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CPT code 63307: Vertebral resection, intradural, lumbar or sacral2026 Medicare rate & RVUs

Reports partial or complete removal of a lumbar or sacral vertebral body to reach and remove an intradural spinal lesion.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $2,325.37 for 63307 nationally in a facility.

Medicare rate · 63307

Vertebral resection, intradural, lumbar or sacral

Office or facility?

Work RVUs
34.09
Total RVUs
69.62
Global days
090

National rate · 2026

$2,325.37

Facility setting, before claim adjustments.

See every locality for 63307 →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 63307 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 63307 covers

This service involves partial or complete removal of a lumbar or sacral vertebral body to access and excise an intradural spinal lesion. It is a major operation typically performed by a neurosurgeon or orthopedic spine surgeon in an operating room. An intradural mass is a representative clinical reason for the approach; the relevant distinctions are the lesion’s intradural location and the lumbar or sacral level.

Report the code for the qualifying vertebral segment and document the lesion’s location, the spinal level, and the vertebral-body resection performed. Code 63308 may be reported for each additional vertebral segment when applicable. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; 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.

Where 63307 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

63307 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$2,028.51
AlaskaUnavailable$2,724.78
ArizonaUnavailable$2,234.27
ArkansasUnavailable$1,992.70
Atlanta, GAUnavailable$2,436.69
Austin, TXUnavailable$2,313.81
Bakersfield, CAUnavailable$2,226.86
Baltimore area, MDUnavailable$2,509.05
Beaumont, TXUnavailable$2,227.70
Brazoria, TXUnavailable$2,222.38

63307 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
63307 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 63307 rate is calculated

Each of 63307’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 · 63307

RVUs × geographic indexes × conversion factor

Office or facility?

Work34.09

34.09 RVUs× 1.000 GPCI

Practice expense21.14

21.14 RVUs× 1.000 GPCI

Malpractice14.39

14.39 RVUs× 1.000 GPCI

Adjusted RVUs

69.6200

Conversion factor

$33.4009

Medicare rate

$2,325.37

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

Payment rules and modifiers for 63307

63307 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 63307

Vertebral resection, intradural, lumbar or sacral

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 · 63307

Vertebral resection, intradural, lumbar or sacral

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

63307 without 51 · national facility

$2,325.37

Vertebral resection, intradural, lumbar or sacral

63307-51 · Second procedure: 50%

$1,162.69

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

63307 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 63307

    Vertebral resection, intradural, lumbar or sacral34.09 wRVU

    Not priced

  • 63303

    Vertebral resection, lumbar/sacral, extradural32.71 wRVU

    Not priced

  • 63306

    Vertebral resection, intradural, thoracolumbar34.66 wRVU

    Not priced

  • 63308

    Vertebral resection, each additional segment5.11 wRVU

    Not priced

How to choose

63303Vertebral resectionLumbar/sacral, extradural
Choose 63303 for an extradural lesion at the lumbar or sacral level; this code describes the intradural situation.
63306Vertebral resectionIntradural, thoracolumbar
Both address intradural lesions, but 63306 is for the thoracolumbar level rather than the lumbar or sacral level.
63308Vertebral resectionEach additional segment
This code reports the primary segment; 63308 is the add-on for each additional vertebral segment.

Codes related to 63307

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

Codes related to 63307
CodeHow it relatesNational office range
Add-on codes
63308Vertebral resection, each additional segmentAdd-on code for each additional vertebral segment.No office rate
Same family
63303Vertebral resection, lumbar/sacral, extraduralLumbar or sacral counterpart for an extradural lesion.No office rate
63306Vertebral resection, intradural, thoracolumbarIntradural counterpart for the thoracolumbar level.No office rate
63304Spinal lesion surgery, cervical, intraduralIntradural counterpart for the cervical level.No office rate

63307 billing questions

How does this differ from code 63303?

This code is for a lumbar or sacral intradural lesion requiring vertebral-body resection. Code 63303 describes the extradural counterpart.

When is code 63308 reported with this service?

Code 63308 is the add-on for each additional vertebral segment when the operation extends beyond the segment reported with this code.

Does the 90-day global include postoperative care?

Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can modifier 50 be used for bilateral work?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Can an assistant or co-surgeon be paid?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

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 63307PPRRVU2026_Oct_nonQPP.csv, line 7,071 (RVU26D)

Open CMS sourceHow we calculate rates

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