63086?

Both describe an additional vertebral segment, but 63088 is for the thoracolumbar region; 63086 is for the thoracic region.

What documentation supports the add-on?

The operative report should identify the primary segment, each additional thoracolumbar level resected, and the decompression performed through the anterior approach.

How does the CMS global-period rule affect 63088?

CMS pays this add-on within the primary procedure's global period, so report it with the qualifying primary procedure rather than as a standalone service.

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 63088PPRRVU2026_Oct_nonQPP.csv, line 7,026 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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