No office rate
63101 represents the primary thoracic segment. 63103 represents an additional segment and is reported with a qualifying primary procedure.
On this page
CMS RVU26D · Effective 2026-10-01
63103 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$260.19
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Spine surgery
About 63103: Additional vertebral body removal segment
Report this add-on for each additional thoracic or lumbar vertebral segment removed to decompress the spinal cord or nerve roots during a qualifying primary procedure.
This add-on represents removal of another vertebral body segment during an operation to relieve pressure on the spinal cord or nerve roots. A spine surgeon may perform the work when decompression requires more than the initial vertebral segment, such as when treating a lesion or structural problem spanning multiple levels. The code is for the additional segment, not the first segment treated.
Report 63103 only with the applicable primary vertebral body removal procedure, such as 63101 or 63102, and document the vertebral levels treated and the additional removal performed. The record should make clear that the work extends beyond the primary segment. CMS identifies this as an add-on code: it is billed only with a primary procedure and paid within that procedure’s global period.
CMS billing rules for 63103
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU4.70 · 60%
- Practice expense (office) RVU1.58 · 20%
- Malpractice RVU1.59 · 20%
323
Medicare services in 2024 · #3941 by national volume
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.
63103 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
63102 represents the primary lumbar segment. Use 63103 for additional segment work rather than treating it as the primary procedure.
No office rate
63082 is the additional-segment counterpart for cervical vertebral body removal; 63103 is used for the thoracic or lumbar context.
The same code, a different location
How does Austin compare?
63103 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 63103
Office
Unavailable
Facility
$255.02
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 63103
Office
Unavailable
Facility
$261.11
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 63103
Office
Unavailable
Facility
$286.74
No comparable office rate is available.
Miami
Florida · 63103
Office
Unavailable
Facility
$346.23
No comparable office rate is available.
Chicago
Illinois · 63103
Office
Unavailable
Facility
$333.00
No comparable office rate is available.
Manhattan
New York · 63103
Office
Unavailable
Facility
$312.58
No comparable office rate is available.
Alaska*
Alaska · 63103
Office
Unavailable
Facility
$320.94
No comparable office rate is available.
Alabama
Alabama · 63103
Office
Unavailable
Facility
$233.22
No comparable office rate is available.
Arkansas
Arkansas · 63103
Office
Unavailable
Facility
$229.67
No comparable office rate is available.
Arizona
Arizona · 63103
Office
Unavailable
Facility
$253.58
No comparable office rate is available.
Bakersfield
California · 63103
Office
Unavailable
Facility
$250.15
No comparable office rate is available.
Chico
California · 63103
Office
Unavailable
Facility
$245.96
No comparable office rate is available.
El Centro
California · 63103
Office
Unavailable
Facility
$246.22
No comparable office rate is available.
Fresno
California · 63103
Office
Unavailable
Facility
$245.96
No comparable office rate is available.
Hanford-Corcoran
California · 63103
Office
Unavailable
Facility
$245.96
No comparable office rate is available.
Madera
California · 63103
Office
Unavailable
Facility
$245.96
No comparable office rate is available.
Merced
California · 63103
Office
Unavailable
Facility
$245.96
No comparable office rate is available.
Modesto
California · 63103
Office
Unavailable
Facility
$245.96
No comparable office rate is available.
Napa
California · 63103
Office
Unavailable
Facility
$263.41
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 63103
Office
Unavailable
Facility
$256.84
No comparable office rate is available.
Redding
California · 63103
Office
Unavailable
Facility
$245.96
No comparable office rate is available.
Rest Of California
California · 63103
Office
Unavailable
Facility
$245.96
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 63103
Office
Unavailable
Facility
$262.95
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 63103
Office
Unavailable
Facility
$252.48
No comparable office rate is available.
Salinas
California · 63103
Office
Unavailable
Facility
$251.48
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 63103
Office
Unavailable
Facility
$253.59
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 63103
Office
Unavailable
Facility
$270.68
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 63103
Office
Unavailable
Facility
$268.88
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 63103
Office
Unavailable
Facility
$278.82
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 63103
Office
Unavailable
Facility
$271.44
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 63103
Office
Unavailable
Facility
$248.23
No comparable office rate is available.
Santa Cruz-Watsonville
California · 63103
Office
Unavailable
Facility
$252.87
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 63103
Office
Unavailable
Facility
$251.38
No comparable office rate is available.
Santa Rosa-Petaluma
California · 63103
Office
Unavailable
Facility
$254.97
No comparable office rate is available.
Stockton
California · 63103
Office
Unavailable
Facility
$245.96
No comparable office rate is available.
Vallejo
California · 63103
Office
Unavailable
Facility
$260.81
No comparable office rate is available.
Visalia
California · 63103
Office
Unavailable
Facility
$245.96
No comparable office rate is available.
Yuba City
California · 63103
Office
Unavailable
Facility
$245.96
No comparable office rate is available.
Colorado
Colorado · 63103
Office
Unavailable
Facility
$256.50
No comparable office rate is available.
