CPT code 63308: Vertebral resection, each additional segment2026 Medicare rate & RVUs in Montana

Additional vertebral-body resection for an intraspinal lesion is reported for each extra vertebral segment removed with a qualifying primary transpedicular resection.

CMS RVU26DEffective Oct 1, 2026One payment locality122 Medicare services in 2024

In Montana, Medicare pays $288.80 for 63308 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$288.80Hospital or facility

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.

We’ll open 63308 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 63308 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 Montana 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. Montana pays $288.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

63308 in Montana vs other payment areas
  1. Montana · this page$288.80
  2. Los Angeles, CA · California$285.83−$2.97
  3. Washington, DC area · District of Columbia$315.21+$26.41
  4. Miami, FL · Florida$384.72+$95.92
  5. Chicago, IL · Illinois$369.55+$80.75
  6. Manhattan, NY · New York$344.91+$56.11
  7. Alaska · Alaska$350.53+$61.73

Other areas in Montana first, then benchmark localities. Bars start at $0.

Every other payment area

63308 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
63308 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

See 63308 in every payment locality

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

Office or facility?

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 Montana 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

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 63308 in Montana
ComponentRVULocality factorAdjusted
Physician work5.11× 1.0005.1100
Practice expense1.71× 1.0001.7100
Malpractice1.83× 0.9981.8263
Total RVUs8.6463
Conversion factor× 33.4009

Facility rate, Montana$288.80

Facility: (5.11 × 1 + 1.71 × 1 + 1.83 × 0.998) × $33.4009 = $288.80

Open 63308 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

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.

When to use modifier 80

How 63308 has changed in Montana

63308 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$288.80RVU26D
2026-07-01Not available in this setting$288.80RVU26C
2026-04-01Not available in this setting$288.80RVU26B
2026-01-01Not available in this setting$288.80RVU26A
2025-10-01Not available in this setting$309.25RVU25D
2025-07-01Not available in this setting$309.25RVU25C
2025-04-01Not available in this setting$309.25RVU25B
2025-01-01Not available in this setting$309.25RVU25A
2024-10-01Not available in this setting$318.54RVU24D
2024-07-01Not available in this setting$318.54RVU24C
2024-04-01Not available in this setting$318.54RVU24B
2024-03-09Not available in this setting$318.54RVU24AR
2024-01-01Not available in this setting$313.34RVU24A
2023-10-01Not available in this setting$321.63RVU23D
2023-07-01Not available in this setting$321.63RVU23C
2023-04-01Not available in this setting$321.63RVU23B
2023-01-01Not available in this setting$321.63RVU23A
2022-10-01Not available in this setting$323.64RVU22D
2022-07-01Not available in this setting$323.64RVU22C
2022-04-01Not available in this setting$323.64RVU22B
2022-01-01Not available in this setting$323.64RVU22A
2021-10-01Not available in this setting$328.36RVU21D
2021-07-01Not available in this setting$328.36RVU21C
2021-04-01Not available in this setting$328.36RVU21B
2021-01-01Not available in this setting$328.36RVU21A
2020-10-01Not available in this setting$356.70RVU20D
2020-07-01Not available in this setting$356.70RVU20C
2020-04-01Not available in this setting$356.70RVU20B
2020-01-01Not available in this setting$356.70RVU20A
2019-10-01Not available in this setting$381.86RVU19D
2019-07-01Not available in this setting$381.86RVU19C
2019-04-01Not available in this setting$381.86RVU19B
2019-01-01Not available in this setting$381.86RVU19A
2018-10-01Not available in this setting$377.79RVU18D
2018-07-01Not available in this setting$377.79RVU18C
2018-04-01Not available in this setting$377.79RVU18B
2018-01-01Not available in this setting$377.79RVU18AR1
2017-10-01Not available in this setting$367.58RVU17D
2017-07-01Not available in this setting$367.58RVU17C
2017-04-01Not available in this setting$367.58RVU17B
2017-01-01Not available in this setting$367.58RVU17A
2016-10-01Not available in this setting$356.10RVU16D
2016-07-01Not available in this setting$356.10RVU16C
2016-04-01Not available in this setting$356.10RVU16B
2016-01-01Not available in this setting$356.10RVU16A
2015-10-01Not available in this setting$359.07RVU15D
2015-07-01Not available in this setting$359.07RVU15C
2015-04-01Not available in this setting$357.28RVU15B
2015-01-01Not available in this setting$357.28RVU15A
2014-10-01Not available in this setting$338.79RVU14D
2014-07-01Not available in this setting$338.79RVU14C
2014-04-01Not available in this setting$338.79RVU14B
2014-01-01Not available in this setting$338.79RVU14A
2013-10-01Not available in this setting$327.70RVU13D
2013-07-01Not available in this setting$327.70RVU13C
2013-04-01Not available in this setting$327.70RVU13B
2013-01-01Not available in this setting$327.70RVU13AR

Price 63308 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

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

Show the CMS file lines behind this rate
RVUs for 63308PPRRVU2026_Oct_nonQPP.csv, line 7,072 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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