CPT code 63308: Vertebral resection, each additional segment2026 Medicare rate & RVUs in Delaware
Additional vertebral-body resection for an intraspinal lesion is reported for each extra vertebral segment removed with a qualifying primary transpedicular resection.
In Delaware, Medicare pays $282.91 for 63308 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 63308 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 63308 covers
Code 63308 captures removal of an additional vertebral segment during transpedicular resection to excise an intraspinal lesion. Spine surgeons, including neurosurgeons and orthopedic spine surgeons, report it when the resection involves more segments than the primary procedure represents. The primary code distinguishes extradural from intradural disease and identifies the spinal region; this add-on accounts for each additional segment removed.
Report 63308 only with a qualifying primary procedure from 63300–63307, not for the first segment alone. The operative report should identify the lesion, its extradural or intradural relationship, the spinal region, and each additional vertebral segment resected. CMS treats 63308 as an add-on: it is billed only with a primary procedure and paid within that procedure’s global period. It is not a stand-alone service for a separate encounter.
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 Delaware compares for 63308
Across 109 of 109 payment localities, the facility rate for 63308 runs from $244.22 in Wisconsin to $384.72 in Miami, FL. Delaware pays $282.91. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$282.91
- Los Angeles, CA · California$285.83+$2.92
- Washington, DC area · District of Columbia$315.21+$32.30
- Miami, FL · Florida$384.72+$101.81
- Chicago, IL · Illinois$369.55+$86.64
- Manhattan, NY · New York$344.91+$62.00
- Alaska · Alaska$350.53+$67.62
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $255.25 |
| ArkansasArkansas | — | $251.22 |
| ArizonaArizona | — | $278.35 |
| Bakersfield, CACalifornia | — | $273.74 |
| Chico, CACalifornia | — | $268.94 |
| El Centro, CACalifornia | — | $269.25 |
| Fresno, CACalifornia | — | $268.94 |
| Hanford, CACalifornia | — | $268.94 |
| Madera, CACalifornia | — | $268.94 |
| Merced, CACalifornia | — | $268.94 |
| Modesto, CACalifornia | — | $268.94 |
| Napa, CACalifornia | — | $287.76 |
| Oxnard, CACalifornia | — | $281.05 |
| Redding, CACalifornia | — | $268.94 |
| Rest of CaliforniaCalifornia | — | $268.94 |
| Riverside, CACalifornia | — | $288.49 |
| Sacramento, CACalifornia | — | $276.01 |
| Salinas, CACalifornia | — | $274.93 |
| San Diego, CACalifornia | — | $277.24 |
| Marin County, CACalifornia | — | $295.48 |
| San Francisco, CACalifornia | — | $293.40 |
| San Benito County, CACalifornia | — | $304.58 |
| Santa Clara County, CACalifornia | — | $296.08 |
| San Luis Obispo, CACalifornia | — | $271.40 |
| Santa Cruz, CACalifornia | — | $276.42 |
| Santa Maria, CACalifornia | — | $274.82 |
| Santa Rosa, CACalifornia | — | $278.70 |
| Stockton, CACalifornia | — | $268.94 |
| Vallejo, CACalifornia | — | $284.77 |
| Visalia, CACalifornia | — | $268.94 |
| Yuba City, CACalifornia | — | $268.94 |
| ColoradoColorado | — | $281.24 |
| ConnecticutConnecticut | — | $309.57 |
| Fort Lauderdale, FLFlorida | — | $339.05 |
| Rest of FloridaFlorida | — | $317.15 |
| Atlanta, GAGeorgia | — | $302.63 |
| Rest of GeorgiaGeorgia | — | $294.49 |
| Hawaii, Guam, HIHawaii | — | $271.01 |
| IowaIowa | — | $247.21 |
| IdahoIdaho | — | $252.14 |
| East St. Louis, ILIllinois | — | $346.33 |
