CPT code 63305: Vertebral resection, thoracic, intradural lesion2026 Medicare rate & RVUs in North Dakota
Reports thoracic vertebral body resection performed to remove or access an intradural spinal lesion when that level and lesion location match the service.
In North Dakota, Medicare pays $2,123.68 for 63305 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 63305 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 63305 covers
This major spine operation removes part or all of a thoracic vertebral body as part of treating an intraspinal lesion located within the dura. Neurosurgeons and orthopedic spine surgeons may perform it in a hospital operating room, often for an intradural tumor such as a meningioma or schwannoma when vertebral body resection is part of the operative approach. The code is specific to the thoracic region and the intradural location; it does not describe an ordinary vertebral body tumor resection.
Select the code from the documented lesion location and spinal region, and retain the operative report describing the lesion and vertebral resection. The 90-day global period includes the day-before preoperative visit and related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is not appropriate for this service. 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 North Dakota compares for 63305
Across 109 of 109 payment localities, the facility rate for 63305 runs from $2,043.68 in Wisconsin to $3,212.76 in Miami, FL. North Dakota pays $2,123.68. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$2,123.68
- Los Angeles, CA · California$2,436.36+$312.68
- Washington, DC area · District of Columbia$2,671.90+$548.22
- Miami, FL · Florida$3,212.76+$1,089.08
- Chicago, IL · Illinois$3,077.65+$953.97
- Manhattan, NY · New York$2,907.71+$784.03
- Alaska · Alaska$2,834.19+$710.51
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $2,110.82 |
| ArkansasArkansas | — | $2,073.53 |
| ArizonaArizona | — | $2,325.11 |
| Bakersfield, CACalifornia | — | $2,318.49 |
| Chico, CACalifornia | — | $2,279.72 |
| El Centro, CACalifornia | — | $2,282.22 |
| Fresno, CACalifornia | — | $2,279.72 |
| Hanford, CACalifornia | — | $2,279.72 |
| Madera, CACalifornia | — | $2,279.72 |
| Merced, CACalifornia | — | $2,279.72 |
| Modesto, CACalifornia | — | $2,279.72 |
| Napa, CACalifornia | — | $2,484.58 |
| Oxnard, CACalifornia | — | $2,399.83 |
| Redding, CACalifornia | — | $2,279.72 |
| Rest of CaliforniaCalifornia | — | $2,279.72 |
| Riverside, CACalifornia | — | $2,438.98 |
| Sacramento, CACalifornia | — | $2,351.80 |
| Salinas, CACalifornia | — | $2,342.94 |
| San Diego, CACalifornia | — | $2,372.17 |
| Marin County, CACalifornia | — | $2,566.09 |
| San Francisco, CACalifornia | — | $2,549.14 |
| San Benito County, CACalifornia | — | $2,645.91 |
| Santa Clara County, CACalifornia | — | $2,576.60 |
| San Luis Obispo, CACalifornia | — | $2,311.59 |
| Santa Cruz, CACalifornia | — | $2,372.64 |
| Santa Maria, CACalifornia | — | $2,344.58 |
| Santa Rosa, CACalifornia | — | $2,392.90 |
| Stockton, CACalifornia | — | $2,279.72 |
| Vallejo, CACalifornia | — | $2,460.15 |
| Visalia, CACalifornia | — | $2,279.72 |
| Yuba City, CACalifornia | — | $2,279.72 |
| ColoradoColorado | — | $2,372.28 |
| ConnecticutConnecticut | — | $2,605.29 |
| DelawareDelaware | — | $2,366.54 |
| Fort Lauderdale, FLFlorida | — | $2,832.46 |
| Rest of FloridaFlorida | — | $2,638.12 |
| Atlanta, GAGeorgia | — | $2,535.53 |
| Rest of GeorgiaGeorgia | — | $2,435.59 |
| Hawaii, Guam, HIHawaii | — | $2,311.49 |
| IowaIowa | — | $2,056.19 |
| IdahoIdaho | — | $2,097.80 |
| East St. Louis, ILIllinois | — | $2,866.26 |
| Rest of IllinoisIllinois | — | $2,636.17 |
| Suburban Chicago, ILIllinois | — | $2,833.14 |
| IndianaIndiana | — | $2,109.47 |
| KansasKansas | — | $2,101.40 |
| KentuckyKentucky | — | $2,295.24 |