Connecticut
Connecticut · 63103
Office
Unavailable
Facility
$281.22
No comparable office rate is available.
Delaware
Delaware · 63103
Office
Unavailable
Facility
$257.65
No comparable office rate is available.
Fort Lauderdale
Florida · 63103
Office
Unavailable
Facility
$306.46
No comparable office rate is available.
Rest Of Florida
Florida · 63103
Office
Unavailable
Facility
$287.26
No comparable office rate is available.
Atlanta
Georgia · 63103
Office
Unavailable
Facility
$274.86
No comparable office rate is available.
Rest Of Georgia
Georgia · 63103
Office
Unavailable
Facility
$267.36
No comparable office rate is available.
Hawaii, Guam
Hawaii · 63103
Office
Unavailable
Facility
$247.74
No comparable office rate is available.
Iowa
Iowa · 63103
Office
Unavailable
Facility
$226.36
No comparable office rate is available.
Idaho
Idaho · 63103
Office
Unavailable
Facility
$230.66
No comparable office rate is available.
East St. Louis
Illinois · 63103
Office
Unavailable
Facility
$312.49
No comparable office rate is available.
Rest Of Illinois
Illinois · 63103
Office
Unavailable
Facility
$288.17
No comparable office rate is available.
Suburban Chicago
Illinois · 63103
Office
Unavailable
Facility
$306.39
No comparable office rate is available.
Indiana
Indiana · 63103
Office
Unavailable
Facility
$231.72
No comparable office rate is available.
Kansas
Kansas · 63103
Office
Unavailable
Facility
$231.46
No comparable office rate is available.
Kentucky
Kentucky · 63103
Office
Unavailable
Facility
$252.49
No comparable office rate is available.
New Orleans
Louisiana · 63103
Office
Unavailable
Facility
$266.97
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 63103
Office
Unavailable
Facility
$254.57
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 63103
Office
Unavailable
Facility
$273.70
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 63103
Office
Unavailable
Facility
$257.39
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 63103
Office
Unavailable
Facility
$281.82
No comparable office rate is available.
Rest Of Maryland
Maryland · 63103
Office
Unavailable
Facility
$260.71
No comparable office rate is available.
Rest Of Maine
Maine · 63103
Office
Unavailable
Facility
$238.57
No comparable office rate is available.
Southern Maine
Maine · 63103
Office
Unavailable
Facility
$242.79
No comparable office rate is available.
Detroit
Michigan · 63103
Office
Unavailable
Facility
$297.45
No comparable office rate is available.
Rest Of Michigan
Michigan · 63103
Office
Unavailable
Facility
$265.12
No comparable office rate is available.
Minnesota
Minnesota · 63103
Office
Unavailable
Facility
$227.01
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 63103
Office
Unavailable
Facility
$258.42
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 63103
Office
Unavailable
Facility
$260.44
No comparable office rate is available.
Rest Of Missouri
Missouri · 63103
Office
Unavailable
Facility
$254.20
No comparable office rate is available.
Mississippi
Mississippi · 63103
Office
Unavailable
Facility
$241.67
No comparable office rate is available.
Montana**
Montana · 63103
Office
Unavailable
Facility
$262.76
No comparable office rate is available.
North Carolina
North Carolina · 63103
Office
Unavailable
Facility
$240.16
No comparable office rate is available.
North Dakota**
North Dakota · 63103
Office
Unavailable
Facility
$231.32
No comparable office rate is available.
Nebraska
Nebraska · 63103
Office
Unavailable
Facility
$225.77
No comparable office rate is available.
New Hampshire
New Hampshire · 63103
Office
Unavailable
Facility
$258.39
No comparable office rate is available.
Northern Nj
New Jersey · 63103
Office
Unavailable
Facility
$284.81
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 63103
Office
Unavailable
Facility
$279.15
No comparable office rate is available.
New Mexico
New Mexico · 63103
Office
Unavailable
Facility
$269.16
No comparable office rate is available.
Nevada**
Nevada · 63103
Office
Unavailable
Facility
$254.05
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 63103
Office
Unavailable
Facility
$328.40
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 63103
Office
Unavailable
Facility
$286.10
No comparable office rate is available.
Queens
New York · 63103
Office
Unavailable
Facility
$305.99
No comparable office rate is available.
Rest Of New York
New York · 63103
Office
Unavailable
Facility
$244.45
No comparable office rate is available.
Ohio
Ohio · 63103
Office
Unavailable
Facility
$258.70
No comparable office rate is available.
Oklahoma
Oklahoma · 63103
Office
Unavailable
Facility
$245.38
No comparable office rate is available.
Portland
Oregon · 63103
Office
Unavailable
Facility
$257.64
No comparable office rate is available.
Rest Of Oregon
Oregon · 63103
Office
Unavailable
Facility
$246.88
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 63103
Office
Unavailable
Facility
$278.10
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 63103
Office
Unavailable
Facility
$255.62
No comparable office rate is available.
