CPT code 63307: Vertebral resection, intradural, lumbar or sacral2026 Medicare rate & RVUs in Texas
Reports partial or complete removal of a lumbar or sacral vertebral body to reach and remove an intradural spinal lesion.
CMS doesn’t publish an office rate for 63307 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $2,313.81 |
| Beaumont, TX | Unavailable | $2,227.70 |
| Brazoria, TX | Unavailable | $2,222.38 |
| Dallas, TX | Unavailable | $2,264.54 |
| Fort Worth, TX | Unavailable | $2,263.73 |
| Galveston, TX | Unavailable | $2,246.87 |
| Houston, TX | Unavailable | $2,510.26 |
| Rest of Texas | Unavailable | $2,242.74 |
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
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
| 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 · 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.
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%).
63307 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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