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

In Virginia, Medicare pays $246.35 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.

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 Virginia 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. Virginia pays $246.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

63103 rates by state

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

See 63103 in every payment locality

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.

Payment rules and modifiers for 63103

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

What modifiers do to the payment

When to use modifier 80

Codes related to 63103

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

How 63103 has changed in Virginia

Price 63103 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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