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CPT code 63306: Vertebral resection, intradural, thoracolumbar2026 Medicare rate & RVUs

Reports partial or complete thoracolumbar vertebral body removal to excise an intradural spinal lesion, selected by lesion compartment and operative level.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $2,379.81 for 63306 nationally in a facility.

Medicare rate · 63306

Vertebral resection, intradural, thoracolumbar

Office or facility?

Work RVUs
34.66
Total RVUs
71.25
Global days
090

National rate · 2026

$2,379.81

Facility setting, before claim adjustments.

See every locality for 63306 →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.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 63306 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 63306 covers

A spine surgeon, commonly a neurosurgeon or orthopedic spine surgeon, removes part or all of a vertebral body in the thoracolumbar region as part of excising an intradural spinal lesion. The operative distinction is the lesion’s position within the dura and the vertebral region treated; this is not the corresponding service for an extradural lesion.

Select the code from the operative report’s documented lesion location and vertebral level. Documentation should establish the intradural lesion, the thoracolumbar site, the extent of vertebral body removal, and the number of segments treated. Report 63308 for an additional vertebral segment when its requirements are met. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure setting, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate for this anatomy. Assistant-at-surgery payment may be available; co-surgeons require 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.

Where 63306 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

63306 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$2,075.95
AlaskaUnavailable$2,786.75
ArizonaUnavailable$2,286.67
ArkansasUnavailable$2,039.28
Atlanta, GAUnavailable$2,493.30
Austin, TXUnavailable$2,368.91
Bakersfield, CAUnavailable$2,281.00
Baltimore area, MDUnavailable$2,567.75
Beaumont, TXUnavailable$2,279.11
Brazoria, TXUnavailable$2,274.90

63306 rates by state

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

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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
63306 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

How the 63306 rate is calculated

Each of 63306’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 · 63306

RVUs × geographic indexes × conversion factor

Office or facility?

Work34.66

34.66 RVUs× 1.000 GPCI

Practice expense21.95

21.95 RVUs× 1.000 GPCI

Malpractice14.64

14.64 RVUs× 1.000 GPCI

Adjusted RVUs

71.2500

Conversion factor

$33.4009

Medicare rate

$2,379.81

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

Payment rules and modifiers for 63306

63306 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 63306

Vertebral resection, intradural, thoracolumbar

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 · 63306

Vertebral resection, intradural, thoracolumbar

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

63306 without 51 · national facility

$2,379.81

Vertebral resection, intradural, thoracolumbar

63306-51 · Second procedure: 50%

$1,189.91

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

63306 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 63306

    Vertebral resection, intradural, thoracolumbar34.66 wRVU

    Not priced

  • 63305

    Vertebral resection, thoracic, intradural lesion35.33 wRVU

    Not priced

  • 63307

    Vertebral resection, intradural, lumbar or sacral34.09 wRVU

    Not priced

  • 63302

    Vertebral body removal, extradural, thoracolumbar30.37 wRVU

    Not priced

  • 63308

    Vertebral resection, each additional segment5.11 wRVU

    Not priced

How to choose

63305Vertebral resectionThoracic, intradural lesion
Both concern intradural lesions; 63305 applies to the thoracic region, while 63306 applies to the thoracolumbar region.
63307Vertebral resectionIntradural, lumbar or sacral
63307 applies to the lumbar or sacral region. Use 63306 for the thoracolumbar region.
63302Vertebral body removalExtradural, thoracolumbar
The region is thoracolumbar in both codes; 63306 concerns an intradural lesion, while 63302 concerns an extradural lesion.
63308Vertebral resectionEach additional segment
63308 is an add-on for an additional vertebral segment, not the primary service code reported for the initial segment.

Codes related to 63306

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

Codes related to 63306
CodeHow it relatesNational office range
Same family
63305Vertebral resection, thoracic, intradural lesionIntradural vertebral body removal in the thoracic region.No office rate
63307Vertebral resection, intradural, lumbar or sacralIntradural vertebral body removal in the lumbar or sacral region.No office rate
63304Spinal lesion surgery, cervical, intraduralIntradural vertebral body removal in the cervical region.No office rate
Used instead
63302Vertebral body removal, extradural, thoracolumbarThoracolumbar counterpart for excision involving an extradural lesion.No office rate
Add-on codes
63308Vertebral resection, each additional segmentAdd-on for each additional vertebral segment when requirements are met.No office rate

63306 billing questions

How is 63306 distinguished from 63305?

Both describe intradural vertebral body removal, but 63306 is for the thoracolumbar region and 63305 is for the thoracic region. Use the documented operative level to select the code.

When is 63308 reported with 63306?

63308 is the add-on code for each additional vertebral segment when the service meets its requirements. The operative report should support the additional segment treated.

Can modifier 50 be used for 63306?

No. The CMS bilateral adjustment does not apply because the descriptor and anatomy make bilateral reporting with modifier 50 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-surgeons are paid only with supporting documentation; team surgery is not permitted.

How does 63306 differ from 63302?

63306 is for removal associated with an intradural lesion in the thoracolumbar region. 63302 describes the corresponding thoracolumbar service for an extradural lesion.

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 63306PPRRVU2026_Oct_nonQPP.csv, line 7,070 (RVU26D)

Open CMS sourceHow we calculate rates

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