CPT code 63301: Vertebral resection, thoracic, extradural lesion2026 Medicare rate & RVUs in New Mexico

Reports partial or complete removal of a thoracic vertebral body to excise an extradural intraspinal lesion at one vertebral segment.

CMS RVU26DEffective Oct 1, 2026One payment locality85 Medicare services in 2024

In New Mexico, Medicare pays $2,179.81 for 63301 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$2,179.81Hospital or facility

Check a contract rate as a % of Medicare · 63301 nationwide

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

We’ll open 63301 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 63301 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 63301 covers

This service involves removing part or all of a thoracic vertebral body to reach and excise an extradural lesion within the spinal canal. A spine surgeon or neurosurgeon typically performs it in an operating room when a lesion, such as an extradural spinal tumor, requires this bony exposure and resection. The code describes one vertebral segment; the lesion is extradural, rather than within the dura.

Select the code based on the operative report’s documented lesion location, extradural status, thoracic level, and vertebral segment resected. Code 63308 may be reported for each additional segment when the work extends beyond the primary segment. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Bilateral adjustment is inappropriate for this code. Assistant-at-surgery payment may be made; co-surgeon payment requires 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 New Mexico compares for 63301

Across 109 of 109 payment localities, the facility rate for 63301 runs from $1,820.55 in Wisconsin to $2,841.28 in Miami, FL. New Mexico pays $2,179.81. The RVUs are the same everywhere; the geographic indexes change the dollars.

63301 in New Mexico vs other payment areas
  1. New Mexico · this page$2,179.81
  2. Los Angeles, CA · California$2,171.90−$7.91
  3. Washington, DC area · District of Columbia$2,376.64+$196.83
  4. Miami, FL · Florida$2,841.28+$661.47
  5. Chicago, IL · Illinois$2,722.19+$542.38
  6. Manhattan, NY · New York$2,581.14+$401.33
  7. Alaska · Alaska$2,513.61+$333.80

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

63301 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,875.41
ArkansasArkansas—$1,842.28
ArizonaArizona—$2,065.88
Bakersfield, CACalifornia—$2,065.59
Chico, CACalifornia—$2,031.86
El Centro, CACalifornia—$2,034.03
Fresno, CACalifornia—$2,031.86
Hanford, CACalifornia—$2,031.86

63301 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
63301 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

See 63301 in every payment locality

How the 63301 rate is calculated

Each of 63301’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 · 63301

RVUs × geographic indexes × conversion factor

Office or facility?

Work30.78

30.78 RVUs× 1.000 GPCI

Practice expense20.59

20.59 RVUs× 1.000 GPCI

Malpractice12.99

12.99 RVUs× 1.000 GPCI

Adjusted RVUs

64.3600

Conversion factor

$33.4009

Medicare rate

$2,149.68

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,065

Code
63301
Physician work
30.78
Practice expense
20.59
Malpractice
12.99

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 63301 in New Mexico
ComponentRVULocality factorAdjusted
Physician work30.78× 1.00030.7800
Practice expense20.59× 0.91718.8810
Malpractice12.99× 1.20115.6010
Total RVUs65.2620
Conversion factor× 33.4009

Facility rate, New Mexico$2179.81

Facility: (30.78 × 1 + 20.59 × 0.917 + 12.99 × 1.201) × $33.4009 = $2179.81

Open 63301 in the RVU calculator

Payment rules and modifiers for 63301

63301 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 63301

Vertebral resection, thoracic, extradural lesion

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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.
Split (54/55/56)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 63301

Vertebral resection, thoracic, extradural lesion

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

63301 without 51 · national facility

$2,149.68

Vertebral resection, thoracic, extradural lesion

63301-51 · Second procedure: 50%

$1,074.84

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%).