| New Orleans, LALouisiana | — | $2,443.99 |
| Rest of LouisianaLouisiana | — | $2,313.72 |
| Metropolitan Boston, MAMassachusetts | — | $2,557.21 |
| Rest of MassachusettsMassachusetts | — | $2,376.83 |
| Baltimore area, MDMaryland | — | $2,611.07 |
| Rest of MarylandMaryland | — | $2,399.70 |
| Rest of MaineMaine | — | $2,172.10 |
| Southern Maine, MEMaine | — | $2,229.21 |
| Detroit, MIMichigan | — | $2,736.05 |
| Rest of MichiganMichigan | — | $2,419.74 |
| MinnesotaMinnesota | — | $2,090.32 |
| Metropolitan Kansas City, MOMissouri | — | $2,363.21 |
| Metropolitan St. Louis, MOMissouri | — | $2,385.32 |
| Rest of MissouriMissouri | — | $2,304.65 |
| MississippiMississippi | — | $2,186.72 |
| MontanaMontana | — | $2,418.90 |
| North CarolinaNorth Carolina | — | $2,190.22 |
| NebraskaNebraska | — | $2,052.65 |
| New HampshireNew Hampshire | — | $2,387.95 |
| Northern New JerseyNew Jersey | — | $2,646.74 |
| Rest of New JerseyNew Jersey | — | $2,583.66 |
| New MexicoNew Mexico | — | $2,458.61 |
| NevadaNevada | — | $2,337.36 |
| NYC suburbs and Long Island, NYNew York | — | $3,062.86 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $2,648.13 |
| Queens, NYNew York | — | $2,850.73 |
| Rest of New YorkNew York | — | $2,234.73 |
| OhioOhio | — | $2,359.40 |
| OklahomaOklahoma | — | $2,229.39 |
| Portland, OROregon | — | $2,393.38 |
| Rest of OregonOregon | — | $2,268.82 |
| Metropolitan Philadelphia, PAPennsylvania | — | $2,567.77 |
| Rest of PennsylvaniaPennsylvania | — | $2,331.69 |
| Puerto RicoPuerto Rico | — | $2,420.57 |
| Rhode IslandRhode Island | — | $2,412.92 |
| South CarolinaSouth Carolina | — | $2,288.77 |
| South DakotaSouth Dakota | — | $2,088.77 |
| TennesseeTennessee | — | $2,121.56 |
| Austin, TXTexas | — | $2,408.39 |
| Beaumont, TXTexas | — | $2,317.78 |
| Brazoria, TXTexas | — | $2,312.96 |
| Dallas, TXTexas | — | $2,356.74 |
| Fort Worth, TXTexas | — | $2,355.81 |
| Galveston, TXTexas | — | $2,338.38 |
| Houston, TXTexas | — | $2,611.65 |
| Rest of TexasTexas | — | $2,333.72 |
| UtahUtah | — | $2,324.56 |
| VirginiaVirginia | — | $2,260.68 |
| Virgin Islands, VIUnited States Virgin Islands | — | $2,420.57 |
| VermontVermont | — | $2,166.14 |
| Rest of WashingtonWashington | — | $2,355.33 |
| King County, WAWashington | — | $2,555.88 |
| WisconsinWisconsin | — | $2,043.68 |
| West VirginiaWest Virginia | — | $2,537.73 |
| WyomingWyoming | — | $2,290.24 |
63305 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 63305 rate is calculated
Each of 63305’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 · 63305
RVUs × geographic indexes × conversion factor
Work35.33
35.33 RVUs× 1.000 GPCI
Practice expense22.19
22.19 RVUs× 1.000 GPCI
Malpractice14.93
14.93 RVUs× 1.000 GPCI
Adjusted RVUs
72.4500
Conversion factor
$33.4009
Medicare rate
$2,419.90
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,069
- Code
- 63305
- Physician work
- 35.33
- Practice expense
- 22.19
- Malpractice
- 14.93
GPCI2026.csv
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 35.33 | × 1.000 | 35.3300 |
| Practice expense | 22.19 | × 1.000 | 22.1900 |
| Malpractice | 14.93 | × 0.406 | 6.0616 |
| Total RVUs | 63.5816 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, North Dakota$2123.68
Facility: (35.33 × 1 + 22.19 × 1 + 14.93 × 0.406) × $33.4009 = $2123.68
Payment rules and modifiers for 63305
63305 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 63305
Vertebral resection, thoracic, intradural lesion
| 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 · 63305
Vertebral resection, thoracic, intradural 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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
63305 without 51 · national facility
$2,419.90
Vertebral resection, thoracic, intradural lesion
63305-51 · Second procedure: 50%
$1,209.95
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%).