| Rest of IllinoisIllinois | — | $318.36 |
| Suburban Chicago, ILIllinois | — | $338.84 |
| IndianaIndiana | — | $253.33 |
| KansasKansas | — | $253.12 |
| KentuckyKentucky | — | $277.38 |
| New Orleans, LALouisiana | — | $293.86 |
| Rest of LouisianaLouisiana | — | $279.78 |
| Metropolitan Boston, MAMassachusetts | — | $300.27 |
| Rest of MassachusettsMassachusetts | — | $282.27 |
| Baltimore area, MDMaryland | — | $310.30 |
| Rest of MarylandMaryland | — | $286.30 |
| Rest of MaineMaine | — | $261.24 |
| Southern Maine, MEMaine | — | $265.85 |
| Detroit, MIMichigan | — | $328.85 |
| Rest of MichiganMichigan | — | $291.83 |
| MinnesotaMinnesota | — | $247.54 |
| Metropolitan Kansas City, MOMissouri | — | $284.03 |
| Metropolitan St. Louis, MOMissouri | — | $286.30 |
| Rest of MissouriMissouri | — | $279.45 |
| MississippiMississippi | — | $265.03 |
| MontanaMontana | — | $288.80 |
| North CarolinaNorth Carolina | — | $263.03 |
| North DakotaNorth Dakota | — | $252.61 |
| NebraskaNebraska | — | $246.50 |
| New HampshireNew Hampshire | — | $283.62 |
| Northern New JerseyNew Jersey | — | $312.97 |
| Rest of New JerseyNew Jersey | — | $306.93 |
| New MexicoNew Mexico | — | $296.46 |
| NevadaNevada | — | $278.77 |
| NYC suburbs and Long Island, NYNew York | — | $363.02 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $314.86 |
| Queens, NYNew York | — | $337.25 |
| Rest of New YorkNew York | — | $267.91 |
| OhioOhio | — | $284.44 |
| OklahomaOklahoma | — | $269.18 |
| Portland, OROregon | — | $282.34 |
| Rest of OregonOregon | — | $270.54 |
| Metropolitan Philadelphia, PAPennsylvania | — | $306.13 |
| Rest of PennsylvaniaPennsylvania | — | $280.87 |
| Puerto RicoPuerto Rico | — | $288.63 |
| Rhode IslandRhode Island | — | $287.44 |
| South CarolinaSouth Carolina | — | $275.41 |
| South DakotaSouth Dakota | — | $248.33 |
| TennesseeTennessee | — | $255.42 |
| Austin, TXTexas | — | $285.60 |
| Beaumont, TXTexas | — | $279.44 |
| Brazoria, TXTexas | — | $276.32 |
| Dallas, TXTexas | — | $281.55 |
| Fort Worth, TXTexas | — | $281.77 |
| Galveston, TXTexas | — | $279.37 |
| Houston, TXTexas | — | $312.87 |
| Rest of TexasTexas | — | $280.08 |
| UtahUtah | — | $279.26 |
| VirginiaVirginia | — | $269.98 |
| Virgin Islands, VIUnited States Virgin Islands | — | $288.63 |
| VermontVermont | — | $258.15 |
| Rest of WashingtonWashington | — | $279.56 |
| King County, WAWashington | — | $299.23 |
| WisconsinWisconsin | — | $244.22 |
| West VirginiaWest Virginia | — | $307.78 |
| WyomingWyoming | — | $273.03 |
63308 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 63308 rate is calculated
Each of 63308’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 · 63308
RVUs × geographic indexes × conversion factor
Work5.11
5.11 RVUs× 1.000 GPCI
Practice expense1.71
1.71 RVUs× 1.000 GPCI
Malpractice1.83
1.83 RVUs× 1.000 GPCI
Adjusted RVUs
8.6500
Conversion factor
$33.4009
Medicare rate
$288.92
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Delaware inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,072
- Code
- 63308
- Physician work
- 5.11
- Practice expense
- 1.71
- Malpractice
- 1.83
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.11 | × 1.005 | 5.1355 |
| Practice expense | 1.71 | × 0.988 | 1.6895 |
| Malpractice | 1.83 | × 0.899 | 1.6452 |
| Total RVUs | 8.4702 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$282.91
Facility: (5.11 × 1.005 + 1.71 × 0.988 + 1.83 × 0.899) × $33.4009 = $282.91
Payment rules and modifiers for 63308
The CMS indicators that decide how 63308 is paid alongside other services.
