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CPT code 63103: Vertebral body removal, each additional segment2026 Medicare rate & RVUs

Report this add-on for each additional thoracic or lumbar vertebral segment removed to decompress the spinal cord or nerve roots during a qualifying primary procedure.

CMS RVU26DEffective Oct 1, 2026109 payment localities323 Medicare services in 2024

Medicare pays $262.87 for 63103 nationally in a facility.

Medicare rate · 63103

Vertebral body removal, each additional segment

Office or facility?

Work RVUs
4.7
Total RVUs
7.87
Global days
ZZZ

National rate · 2026

$262.87

Facility setting, before claim adjustments.

See every locality for 63103 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 63103 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 63103 covers

This add-on represents removal of another vertebral body segment during an operation to relieve pressure on the spinal cord or nerve roots. A spine surgeon may perform the work when decompression requires more than the initial vertebral segment, such as when treating a lesion or structural problem spanning multiple levels. The code is for the additional segment, not the first segment treated.

Report 63103 only with the applicable primary vertebral body removal procedure, such as 63101 or 63102, and document the vertebral levels treated and the additional removal performed. The record should make clear that the work extends beyond the primary segment. CMS identifies this as an add-on code: it is billed only 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.

Where 63103 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

63103 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$233.22
AlaskaUnavailable$320.94
ArizonaUnavailable$253.58
ArkansasUnavailable$229.67
Atlanta, GAUnavailable$274.86
Austin, TXUnavailable$260.19
Bakersfield, CAUnavailable$250.15
Baltimore area, MDUnavailable$281.82
Beaumont, TXUnavailable$254.34
Brazoria, TXUnavailable$251.96

63103 rates by state

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

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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
63103 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

How the 63103 rate is calculated

Each of 63103’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 · 63103

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.70

4.70 RVUs× 1.000 GPCI

Practice expense1.58

1.58 RVUs× 1.000 GPCI

Malpractice1.59

1.59 RVUs× 1.000 GPCI

Adjusted RVUs

7.8700

Conversion factor

$33.4009

Medicare rate

$262.87

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

Payment rules and modifiers for 63103

The CMS indicators that decide how 63103 is paid alongside other services.

CMS payment indicators · 63103

Vertebral body removal, each additional 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)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

63103 without 80 · national facility

$262.87

Vertebral body removal, each additional segment

63103-80 · Assistant: 16%

$42.06

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

When to use modifier 80

63103 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 63103

    Vertebral body removal, each additional segment4.7 wRVU

    Not priced

  • 63101

    Vertebral resection, thoracic, single segment33.25 wRVU

    Not priced

  • 63102

    Vertebral resection, lumbar, lateral extracavitary approach33.25 wRVU

    Not priced

  • 63082

    Vertebral decompression, additional cervical segment4.25 wRVU

    Not priced

How to choose

63101Vertebral resectionThoracic, single segment
63101 represents the primary thoracic segment. 63103 represents an additional segment and is reported with a qualifying primary procedure.
63102Vertebral resectionLumbar, lateral extracavitary approach
63102 represents the primary lumbar segment. Use 63103 for additional segment work rather than treating it as the primary procedure.
63082Vertebral decompressionAdditional cervical segment
63082 is the additional-segment counterpart for cervical vertebral body removal; 63103 is used for the thoracic or lumbar context.

Codes related to 63103

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

Codes related to 63103
CodeHow it relatesNational office range
Add-on codes
63101Vertebral resection, thoracic, single segmentPrimary thoracic vertebral body removal procedure that may be paired with this add-on.No office rate
63102Vertebral resection, lumbar, lateral extracavitary approachPrimary lumbar vertebral body removal procedure that may be paired with this add-on.No office rate
Same family
63082Vertebral decompression, additional cervical segmentAdditional-segment vertebral body removal code for the cervical region.No office rate

63103 billing questions

Can 63103 be reported by itself?

No. It is an add-on code and must be billed with a qualifying primary vertebral body removal procedure, such as 63101 or 63102.

When is 63103 appropriate instead of 63101 or 63102?

Use 63101 or 63102 for the primary segment, according to the applicable spinal region. Report 63103 for an additional segment removed during the same operative service.

What documentation supports an additional segment?

Document the vertebral levels involved and the additional vertebral body removal performed for decompression, in addition to the work represented by the primary code.

How does the global period affect payment?

CMS treats 63103 as an add-on paid within the primary procedure’s global period. It must accompany the primary procedure.

How many units should be reported?

Report the additional segment work performed, supported by documentation identifying each treated level. The first segment is represented by 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
RVUs for 63103PPRRVU2026_Oct_nonQPP.csv, line 7,031 (RVU26D)

Open CMS sourceHow we calculate rates

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