No office rate
The anatomic site is cervical in both codes; the lesion’s relationship to the dura determines the choice. Use 63304 for an intradural lesion and 63300 for an extradural lesion.
On this page
CMS RVU26D · Effective 2026-10-01
63304 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$2152.65
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.
Neurosurgery
About 63304: Cervical intradural vertebral body resection
Report cervical vertebral body resection performed to reach and remove an intraspinal lesion located within the dura at one segment.
This code describes partial or complete removal of a cervical vertebral body as part of surgery to excise an intraspinal lesion within the dura. A neurosurgeon typically performs the operation in a hospital operating room. The vertebral resection provides access to the lesion; the intradural location distinguishes this service from the corresponding cervical procedure for a lesion outside the dura.
Select the code based on the cervical site, intradural location, and number of segments treated. The operative report should identify the lesion’s relationship to the dura, the cervical segment or segments involved, and the vertebral resection performed. Use the additional-segment code 63308 when another segment is treated. The service has 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. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted. Modifier 50 is inappropriate for this code.
CMS billing rules for 63304
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU33.00 · 48%
- Practice expense (office) RVU21.37 · 31%
- Malpractice RVU13.93 · 20%
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.
63304 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
Both describe intradural lesion surgery with vertebral body resection, but 63305 is for the thoracic region rather than the cervical region.
No office rate
63304 represents the initial segment. Code 63308 is the add-on for each additional segment, not a substitute for the initial-segment code.
The same code, a different location
How does Chico compare?
63304 across payment areas
Same release and payment basis · bars start at $0
Chico · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 63304
Office
Unavailable
Facility
$2152.65
No comparable office rate is available.
Modesto
California · 63304
Office
Unavailable
Facility
$2152.65
No comparable office rate is available.
Napa
California · 63304
Office
Unavailable
Facility
$2348.79
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 63304
Office
Unavailable
Facility
$2266.64
No comparable office rate is available.
Redding
California · 63304
Office
Unavailable
Facility
$2152.65
No comparable office rate is available.
Rest Of California
California · 63304
Office
Unavailable
Facility
$2152.65
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 63304
Office
Unavailable
Facility
$2301.25
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 63304
Office
Unavailable
Facility
$2221.42
No comparable office rate is available.
Salinas
California · 63304
Office
Unavailable
Facility
$2213.05
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 63304
Office
Unavailable
Facility
$2241.15
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 63304
Office
Unavailable
Facility
$2426.93
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 63304
Office
Unavailable
Facility
$2411.11
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 63304
Office
Unavailable
Facility
$2502.13
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 63304
Office
Unavailable
Facility
$2437.46
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 63304
Office
Unavailable
Facility
$2183.35
No comparable office rate is available.
Santa Cruz-Watsonville
California · 63304
Office
Unavailable
Facility
$2242.00
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 63304
Office
Unavailable
Facility
$2214.74
No comparable office rate is available.
Santa Rosa-Petaluma
California · 63304
Office
Unavailable
Facility
$2261.20
No comparable office rate is available.
Stockton
California · 63304
Office
Unavailable
Facility
$2152.65
No comparable office rate is available.
Vallejo
California · 63304
Office
Unavailable
Facility
$2325.99
No comparable office rate is available.
Visalia
California · 63304
Office
Unavailable
Facility
$2152.65
No comparable office rate is available.
Yuba City
California · 63304
Office
Unavailable
Facility
$2152.65
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 63304
Office
Unavailable
Facility
$2520.43
No comparable office rate is available.
Miami
Florida · 63304
Office
Unavailable
Facility
$3021.95
No comparable office rate is available.
Chicago
Illinois · 63304
Office
Unavailable
Facility
$2895.10
No comparable office rate is available.
Manhattan
New York · 63304
Office
Unavailable
Facility
$2740.11
No comparable office rate is available.
Alaska*
Alaska · 63304
Office
Unavailable
Facility
$2669.88
No comparable office rate is available.
Alabama
Alabama · 63304
Office
Unavailable
Facility
$1990.13
No comparable office rate is available.
Arkansas
Arkansas · 63304
Office
Unavailable
Facility
$1954.98
No comparable office rate is available.
Arizona
Arizona · 63304
Office
Unavailable
Facility
$2192.15
No comparable office rate is available.
Colorado
Colorado · 63304
Office
Unavailable
Facility
$2238.29
No comparable office rate is available.
Connecticut
Connecticut · 63304
Office
Unavailable
Facility
$2455.99
No comparable office rate is available.
Delaware
Delaware · 63304
Office
Unavailable
Facility
$2231.23
No comparable office rate is available.
Fort Lauderdale
Florida · 63304
Office
Unavailable
Facility
$2666.50
No comparable office rate is available.
Rest Of Florida
Florida · 63304
Office
Unavailable
Facility
$2483.91
No comparable office rate is available.
Atlanta
Georgia · 63304
Office
Unavailable
Facility
$2389.53
No comparable office rate is available.
Rest Of Georgia
Georgia · 63304
Office
Unavailable
Facility
$2293.53
No comparable office rate is available.
Hawaii, Guam
Hawaii · 63304
Office
Unavailable
Facility
$2183.19
No comparable office rate is available.
