CPT code 63300: Vertebral resection, cervical, extradural, single segment2026 Medicare rate & RVUs
Cervical extradural vertebral body resection is reported for a single segment when removal decompresses the spinal cord or cervical nerve roots.
Medicare pays $1,741.19 for 63300 nationally in a facility.
Medicare rate · 63300
Vertebral resection, cervical, extradural, single segment
- Work RVUs
- 26.13
- Total RVUs
- 52.13
- Global days
- 090
National rate · 2026
$1,741.19
Facility setting, before claim adjustments.
See every locality for 63300 →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.
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On this page 10 sections
What 63300 covers
This operation removes a cervical vertebral body through an extradural route to relieve pressure on the spinal cord or cervical nerve roots. A neurosurgeon or orthopedic spine surgeon typically performs it in an operating room, for example, to remove an extradural vertebral tumor that requires body resection. The decompression is part of the resection service.
Report 63300 for one cervical vertebral segment when the operative report supports extradural resection and neural decompression. Document the cervical segment, extradural route, extent of vertebral-body removal, and structures decompressed. Code 63308 is the add-on for each additional vertebral segment when applicable. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same 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. The anatomy is not reported bilaterally with modifier 50.
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 63300 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
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Unavailable | $1,534.28 |
| Alaska | Unavailable | $2,070.41 |
| Arizona | Unavailable | $1,678.30 |
| Arkansas | Unavailable | $1,509.24 |
| Atlanta, GA | Unavailable | $1,816.59 |
| Austin, TX | Unavailable | $1,738.55 |
| Bakersfield, CA | Unavailable | $1,686.12 |
| Baltimore area, MD | Unavailable | $1,870.75 |
| Beaumont, TX | Unavailable | $1,669.08 |
| Brazoria, TX | Unavailable | $1,673.19 |
| Chicago, IL | Unavailable | $2,162.26 |
| Chico, CA | Unavailable | $1,661.14 |
| Colorado | Unavailable | $1,717.16 |
| Connecticut | Unavailable | $1,867.85 |
| Dallas, TX | Unavailable | $1,701.64 |
| Delaware | Unavailable | $1,706.80 |
| Detroit, MI | Unavailable | $1,940.30 |
| East St. Louis, IL | Unavailable | $2,019.95 |
| El Centro, CA | Unavailable | $1,662.73 |
| Fort Lauderdale, FL | Unavailable | $2,005.54 |
| Fort Worth, TX | Unavailable | $1,700.28 |
| Fresno, CA | Unavailable | $1,661.14 |
| Galveston, TX | Unavailable | $1,689.57 |
| Hanford, CA | Unavailable | $1,661.14 |
| Hawaii, Guam, HI | Unavailable | $1,682.55 |
| Houston, TX | Unavailable | $1,864.01 |
| Idaho | Unavailable | $1,529.43 |
| Indiana | Unavailable | $1,537.42 |
| Iowa | Unavailable | $1,502.49 |
| Kansas | Unavailable | $1,530.50 |
| Kentucky | Unavailable | $1,653.07 |
| King County, WA | Unavailable | $1,851.45 |
| Los Angeles, CA | Unavailable | $1,770.69 |
| Madera, CA | Unavailable | $1,661.14 |
| Manhattan, NY | Unavailable | $2,072.69 |
| Marin County, CA | Unavailable | $1,877.44 |
| Merced, CA | Unavailable | $1,661.14 |
| Metropolitan Boston, MA | Unavailable | $1,848.68 |
| Metropolitan Kansas City, MO | Unavailable | $1,700.31 |
| Metropolitan Philadelphia, PA | Unavailable | $1,840.89 |
| Metropolitan St. Louis, MO | Unavailable | $1,715.42 |
| Miami, FL | Unavailable | $2,250.44 |
| Minnesota | Unavailable | $1,533.05 |
| Mississippi | Unavailable | $1,581.64 |
| Modesto, CA | Unavailable | $1,661.14 |
| Montana | Unavailable | $1,740.55 |
| Napa, CA | Unavailable | $1,814.50 |
| Nebraska | Unavailable | $1,500.84 |
| Nevada | Unavailable | $1,688.58 |
| New Hampshire | Unavailable | $1,723.95 |
| New Mexico | Unavailable | $1,759.51 |
| New Orleans, LA | Unavailable | $1,752.02 |
| North Carolina | Unavailable | $1,589.42 |
| North Dakota | Unavailable | $1,552.11 |
| Northern New Jersey | Unavailable | $1,905.84 |
| NYC suburbs and Long Island, NY | Unavailable | $2,173.81 |
| Ohio | Unavailable | $1,695.88 |
| Oklahoma | Unavailable | $1,611.34 |
| Oxnard, CA | Unavailable | $1,745.74 |
| Portland, OR | Unavailable | $1,734.73 |
| Poughkeepsie and northern NYC suburbs, NY | Unavailable | $1,899.57 |
| Puerto Rico | Unavailable | $1,742.47 |
| Queens, NY | Unavailable | $2,037.86 |
| Redding, CA | Unavailable | $1,661.14 |
| Rest of California | Unavailable | $1,661.14 |
