CPT code 63306: Vertebral resection, intradural, thoracolumbar2026 Medicare rate & RVUs in Mississippi
Reports partial or complete thoracolumbar vertebral body removal to excise an intradural spinal lesion, selected by lesion compartment and operative level.
In Mississippi, Medicare pays $2,150.28 for 63306 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 63306 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 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.
How Mississippi compares for 63306
Across 109 of 109 payment localities, the facility rate for 63306 runs from $2,010.64 in Wisconsin to $3,157.54 in Miami, FL. Mississippi pays $2,150.28. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$2,150.28
- Los Angeles, CA · California$2,397.14+$246.86
- Washington, DC area · District of Columbia$2,628.09+$477.81
- Miami, FL · Florida$3,157.54+$1,007.26
- Chicago, IL · Illinois$3,024.82+$874.54
- Manhattan, NY · New York$2,859.22+$708.94
- Alaska · Alaska$2,786.75+$636.47
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $2,075.95 |
| ArkansasArkansas | — | $2,039.28 |
| ArizonaArizona | — | $2,286.67 |
| Bakersfield, CACalifornia | — | $2,281.00 |
| Chico, CACalifornia | — | $2,242.99 |
| El Centro, CACalifornia | — | $2,245.43 |
| Fresno, CACalifornia | — | $2,242.99 |
| Hanford, CACalifornia | — | $2,242.99 |
| Madera, CACalifornia | — | $2,242.99 |
| Merced, CACalifornia | — | $2,242.99 |
| Modesto, CACalifornia | — | $2,242.99 |
| Napa, CACalifornia | — | $2,445.31 |
| Oxnard, CACalifornia | — | $2,361.31 |
| Redding, CACalifornia | — | $2,242.99 |
| Rest of CaliforniaCalifornia | — | $2,242.99 |
| Riverside, CACalifornia | — | $2,399.15 |
| Sacramento, CACalifornia | — | $2,314.10 |
| Salinas, CACalifornia | — | $2,305.38 |
| San Diego, CACalifornia | — | $2,334.28 |
| Marin County, CACalifornia | — | $2,525.84 |
| San Francisco, CACalifornia | — | $2,509.22 |
| San Benito County, CACalifornia | — | $2,604.32 |
| Santa Clara County, CACalifornia | — | $2,536.35 |
| San Luis Obispo, CACalifornia | — | $2,274.51 |
| Santa Cruz, CACalifornia | — | $2,334.86 |
| Santa Maria, CACalifornia | — | $2,307.04 |
| Santa Rosa, CACalifornia | — | $2,354.81 |
| Stockton, CACalifornia | — | $2,242.99 |
| Vallejo, CACalifornia | — | $2,421.35 |
| Visalia, CACalifornia | — | $2,242.99 |
| Yuba City, CACalifornia | — | $2,242.99 |
| ColoradoColorado | — | $2,333.54 |
| ConnecticutConnecticut | — | $2,562.11 |
| DelawareDelaware | — | $2,327.42 |
| Fort Lauderdale, FLFlorida | — | $2,784.45 |
| Rest of FloridaFlorida | — | $2,593.52 |
| Atlanta, GAGeorgia | — | $2,493.30 |
| Rest of GeorgiaGeorgia | — | $2,394.52 |
| Hawaii, Guam, HIHawaii | — | $2,274.39 |
| IowaIowa | — | $2,022.64 |
| IdahoIdaho | — | $2,063.46 |
| East St. Louis, ILIllinois | — | $2,817.00 |
| Rest of IllinoisIllinois | — | $2,591.33 |
| Suburban Chicago, ILIllinois | — | $2,785.21 |
| IndianaIndiana | — | $2,074.95 |
| KansasKansas | — | $2,066.89 |
| KentuckyKentucky | — | $2,256.87 |
| New Orleans, LALouisiana | — | $2,403.06 |
| Rest of LouisianaLouisiana | — | $2,274.96 |
| Metropolitan Boston, MAMassachusetts | — | $2,515.72 |
| Rest of MassachusettsMassachusetts | — | $2,337.93 |
| Baltimore area, MDMaryland | — | $2,567.75 |
| Rest of MarylandMaryland | — | $2,360.09 |
| Rest of MaineMaine | — | $2,136.32 |
| Southern Maine, MEMaine | — | $2,192.78 |
| Detroit, MIMichigan | — | $2,689.60 |
| Rest of MichiganMichigan | — | $2,379.11 |
| MinnesotaMinnesota | — | $2,056.83 |
| Metropolitan Kansas City, MOMissouri | — | $2,323.85 |
| Metropolitan St. Louis, MOMissouri | — | $2,345.60 |
| Rest of MissouriMissouri | — | $2,265.93 |
| MontanaMontana | — | $2,378.84 |
| North CarolinaNorth Carolina | — | $2,154.17 |
| North DakotaNorth Dakota | — | $2,089.35 |
| NebraskaNebraska | — | $2,019.21 |
| New HampshireNew Hampshire | — | $2,348.75 |
| Northern New JerseyNew Jersey | — | $2,603.30 |
| Rest of New JerseyNew Jersey | — | $2,541.00 |
| New MexicoNew Mexico | — | $2,417.25 |
| NevadaNevada | — | $2,298.89 |
| NYC suburbs and Long Island, NYNew York | — | $3,011.53 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $2,604.25 |
| Queens, NYNew York | — | $2,803.47 |
| Rest of New YorkNew York | — | $2,197.93 |
| OhioOhio | — | $2,319.94 |
| OklahomaOklahoma | — | $2,192.32 |
| Portland, OROregon | — | $2,354.54 |
| Rest of OregonOregon | — | $2,231.65 |
| Metropolitan Philadelphia, PAPennsylvania | — | $2,525.09 |
| Rest of PennsylvaniaPennsylvania | — | $2,292.80 |
| Puerto RicoPuerto Rico | — | $2,380.54 |
| Rhode IslandRhode Island | — | $2,373.19 |
| South CarolinaSouth Carolina | — | $2,250.75 |
| South DakotaSouth Dakota | — | $2,055.13 |
| TennesseeTennessee | — | $2,086.70 |
| Austin, TXTexas | — | $2,368.91 |
| Beaumont, TXTexas | — | $2,279.11 |
| Brazoria, TXTexas | — | $2,274.90 |
| Dallas, TXTexas | — | $2,317.86 |
| Fort Worth, TXTexas | — | $2,316.89 |
| Galveston, TXTexas | — | $2,299.84 |
| Houston, TXTexas | — | $2,567.80 |
| Rest of TexasTexas | — | $2,294.99 |
| UtahUtah | — | $2,285.95 |
| VirginiaVirginia | — | $2,223.59 |
