CPT code 63091: Vertebral body removal, additional lumbar segment2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $172.04 for 63091 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 63091 nationwide

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

What 63091 covers

This add-on describes removal of another lumbar vertebral body segment through an anterior approach as part of decompression of the spinal cord or nerve roots. A spine surgeon or neurosurgeon may perform the work in a hospital operating room for conditions requiring decompression at multiple lumbar levels. The code represents an additional segment, not a separate primary operation or removal of additional bone within the same segment.

Report 63091 only with the primary lumbar procedure, 63090. The operative report should identify the lumbar levels treated, the additional vertebral segment removed, the anterior approach, and the decompression performed. CMS classifies 63091 as an add-on code, so it is billed with a primary procedure and paid within that 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 Washington, DC area compares for 63091

Across 109 of 109 payment localities, the facility rate for 63091 runs from $137.04 in Wisconsin to $202.67 in Miami, FL. Washington, DC area pays $172.04. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

63091 rates by state

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

See 63091 in every payment locality

How the 63091 rate is calculated

Each of 63091’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.

Payment rules and modifiers for 63091

The CMS indicators that decide how 63091 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

Codes related to 63091

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

How 63091 has changed in Washington, DC area

Price 63091 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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

Open CMS sourceHow we calculate rates