When to use modifier 51

How 63301 has changed in New Mexico

63301 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$2,179.81RVU26D
2026-07-01Not available in this setting$2,179.81RVU26C
2026-04-01Not available in this setting$2,179.81RVU26B
2026-01-01Not available in this setting$2,179.81RVU26A
2025-10-01Not available in this setting$2,092.46RVU25D
2025-07-01Not available in this setting$2,092.46RVU25C
2025-04-01Not available in this setting$2,092.46RVU25B
2025-01-01Not available in this setting$2,092.46RVU25A
2024-10-01Not available in this setting$2,244.06RVU24D
2024-07-01Not available in this setting$2,244.06RVU24C
2024-04-01Not available in this setting$2,244.06RVU24B
2024-03-09Not available in this setting$2,244.06RVU24AR
2024-01-01Not available in this setting$2,207.43RVU24A
2023-10-01Not available in this setting$2,257.19RVU23D
2023-07-01Not available in this setting$2,257.19RVU23C
2023-04-01Not available in this setting$2,257.19RVU23B
2023-01-01Not available in this setting$2,257.19RVU23A
2022-10-01Not available in this setting$2,260.22RVU22D
2022-07-01Not available in this setting$2,260.22RVU22C
2022-04-01Not available in this setting$2,260.22RVU22B
2022-01-01Not available in this setting$2,260.22RVU22A
2021-10-01Not available in this setting$2,258.00RVU21D
2021-07-01Not available in this setting$2,258.00RVU21C
2021-04-01Not available in this setting$2,258.00RVU21B
2021-01-01Not available in this setting$2,258.00RVU21A
2020-10-01Not available in this setting$2,318.81RVU20D
2020-07-01Not available in this setting$2,318.81RVU20C
2020-04-01Not available in this setting$2,318.81RVU20B
2020-01-01Not available in this setting$2,318.81RVU20A
2019-10-01Not available in this setting$2,400.88RVU19D
2019-07-01Not available in this setting$2,400.88RVU19C
2019-04-01Not available in this setting$2,365.38RVU19B
2019-01-01Not available in this setting$2,365.38RVU19A
2018-10-01Not available in this setting$2,386.11RVU18D
2018-07-01Not available in this setting$2,386.11RVU18C
2018-04-01Not available in this setting$2,386.11RVU18B
2018-01-01Not available in this setting$2,386.11RVU18AR1
2017-10-01Not available in this setting$2,197.58RVU17D
2017-07-01Not available in this setting$2,197.58RVU17C
2017-04-01Not available in this setting$2,197.58RVU17B
2017-01-01Not available in this setting$2,197.58RVU17A
2016-10-01Not available in this setting$2,339.35RVU16D
2016-07-01Not available in this setting$2,339.35RVU16C
2016-04-01Not available in this setting$2,339.35RVU16B
2016-01-01Not available in this setting$2,339.35RVU16A
2015-10-01Not available in this setting$2,324.66RVU15D
2015-07-01Not available in this setting$2,324.66RVU15C
2015-04-01Not available in this setting$2,313.09RVU15B
2015-01-01Not available in this setting$2,313.09RVU15A
2014-10-01Not available in this setting$2,227.36RVU14D
2014-07-01Not available in this setting$2,227.36RVU14C
2014-04-01Not available in this setting$2,227.36RVU14B
2014-01-01Not available in this setting$2,227.36RVU14A
2013-10-01Not available in this setting$2,099.83RVU13D
2013-07-01Not available in this setting$2,099.83RVU13C
2013-04-01Not available in this setting$2,099.83RVU13B
2013-01-01Not available in this setting$2,099.83RVU13AR

Price 63301 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

63301 billing questions

How is this code distinguished from the cervical or thoracolumbar codes?

This code applies to an extradural lesion treated by vertebral body resection in the thoracic region. Use the corresponding code when the documented site is cervical, thoracolumbar, or lumbar/sacral.

What distinguishes this from code 63305?

Both concern thoracic vertebral body resection for an intraspinal lesion, but 63301 is for an extradural lesion and 63305 is for an intradural lesion.

When is code 63308 reported with this service?

Code 63308 is the add-on for each additional vertebral segment when resection extends beyond the single primary segment. The operative report should identify the additional segment or segments.

What documentation supports reporting 63301?

The operative report should establish that the lesion was extradural, identify its thoracic location, and describe partial or complete vertebral body resection and the segment treated.

Can modifier 50 be used for bilateral work?

No. Bilateral adjustment is inappropriate for this code.

How are assistant and co-surgeon services handled?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.

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 63301PPRRVU2026_Oct_nonQPP.csv, line 7,065 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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