| Rest of Florida | Unavailable | $1,877.09 |
| Rest of Georgia | Unavailable | $1,742.89 |
| Rest of Illinois | Unavailable | $1,872.54 |
| Rest of Louisiana | Unavailable | $1,664.56 |
| Rest of Maine | Unavailable | $1,576.86 |
| Rest of Maryland | Unavailable | $1,730.42 |
| Rest of Massachusetts | Unavailable | $1,719.69 |
| Rest of Michigan | Unavailable | $1,734.39 |
| Rest of Missouri | Unavailable | $1,657.00 |
| Rest of New Jersey | Unavailable | $1,857.59 |
| Rest of New York | Unavailable | $1,619.15 |
| Rest of Oregon | Unavailable | $1,644.45 |
| Rest of Pennsylvania | Unavailable | $1,678.57 |
| Rest of Texas | Unavailable | $1,682.26 |
| Rest of Washington | Unavailable | $1,705.61 |
| Rhode Island | Unavailable | $1,741.55 |
| Riverside, CA | Unavailable | $1,762.92 |
| Sacramento, CA | Unavailable | $1,714.58 |
| Salinas, CA | Unavailable | $1,708.02 |
| San Benito County, CA | Unavailable | $1,932.65 |
| San Diego, CA | Unavailable | $1,729.41 |
| San Francisco, CA | Unavailable | $1,866.62 |
| San Luis Obispo, CA | Unavailable | $1,684.80 |
| Santa Clara County, CA | Unavailable | $1,888.40 |
| Santa Cruz, CA | Unavailable | $1,730.10 |
| Santa Maria, CA | Unavailable | $1,709.25 |
| Santa Rosa, CA | Unavailable | $1,745.10 |
| South Carolina | Unavailable | $1,651.63 |
| South Dakota | Unavailable | $1,529.83 |
| Southern Maine, ME | Unavailable | $1,618.78 |
| Stockton, CA | Unavailable | $1,661.14 |
| Suburban Chicago, IL | Unavailable | $2,007.89 |
| Tennessee | Unavailable | $1,543.75 |
| Utah | Unavailable | $1,675.71 |
| Vallejo, CA | Unavailable | $1,798.90 |
| Vermont | Unavailable | $1,578.44 |
| Virgin Islands, VI | Unavailable | $1,742.47 |
| Virginia | Unavailable | $1,638.25 |
| Visalia, CA | Unavailable | $1,661.14 |
| Washington, DC area | Unavailable | $1,922.21 |
| West Virginia | Unavailable | $1,806.32 |
| Wisconsin | Unavailable | $1,497.81 |
| Wyoming | Unavailable | $1,658.43 |
| Yuba City, CA | Unavailable | $1,661.14 |
63300 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 63300 rate is calculated
Each of 63300’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 · 63300
RVUs × geographic indexes × conversion factor
Work26.13
26.13 RVUs× 1.000 GPCI
Practice expense16.47
16.47 RVUs× 1.000 GPCI
Malpractice9.53
9.53 RVUs× 1.000 GPCI
Adjusted RVUs
52.1300
Conversion factor
$33.4009
Medicare rate
$1,741.19
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 63300
63300 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 63300
Vertebral resection, cervical, extradural, single segment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 63300
Vertebral resection, cervical, extradural, single segment
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
63300 without 51 · national facility
$1,741.19
Vertebral resection, cervical, extradural, single segment
63300-51 · Second procedure: 50%
$870.60
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
63300 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 63301Vertebral resectionThoracic, extradural lesion
- 63301 is the extradural vertebral-body resection code for the thoracic level; 63300 is for the cervical level.
- 63304Spinal lesion surgeryCervical, intradural
- Both describe cervical vertebral-body resection, but 63300 is extradural and 63304 is intradural.
- 63081Cervical corpectomySingle segment
- 63081 describes cervical corpectomy using an anterior approach. Choose between it and 63300 based on the operative approach and applicable procedure description.
- 63308Vertebral resectionEach additional segment
- 63308 is an add-on for an additional vertebral segment, not the primary single-segment cervical resection.
63300 billing questions
How does 63300 differ from 63304?
63300 describes extradural cervical vertebral-body resection. Use 63304 when the cervical resection is intradural.
Is decompression separately reported with 63300?
Cord or nerve-root decompression is included in this resection service; it is not a separate service under this code.
When can 63308 be added?
63308 is the add-on for each additional vertebral segment beyond the primary segment. It is reported with an eligible primary procedure, not by itself.
Should modifier 50 be appended?
No. This cervical vertebral-body service is not reported bilaterally with modifier 50.
What postoperative care is included?
The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
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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