| Virgin Islands, VIUnited States Virgin Islands | — | $2,380.54 |
| VermontVermont | — | $2,130.92 |
| Rest of WashingtonWashington | — | $2,316.85 |
| King County, WAWashington | — | $2,514.64 |
| WisconsinWisconsin | — | $2,010.64 |
| West VirginiaWest Virginia | — | $2,494.53 |
| WyomingWyoming | — | $2,252.68 |
63306 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 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
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.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,070
- Code
- 63306
- Physician work
- 34.66
- Practice expense
- 21.95
- Malpractice
- 14.64
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 34.66 | × 1.000 | 34.6600 |
| Practice expense | 21.95 | × 0.861 | 18.8989 |
| Malpractice | 14.64 | × 0.739 | 10.8190 |
| Total RVUs | 64.3779 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$2150.28
Facility: (34.66 × 1 + 21.95 × 0.861 + 14.64 × 0.739) × $33.4009 = $2150.28
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
| 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 · 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.
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%).
How 63306 has changed in Mississippi
63306 · 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 | $2,150.28 | RVU26D |
| 2026-07-01 | Not available in this setting | $2,150.28 | RVU26C |
| 2026-04-01 | Not available in this setting | $2,150.28 | RVU26B |
| 2026-01-01 | Not available in this setting | $2,150.28 | RVU26A |
| 2025-10-01 | Not available in this setting | $2,199.86 | RVU25D |
| 2025-07-01 | Not available in this setting | $2,199.86 | RVU25C |
| 2025-04-01 | Not available in this setting | $2,199.86 | RVU25B |
| 2025-01-01 | Not available in this setting | $2,199.86 | RVU25A |
| 2024-10-01 | Not available in this setting | $2,253.74 | RVU24D |
| 2024-07-01 | Not available in this setting | $2,253.74 | RVU24C |
| 2024-04-01 | Not available in this setting | $2,253.74 | RVU24B |
| 2024-03-09 | Not available in this setting | $2,253.74 | RVU24AR |
| 2024-01-01 | Not available in this setting | $2,216.95 | RVU24A |
| 2023-10-01 | Not available in this setting | $2,250.34 | RVU23D |
| 2023-07-01 | Not available in this setting | $2,250.34 | RVU23C |
| 2023-04-01 | Not available in this setting | $2,250.34 | RVU23B |
| 2023-01-01 | Not available in this setting | $2,250.34 | RVU23A |
| 2022-10-01 | Not available in this setting | $2,240.24 | RVU22D |
| 2022-07-01 | Not available in this setting | $2,240.24 | RVU22C |
| 2022-04-01 | Not available in this setting | $2,240.24 | RVU22B |
| 2022-01-01 | Not available in this setting | $2,240.24 | RVU22A |
| 2021-10-01 | Not available in this setting | $2,244.40 | RVU21D |
| 2021-07-01 | Not available in this setting | $2,244.40 | RVU21C |
| 2021-04-01 | Not available in this setting | $2,244.40 | RVU21B |
| 2021-01-01 | Not available in this setting | $2,244.40 | RVU21A |
| 2020-10-01 | Not available in this setting | $2,219.85 | RVU20D |
| 2020-07-01 | Not available in this setting | $2,219.85 | RVU20C |
| 2020-04-01 | Not available in this setting | $2,219.85 | RVU20B |
| 2020-01-01 | Not available in this setting | $2,219.85 | RVU20A |
| 2019-10-01 | Not available in this setting | $2,170.74 | RVU19D |
| 2019-07-01 | Not available in this setting | $2,170.74 | RVU19C |
| 2019-04-01 | Not available in this setting | $2,140.87 | RVU19B |
| 2019-01-01 | Not available in this setting | $2,140.87 | RVU19A |
| 2018-10-01 | Not available in this setting | $2,163.48 | RVU18D |
| 2018-07-01 | Not available in this setting | $2,163.48 | RVU18C |
| 2018-04-01 | Not available in this setting | $2,163.48 | RVU18B |
| 2018-01-01 | Not available in this setting | $2,163.48 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,929.95 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,929.95 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,929.95 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,929.95 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,170.09 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,170.09 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,170.09 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,170.09 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,902.45 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,902.45 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,892.99 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,892.99 | RVU15A |
| 2014-10-01 | Not available in this setting | $2,017.41 | RVU14D |
| 2014-07-01 | Not available in this setting | $2,017.41 | RVU14C |
| 2014-04-01 | Not available in this setting | $2,017.41 | RVU14B |
| 2014-01-01 | Not available in this setting | $2,017.41 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,990.95 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,990.95 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,990.95 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,990.95 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
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
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