CPT code 63101: Vertebral resection, thoracic, single segment2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $1,946.47 for 63101 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 63101 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 63101 covers

An orthopedic spine surgeon or neurosurgeon removes part or all of a thoracic vertebral body when it contributes to spinal cord or nerve root compression. The operation is performed in a surgical setting and may address structural disease such as a vertebral lesion or traumatic collapse when direct neural decompression requires vertebral-body removal. The code represents one thoracic segment.

Report 63101 when the operative note identifies the thoracic level and documents vertebral-body resection for neural decompression; use 63102 for the lumbar region. Code 63103 may be reported for each additional segment with the primary procedure. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not 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 South Dakota compares for 63101

Across 109 of 109 payment localities, the facility rate for 63101 runs from $1,905.69 in Wisconsin to $2,870.21 in Miami, FL. South Dakota pays $1,946.47. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

63101 rates by state

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

See 63101 in every payment locality

How the 63101 rate is calculated

Each of 63101’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 63101

63101 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 63101

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

How 63101 has changed in South Dakota

Price 63101 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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