CMS payment indicators · 63308
Vertebral resection, each additional segment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
63308 without 80 · national facility
$288.92
Vertebral resection, each additional segment
63308-80 · Assistant: 16%
$46.23
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 63308 has changed in Delaware
63308 · 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 | $282.91 | RVU26D |
| 2026-07-01 | Not available in this setting | $282.91 | RVU26C |
| 2026-04-01 | Not available in this setting | $282.91 | RVU26B |
| 2026-01-01 | Not available in this setting | $282.91 | RVU26A |
| 2025-10-01 | Not available in this setting | $308.42 | RVU25D |
| 2025-07-01 | Not available in this setting | $308.42 | RVU25C |
| 2025-04-01 | Not available in this setting | $308.42 | RVU25B |
| 2025-01-01 | Not available in this setting | $308.42 | RVU25A |
| 2024-10-01 | Not available in this setting | $317.65 | RVU24D |
| 2024-07-01 | Not available in this setting | $317.65 | RVU24C |
| 2024-04-01 | Not available in this setting | $317.65 | RVU24B |
| 2024-03-09 | Not available in this setting | $317.65 | RVU24AR |
| 2024-01-01 | Not available in this setting | $312.47 | RVU24A |
| 2023-10-01 | Not available in this setting | $321.07 | RVU23D |
| 2023-07-01 | Not available in this setting | $321.07 | RVU23C |
| 2023-04-01 | Not available in this setting | $321.07 | RVU23B |
| 2023-01-01 | Not available in this setting | $321.07 | RVU23A |
| 2022-10-01 | Not available in this setting | $323.59 | RVU22D |
| 2022-07-01 | Not available in this setting | $323.59 | RVU22C |
| 2022-04-01 | Not available in this setting | $323.59 | RVU22B |
| 2022-01-01 | Not available in this setting | $323.59 | RVU22A |
| 2021-10-01 | Not available in this setting | $328.18 | RVU21D |
| 2021-07-01 | Not available in this setting | $328.18 | RVU21C |
| 2021-04-01 | Not available in this setting | $328.18 | RVU21B |
| 2021-01-01 | Not available in this setting | $328.18 | RVU21A |
| 2020-10-01 | Not available in this setting | $342.55 | RVU20D |
| 2020-07-01 | Not available in this setting | $342.55 | RVU20C |
| 2020-04-01 | Not available in this setting | $342.55 | RVU20B |
| 2020-01-01 | Not available in this setting | $342.55 | RVU20A |
| 2019-10-01 | Not available in this setting | $351.63 | RVU19D |
| 2019-07-01 | Not available in this setting | $351.63 | RVU19C |
| 2019-04-01 | Not available in this setting | $351.63 | RVU19B |
| 2019-01-01 | Not available in this setting | $351.63 | RVU19A |
| 2018-10-01 | Not available in this setting | $348.50 | RVU18D |
| 2018-07-01 | Not available in this setting | $348.50 | RVU18C |
| 2018-04-01 | Not available in this setting | $348.50 | RVU18B |
| 2018-01-01 | Not available in this setting | $348.50 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $350.45 | RVU17D |
| 2017-07-01 | Not available in this setting | $350.45 | RVU17C |
| 2017-04-01 | Not available in this setting | $350.45 | RVU17B |
| 2017-01-01 | Not available in this setting | $350.45 | RVU17A |
| 2016-10-01 | Not available in this setting | $351.65 | RVU16D |
| 2016-07-01 | Not available in this setting | $351.65 | RVU16C |
| 2016-04-01 | Not available in this setting | $351.65 | RVU16B |
| 2016-01-01 | Not available in this setting | $351.65 | RVU16A |
| 2015-10-01 | Not available in this setting | $354.46 | RVU15D |
| 2015-07-01 | Not available in this setting | $354.46 | RVU15C |
| 2015-04-01 | Not available in this setting | $352.70 | RVU15B |
| 2015-01-01 | Not available in this setting | $352.70 | RVU15A |
| 2014-10-01 | Not available in this setting | $328.99 | RVU14D |
| 2014-07-01 | Not available in this setting | $328.99 | RVU14C |
| 2014-04-01 | Not available in this setting | $328.99 | RVU14B |
| 2014-01-01 | Not available in this setting | $328.99 | RVU14A |
| 2013-10-01 | Not available in this setting | $310.80 | RVU13D |
| 2013-07-01 | Not available in this setting | $310.80 | RVU13C |
| 2013-04-01 | Not available in this setting | $310.80 | RVU13B |
| 2013-01-01 | Not available in this setting | $310.80 | RVU13AR |
Where the Delaware rate applies
Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.
- Arden
- Ardencroft
- Ardentown
- Bear
- Bellefonte
- Bethany Beach
- Bethel
- Blades
63308 billing questions
When is 63308 reported instead of a primary code?
Use 63300–63307 for the primary resection, based on the lesion’s extradural or intradural location and spinal region. Report 63308 for each additional vertebral segment resected beyond the segment represented by the primary procedure.
Can 63308 be billed by itself?
No. It is an add-on code reported with a qualifying primary resection code from 63300–63307.
What documentation supports an additional segment?
The operative report should identify each additional vertebral segment actually resected as part of the intraspinal lesion procedure. It should also support the primary code’s lesion relationship and spinal region.
How does CMS treat payment and the global period?
CMS requires 63308 to be billed with a primary procedure and pays it within that procedure’s global period.
Can a modifier make 63308 payable without its primary code?
No. A modifier does not replace the required primary procedure; 63308 remains an add-on to a qualifying resection code.
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
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