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CPT 63301: Vertebral resectionMedicare rate & RVUs

Reports partial or complete removal of a thoracic vertebral body to excise an extradural intraspinal lesion at one vertebral segment.

CMS RVU26DEffective Oct 1, 2026109 payment localities85 Medicare services in 2024

Medicare pays $2,149.68 for 63301 nationally in a facility.

Medicare rate · 63301

Vertebral resection

Swap in your local Medicare rate.

Work RVUs
30.78
Total RVUs
64.36
Global days
090

National rate · 2026

$2,149.68

Facility setting, before claim adjustments.

See every locality for 63301 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 63301 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 63301 covers

This service involves removing part or all of a thoracic vertebral body to reach and excise an extradural lesion within the spinal canal. A spine surgeon or neurosurgeon typically performs it in an operating room when a lesion, such as an extradural spinal tumor, requires this bony exposure and resection. The code describes one vertebral segment; the lesion is extradural, rather than within the dura.

Select the code based on the operative report’s documented lesion location, extradural status, thoracic level, and vertebral segment resected. Code 63308 may be reported for each additional segment when the work extends beyond the primary segment. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Bilateral adjustment is inappropriate for this code. Assistant-at-surgery payment may be made; 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 63301 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

63301 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,875.41
Alaska*Unavailable$2,513.61
ArizonaUnavailable$2,065.88
ArkansasUnavailable$1,842.28
AtlantaUnavailable$2,250.98
AustinUnavailable$2,142.16
BakersfieldUnavailable$2,065.59
Baltimore/Surr. CntysUnavailable$2,319.16
BeaumontUnavailable$2,056.98
BrazoriaUnavailable$2,056.26

63301 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
63301 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 63301 rate is calculated

Each of 63301’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 · 63301

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 30.78Practice expense 20.59Malpractice 12.99

64.3600 adjusted RVUs×$33.4009 conversion factor=$2,149.68

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 63301

63301 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 63301

Vertebral resection

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 · 63301

Vertebral resection

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

63301 without 51 · national facility

$2,149.68

Vertebral resection

63301-51 · Second procedure: 50%

$1,074.84

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

63301 compared with similar codes

Compare codes

63301 vs 63300 vs 63302 vs 63305 vs 63308: national Medicare rates

Swap in your local Medicare rate.

  • 63301
    Vertebral resection · 30.78 wRVU
    —
  • 63300
    Vertebral resection · 26.13 wRVU
    —
  • 63302
    Vertebral body removal · 30.37 wRVU
    —
  • 63305
    Vertebral resection · 35.33 wRVU
    —
  • 63308
    Vertebral resection · 5.11 wRVU
    —

How to choose

63300Vertebral resection
This code is for the thoracic region; 63300 is the extradural counterpart for a cervical lesion.
63302Vertebral body removal
This code is for a thoracic segment. Code 63302 applies when the documented level is thoracolumbar.
63305Vertebral resection
Both are thoracic vertebral body resections for intraspinal lesions. Choose 63301 for an extradural lesion and 63305 for an intradural lesion.
63308Vertebral resection
Code 63301 represents the primary single-segment service; 63308 is the add-on for each additional vertebral segment.

Codes related to 63301

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

Codes related to 63301
CodeHow it relatesNational office range
Same family
63300Vertebral resectionExtradural vertebral body resection for an intraspinal lesion at a cervical level.No office rate
63302Vertebral body removalExtradural vertebral body resection for an intraspinal lesion at a thoracolumbar level.No office rate
63305Vertebral resectionThoracic vertebral body resection for an intradural rather than extradural lesion.No office rate
Add-on codes
63308Vertebral resectionAdd-on for each additional vertebral segment resected with the primary procedure.No office rate

63301 billing questions

How is this code distinguished from the cervical or thoracolumbar codes?

This code applies to an extradural lesion treated by vertebral body resection in the thoracic region. Use the corresponding code when the documented site is cervical, thoracolumbar, or lumbar/sacral.

What distinguishes this from code 63305?

Both concern thoracic vertebral body resection for an intraspinal lesion, but 63301 is for an extradural lesion and 63305 is for an intradural lesion.

When is code 63308 reported with this service?

Code 63308 is the add-on for each additional vertebral segment when resection extends beyond the single primary segment. The operative report should identify the additional segment or segments.

What documentation supports reporting 63301?

The operative report should establish that the lesion was extradural, identify its thoracic location, and describe partial or complete vertebral body resection and the segment treated.

Can modifier 50 be used for bilateral work?

No. Bilateral adjustment is inappropriate for this code under the CMS facts.

How are assistant and co-surgeon services handled?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.

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 63301PPRRVU2026_Oct_nonQPP.csv, line 7,065 (RVU26D)

Open CMS sourceHow we calculate rates

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