Puerto Rico
Puerto Rico · 63103
Office
Unavailable
Facility
$262.65
No comparable office rate is available.
Rhode Island
Rhode Island · 63103
Office
Unavailable
Facility
$261.85
No comparable office rate is available.
South Carolina
South Carolina · 63103
Office
Unavailable
Facility
$250.89
No comparable office rate is available.
South Dakota**
South Dakota · 63103
Office
Unavailable
Facility
$227.60
No comparable office rate is available.
Tennessee
Tennessee · 63103
Office
Unavailable
Facility
$233.47
No comparable office rate is available.
Utah
Utah · 63103
Office
Unavailable
Facility
$254.28
No comparable office rate is available.
Virginia
Virginia · 63103
Office
Unavailable
Facility
$246.35
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 63103
Office
Unavailable
Facility
$262.65
No comparable office rate is available.
Vermont
Vermont · 63103
Office
Unavailable
Facility
$236.10
No comparable office rate is available.
Rest Of Washington
Washington · 63103
Office
Unavailable
Facility
$255.01
No comparable office rate is available.
Seattle (King Cnty)
Washington · 63103
Office
Unavailable
Facility
$272.98
No comparable office rate is available.
Wisconsin
Wisconsin · 63103
Office
Unavailable
Facility
$223.90
No comparable office rate is available.
West Virginia
West Virginia · 63103
Office
Unavailable
Facility
$278.84
No comparable office rate is available.
Wyoming**
Wyoming · 63103
Office
Unavailable
Facility
$249.06
No comparable office rate is available.
See how rates vary across the country
63103 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 63103 in Austin
Multiple payment areas
- 63103 in Barton Creek
- 63103 in Bee Cave
- 63103 in Briarcliff
- 63103 in Cedar Park
Multiple payment areas
- 63103 in Creedmoor
Multiple payment areas
- 63103 in Elgin
Multiple payment areas
- 63103 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 63103 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$286.21
$260.19 × 110% = $286.21
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 63103 in Austin.
PPRRVU2026_Oct_nonQPP.csv
7,031
- Code
- 63103
- Physician work
- 4.70
- Practice expense
- 1.58
- Malpractice
- 1.59
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.70 | × 1.002 | 4.7094 |
| Practice expense | 1.58 | × 1.058 | 1.6716 |
| Malpractice | 1.59 | × 0.886 | 1.4087 |
| Total RVUs | 7.7898 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$260.19
Open 63103 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.7 | 1.002 |
| Practice expense | 1.58 | 1.058 |
| Malpractice | 1.59 | 0.886 |
(4.7 × 1.002 + 1.58 × 1.058 + 1.59 × 0.886) × $33.4009 = $260.19
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
63103 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $260.19 | RVU26D |
| 2026-07-01 | Not available in this setting | $260.19 | RVU26C |
| 2026-04-01 | Not available in this setting | $260.19 | RVU26B |
| 2026-01-01 | Not available in this setting | $260.19 | RVU26A |
| 2025-10-01 | Not available in this setting | $284.00 | RVU25D |
| 2025-07-01 | Not available in this setting | $284.00 | RVU25C |
| 2025-04-01 | Not available in this setting | $284.00 | RVU25B |
| 2025-01-01 | Not available in this setting | $284.00 | RVU25A |
63103 billing questions
Can 63103 be reported by itself?
No. It is an add-on code and must be billed with a qualifying primary vertebral body removal procedure, such as 63101 or 63102.
When is 63103 appropriate instead of 63101 or 63102?
Use 63101 or 63102 for the primary segment, according to the applicable spinal region. Report 63103 for an additional segment removed during the same operative service.
What documentation supports an additional segment?
Document the vertebral levels involved and the additional vertebral body removal performed for decompression, in addition to the work represented by the primary code.
How does the global period affect payment?
CMS treats 63103 as an add-on paid within the primary procedure’s global period. It must accompany the primary procedure.
How many units should be reported?
Report the additional segment work performed, supported by documentation identifying each treated level. The first segment is represented by the primary procedure.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
7,02863091,,Remove vertebral body add-on,A,,2.95,0.93,NA,0.93,,0.85,4.73,4.73,0,ZZZ,0.00,0.00,0.00,0,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
7,02963101,,Remove vert body dcmprn thrc,A,,33.25,20.92,NA,20.92,,12.22,66.39,66.39,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,03063102,,Remove vert body dcmprn lmbr,A,,33.25,20.28,NA,20.28,,11.56,65.09,65.09,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,03163103,,Remove vertebral body add-on,A,,4.70,1.58,NA,1.58,,1.59,7.87,7.87,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,03263170,,Incise spinal cord tract(s),A,,21.65,16.38,NA,16.38,,9.16,47.19,47.19,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,03363172,,Drainage of spinal cyst,A,,19.27,14.48,NA,14.48,,8.13,41.88,41.88,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,03463173,,Drainage of spinal cyst,A,,23.70,17.09,NA,17.09,,10.02,50.81,50.81,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858