How 63305 has changed in North Dakota
63305 · 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 | $2,123.68 | RVU26D |
| 2026-07-01 | Not available in this setting | $2,123.68 | RVU26C |
| 2026-04-01 | Not available in this setting | $2,123.68 | RVU26B |
| 2026-01-01 | Not available in this setting | $2,123.68 | RVU26A |
| 2025-10-01 | Not available in this setting | $2,237.99 | RVU25D |
| 2025-07-01 | Not available in this setting | $2,237.99 | RVU25C |
| 2025-04-01 | Not available in this setting | $2,237.99 | RVU25B |
| 2025-01-01 | Not available in this setting | $2,237.99 | RVU25A |
| 2024-10-01 | Not available in this setting | $2,289.40 | RVU24D |
| 2024-07-01 | Not available in this setting | $2,289.40 | RVU24C |
| 2024-04-01 | Not available in this setting | $2,289.40 | RVU24B |
| 2024-03-09 | Not available in this setting | $2,289.40 | RVU24AR |
| 2024-01-01 | Not available in this setting | $2,252.04 | RVU24A |
| 2023-10-01 | Not available in this setting | $2,294.62 | RVU23D |
| 2023-07-01 | Not available in this setting | $2,294.62 | RVU23C |
| 2023-04-01 | Not available in this setting | $2,294.62 | RVU23B |
| 2023-01-01 | Not available in this setting | $2,294.62 | RVU23A |
| 2022-10-01 | Not available in this setting | $2,296.50 | RVU22D |
| 2022-07-01 | Not available in this setting | $2,296.50 | RVU22C |
| 2022-04-01 | Not available in this setting | $2,296.50 | RVU22B |
| 2022-01-01 | Not available in this setting | $2,296.50 | RVU22A |
| 2021-10-01 | Not available in this setting | $2,304.04 | RVU21D |
| 2021-07-01 | Not available in this setting | $2,304.04 | RVU21C |
| 2021-04-01 | Not available in this setting | $2,304.04 | RVU21B |
| 2021-01-01 | Not available in this setting | $2,304.04 | RVU21A |
| 2020-10-01 | Not available in this setting | $2,359.11 | RVU20D |
| 2020-07-01 | Not available in this setting | $2,359.11 | RVU20C |
| 2020-04-01 | Not available in this setting | $2,359.11 | RVU20B |
| 2020-01-01 | Not available in this setting | $2,359.11 | RVU20A |
| 2019-10-01 | Not available in this setting | $2,407.34 | RVU19D |
| 2019-07-01 | Not available in this setting | $2,407.34 | RVU19C |
| 2019-04-01 | Not available in this setting | $2,407.34 | RVU19B |
| 2019-01-01 | Not available in this setting | $2,407.34 | RVU19A |
| 2018-10-01 | Not available in this setting | $2,396.62 | RVU18D |
| 2018-07-01 | Not available in this setting | $2,396.62 | RVU18C |
| 2018-04-01 | Not available in this setting | $2,396.62 | RVU18B |
| 2018-01-01 | Not available in this setting | $2,396.62 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $2,313.43 | RVU17D |
| 2017-07-01 | Not available in this setting | $2,313.43 | RVU17C |
| 2017-04-01 | Not available in this setting | $2,313.43 | RVU17B |
| 2017-01-01 | Not available in this setting | $2,313.43 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,340.11 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,340.11 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,340.11 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,340.11 | RVU16A |
| 2015-10-01 | Not available in this setting | $2,426.20 | RVU15D |
| 2015-07-01 | Not available in this setting | $2,426.20 | RVU15C |
| 2015-04-01 | Not available in this setting | $2,414.13 | RVU15B |
| 2015-01-01 | Not available in this setting | $2,414.13 | RVU15A |
| 2014-10-01 | Not available in this setting | $2,354.20 | RVU14D |
| 2014-07-01 | Not available in this setting | $2,354.20 | RVU14C |
| 2014-04-01 | Not available in this setting | $2,354.20 | RVU14B |
| 2014-01-01 | Not available in this setting | $2,354.20 | RVU14A |
| 2013-10-01 | Not available in this setting | $2,089.22 | RVU13D |
| 2013-07-01 | Not available in this setting | $2,089.22 | RVU13C |
| 2013-04-01 | Not available in this setting | $2,089.22 | RVU13B |
| 2013-01-01 | Not available in this setting | $2,089.22 | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
63305 billing questions
How does this differ from 63301?
Both codes are for the thoracic region, but 63305 addresses an intradural lesion and 63301 an extradural lesion. The operative documentation should establish which side of the dura contains the lesion.
When would 63308 be reported with 63305?
63308 is an add-on for each additional vertebral segment when the requirements for that additional resection are met. The operative report should identify the additional segment; it is not a replacement for the primary code.
Can modifier 50 be used?
No. This code describes work at the thoracic spine, not a paired left-and-right service, so modifier 50 is inappropriate.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; 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
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