CPT code 63103: Vertebral body removal, each additional segment2026 Medicare rate & RVUs in Utah
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.
In Utah, Medicare pays $254.28 for 63103 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 63103 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How Utah compares for 63103
Across 109 of 109 payment localities, the facility rate for 63103 runs from $223.90 in Wisconsin to $346.23 in Miami, FL. Utah pays $254.28. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$254.28
- Los Angeles, CA · California$261.11+$6.83
- Washington, DC area · District of Columbia$286.74+$32.46
- Miami, FL · Florida$346.23+$91.95
- Chicago, IL · Illinois$333.00+$78.72
- Manhattan, NY · New York$312.58+$58.30
- Alaska · Alaska$320.94+$66.66
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $233.22 |
| ArkansasArkansas | — | $229.67 |
| ArizonaArizona | — | $253.58 |
| Bakersfield, CACalifornia | — | $250.15 |
| Chico, CACalifornia | — | $245.96 |
| El Centro, CACalifornia | — | $246.22 |
| Fresno, CACalifornia | — | $245.96 |
| Hanford, CACalifornia | — | $245.96 |
| Madera, CACalifornia | — | $245.96 |
| Merced, CACalifornia | — | $245.96 |
| Modesto, CACalifornia | — | $245.96 |
| Napa, CACalifornia | — | $263.41 |
| Oxnard, CACalifornia | — | $256.84 |
| Redding, CACalifornia | — | $245.96 |
| Rest of CaliforniaCalifornia | — | $245.96 |
| Riverside, CACalifornia | — | $262.95 |
| Sacramento, CACalifornia | — | $252.48 |
| Salinas, CACalifornia | — | $251.48 |
| San Diego, CACalifornia | — | $253.59 |
| Marin County, CACalifornia | — | $270.68 |
| San Francisco, CACalifornia | — | $268.88 |
| San Benito County, CACalifornia | — | $278.82 |
| Santa Clara County, CACalifornia | — | $271.44 |
| San Luis Obispo, CACalifornia | — | $248.23 |
| Santa Cruz, CACalifornia | — | $252.87 |
| Santa Maria, CACalifornia | — | $251.38 |
| Santa Rosa, CACalifornia | — | $254.97 |
| Stockton, CACalifornia | — | $245.96 |
| Vallejo, CACalifornia | — | $260.81 |
| Visalia, CACalifornia | — | $245.96 |
| Yuba City, CACalifornia | — | $245.96 |
| ColoradoColorado | — | $256.50 |
| ConnecticutConnecticut | — | $281.22 |
| DelawareDelaware | — | $257.65 |
| Fort Lauderdale, FLFlorida | — | $306.46 |
| Rest of FloridaFlorida | — | $287.26 |
| Atlanta, GAGeorgia | — | $274.86 |
| Rest of GeorgiaGeorgia | — | $267.36 |
| Hawaii, Guam, HIHawaii | — | $247.74 |
| IowaIowa | — | $226.36 |
| IdahoIdaho | — | $230.66 |
| East St. Louis, ILIllinois | — | $312.49 |
| Rest of IllinoisIllinois | — | $288.17 |
| Suburban Chicago, ILIllinois | — | $306.39 |
| IndianaIndiana | — | $231.72 |
| KansasKansas | — | $231.46 |
| KentuckyKentucky | — | $252.49 |
| New Orleans, LALouisiana | — | $266.97 |
| Rest of LouisianaLouisiana | — | $254.57 |
| Metropolitan Boston, MAMassachusetts | — | $273.70 |
| Rest of MassachusettsMassachusetts | — | $257.39 |
| Baltimore area, MDMaryland | — | $281.82 |
| Rest of MarylandMaryland | — | $260.71 |
| Rest of MaineMaine | — | $238.57 |
| Southern Maine, MEMaine | — | $242.79 |
| Detroit, MIMichigan | — | $297.45 |
| Rest of MichiganMichigan | — | $265.12 |
| MinnesotaMinnesota | — | $227.01 |
| Metropolitan Kansas City, MOMissouri | — | $258.42 |
| Metropolitan St. Louis, MOMissouri | — | $260.44 |
| Rest of MissouriMissouri | — | $254.20 |
| MississippiMississippi | — | $241.67 |
| MontanaMontana | — | $262.76 |
| North CarolinaNorth Carolina | — | $240.16 |
| North DakotaNorth Dakota | — | $231.32 |
| NebraskaNebraska | — | $225.77 |
| New HampshireNew Hampshire | — | $258.39 |
| Northern New JerseyNew Jersey | — | $284.81 |
| Rest of New JerseyNew Jersey | — | $279.15 |
| New MexicoNew Mexico | — | $269.16 |
| NevadaNevada | — | $254.05 |
| NYC suburbs and Long Island, NYNew York | — | $328.40 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $286.10 |
| Queens, NYNew York | — | $305.99 |
| Rest of New YorkNew York | — | $244.45 |
| OhioOhio | — | $258.70 |
| OklahomaOklahoma | — | $245.38 |
| Portland, OROregon | — | $257.64 |
| Rest of OregonOregon | — | $246.88 |
| Metropolitan Philadelphia, PAPennsylvania | — | $278.10 |
| Rest of PennsylvaniaPennsylvania | — | $255.62 |
| Puerto RicoPuerto Rico | — | $262.65 |
| Rhode IslandRhode Island | — | $261.85 |
| South CarolinaSouth Carolina | — | $250.89 |
| South DakotaSouth Dakota | — | $227.60 |
| TennesseeTennessee | — | $233.47 |
| Austin, TXTexas | — | $260.19 |
| Beaumont, TXTexas | — | $254.34 |
| Brazoria, TXTexas | — | $251.96 |
| Dallas, TXTexas | — | $256.53 |
| Fort Worth, TXTexas | — | $256.69 |
| Galveston, TXTexas | — | $254.62 |
| Houston, TXTexas | — | $283.72 |
| Rest of TexasTexas | — | $255.02 |
| VirginiaVirginia | — | $246.35 |
| Virgin Islands, VIUnited States Virgin Islands | — | $262.65 |
| VermontVermont | — | $236.10 |
| Rest of WashingtonWashington | — | $255.01 |
| King County, WAWashington | — | $272.98 |
| WisconsinWisconsin | — | $223.90 |
| West VirginiaWest Virginia | — | $278.84 |
| WyomingWyoming | — | $249.06 |
63103 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,031
- Code
- 63103
- Physician work
- 4.70
- Practice expense
- 1.58
- Malpractice
- 1.59
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.70 | × 1.000 | 4.7000 |
| Practice expense | 1.58 | × 0.940 | 1.4852 |
| Malpractice | 1.59 | × 0.898 | 1.4278 |
| Total RVUs | 7.6130 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$254.28
Facility: (4.7 × 1 + 1.58 × 0.94 + 1.59 × 0.898) × $33.4009 = $254.28
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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.
How 63103 has changed in Utah
63103 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $254.28 | RVU26D |
| 2026-07-01 | Not available in this setting | $254.28 | RVU26C |
| 2026-04-01 | Not available in this setting | $254.28 | RVU26B |
| 2026-01-01 | Not available in this setting | $254.28 | RVU26A |
| 2025-10-01 | Not available in this setting | $275.87 | RVU25D |
| 2025-07-01 | Not available in this setting | $275.87 | RVU25C |
| 2025-04-01 | Not available in this setting | $275.87 | RVU25B |
| 2025-01-01 | Not available in this setting | $275.87 | RVU25A |
| 2024-10-01 | Not available in this setting | $283.28 | RVU24D |
| 2024-07-01 | Not available in this setting | $283.28 | RVU24C |
| 2024-04-01 | Not available in this setting | $283.28 | RVU24B |
| 2024-03-09 | Not available in this setting | $283.28 | RVU24AR |
| 2024-01-01 | Not available in this setting | $278.65 | RVU24A |
| 2023-10-01 | Not available in this setting | $284.35 | RVU23D |
| 2023-07-01 | Not available in this setting | $284.35 | RVU23C |
| 2023-04-01 | Not available in this setting | $284.35 | RVU23B |
| 2023-01-01 | Not available in this setting | $284.35 | RVU23A |
| 2022-10-01 | Not available in this setting | $282.70 | RVU22D |
| 2022-07-01 | Not available in this setting | $282.70 | RVU22C |
| 2022-04-01 | Not available in this setting | $282.70 | RVU22B |
| 2022-01-01 | Not available in this setting | $282.70 | RVU22A |
| 2021-10-01 | Not available in this setting | $284.52 | RVU21D |
| 2021-07-01 | Not available in this setting | $284.52 | RVU21C |
| 2021-04-01 | Not available in this setting | $284.52 | RVU21B |
| 2021-01-01 | Not available in this setting | $284.52 | RVU21A |
| 2020-10-01 | Not available in this setting | $300.56 | RVU20D |
| 2020-07-01 | Not available in this setting | $300.56 | RVU20C |
| 2020-04-01 | Not available in this setting | $300.56 | RVU20B |
| 2020-01-01 | Not available in this setting | $300.56 | RVU20A |
| 2019-10-01 | Not available in this setting | $312.94 | RVU19D |
| 2019-07-01 | Not available in this setting | $312.94 | RVU19C |
| 2019-04-01 | Not available in this setting | $312.94 | RVU19B |
| 2019-01-01 | Not available in this setting | $312.94 | RVU19A |
| 2018-10-01 | Not available in this setting | $311.92 | RVU18D |
| 2018-07-01 | Not available in this setting | $311.92 | RVU18C |
| 2018-04-01 | Not available in this setting | $311.92 | RVU18B |
| 2018-01-01 | Not available in this setting | $311.92 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $309.98 | RVU17D |
| 2017-07-01 | Not available in this setting | $309.98 | RVU17C |
| 2017-04-01 | Not available in this setting | $309.98 | RVU17B |
| 2017-01-01 | Not available in this setting | $309.98 | RVU17A |
| 2016-10-01 | Not available in this setting | $309.85 | RVU16D |
| 2016-07-01 | Not available in this setting | $309.85 | RVU16C |
| 2016-04-01 | Not available in this setting | $309.85 | RVU16B |
| 2016-01-01 | Not available in this setting | $309.85 | RVU16A |
| 2015-10-01 | Not available in this setting | $314.33 | RVU15D |
| 2015-07-01 | Not available in this setting | $314.33 | RVU15C |
| 2015-04-01 | Not available in this setting | $312.77 | RVU15B |
| 2015-01-01 | Not available in this setting | $312.77 | RVU15A |
| 2014-10-01 | Not available in this setting | $299.43 | RVU14D |
| 2014-07-01 | Not available in this setting | $299.43 | RVU14C |
| 2014-04-01 | Not available in this setting | $299.43 | RVU14B |
| 2014-01-01 | Not available in this setting | $299.43 | RVU14A |
| 2013-10-01 | Not available in this setting | $289.65 | RVU13D |
| 2013-07-01 | Not available in this setting | $289.65 | RVU13C |
| 2013-04-01 | Not available in this setting | $289.65 | RVU13B |
| 2013-01-01 | Not available in this setting | $289.65 | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
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
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