Iowa
Iowa · 63304
Office
Unavailable
Facility
$1940.05
No comparable office rate is available.
Idaho
Idaho · 63304
Office
Unavailable
Facility
$1978.98
No comparable office rate is available.
East St. Louis
Illinois · 63304
Office
Unavailable
Facility
$2695.97
No comparable office rate is available.
Rest Of Illinois
Illinois · 63304
Office
Unavailable
Facility
$2481.13
No comparable office rate is available.
Suburban Chicago
Illinois · 63304
Office
Unavailable
Facility
$2667.46
No comparable office rate is available.
Indiana
Indiana · 63304
Office
Unavailable
Facility
$1990.02
No comparable office rate is available.
Kansas
Kansas · 63304
Office
Unavailable
Facility
$1981.98
No comparable office rate is available.
Kentucky
Kentucky · 63304
Office
Unavailable
Facility
$2162.50
No comparable office rate is available.
New Orleans
Louisiana · 63304
Office
Unavailable
Facility
$2302.45
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 63304
Office
Unavailable
Facility
$2179.66
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 63304
Office
Unavailable
Facility
$2413.77
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 63304
Office
Unavailable
Facility
$2242.30
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 63304
Office
Unavailable
Facility
$2461.29
No comparable office rate is available.
Rest Of Maryland
Maryland · 63304
Office
Unavailable
Facility
$2262.72
No comparable office rate is available.
Rest Of Maine
Maine · 63304
Office
Unavailable
Facility
$2048.31
No comparable office rate is available.
Southern Maine
Maine · 63304
Office
Unavailable
Facility
$2103.17
No comparable office rate is available.
Detroit
Michigan · 63304
Office
Unavailable
Facility
$2575.48
No comparable office rate is available.
Rest Of Michigan
Michigan · 63304
Office
Unavailable
Facility
$2279.20
No comparable office rate is available.
Minnesota
Minnesota · 63304
Office
Unavailable
Facility
$1974.43
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 63304
Office
Unavailable
Facility
$2227.04
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 63304
Office
Unavailable
Facility
$2247.95
No comparable office rate is available.
Rest Of Missouri
Missouri · 63304
Office
Unavailable
Facility
$2170.68
No comparable office rate is available.
Mississippi
Mississippi · 63304
Office
Unavailable
Facility
$2060.63
No comparable office rate is available.
Montana**
Montana · 63304
Office
Unavailable
Facility
$2280.35
No comparable office rate is available.
North Carolina
North Carolina · 63304
Office
Unavailable
Facility
$2065.49
No comparable office rate is available.
North Dakota**
North Dakota · 63304
Office
Unavailable
Facility
$2004.91
No comparable office rate is available.
Nebraska
Nebraska · 63304
Office
Unavailable
Facility
$1936.92
No comparable office rate is available.
New Hampshire
New Hampshire · 63304
Office
Unavailable
Facility
$2252.39
No comparable office rate is available.
Northern Nj
New Jersey · 63304
Office
Unavailable
Facility
$2496.56
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 63304
Office
Unavailable
Facility
$2436.17
No comparable office rate is available.
New Mexico
New Mexico · 63304
Office
Unavailable
Facility
$2315.56
No comparable office rate is available.
Nevada**
Nevada · 63304
Office
Unavailable
Facility
$2204.29
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 63304
Office
Unavailable
Facility
$2885.47
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 63304
Office
Unavailable
Facility
$2496.40
No comparable office rate is available.
Queens
New York · 63304
Office
Unavailable
Facility
$2687.38
No comparable office rate is available.
Rest Of New York
New York · 63304
Office
Unavailable
Facility
$2107.41
No comparable office rate is available.
Ohio
Ohio · 63304
Office
Unavailable
Facility
$2222.91
No comparable office rate is available.
Oklahoma
Oklahoma · 63304
Office
Unavailable
Facility
$2101.15
No comparable office rate is available.
Portland
Oregon · 63304
Office
Unavailable
Facility
$2259.04
No comparable office rate is available.
Rest Of Oregon
Oregon · 63304
Office
Unavailable
Facility
$2140.24
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 63304
Office
Unavailable
Facility
$2420.18
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 63304
Office
Unavailable
Facility
$2197.16
No comparable office rate is available.
Puerto Rico
Puerto Rico · 63304
Office
Unavailable
Facility
$2282.15
No comparable office rate is available.
Rhode Island
Rhode Island · 63304
Office
Unavailable
Facility
$2275.53
No comparable office rate is available.
South Carolina
South Carolina · 63304
Office
Unavailable
Facility
$2157.24
No comparable office rate is available.
South Dakota**
South Dakota · 63304
Office
Unavailable
Facility
$1972.34
No comparable office rate is available.
Tennessee
Tennessee · 63304
Office
Unavailable
Facility
$2000.91
No comparable office rate is available.
Austin
Texas · 63304
Office
Unavailable
Facility
$2271.84
No comparable office rate is available.
Beaumont
Texas · 63304
Office
Unavailable
Facility
$2184.01
No comparable office rate is available.
Brazoria
Texas · 63304
Office
Unavailable
Facility
$2181.31
No comparable office rate is available.
Dallas
Texas · 63304
Office
Unavailable
Facility
$2222.28
No comparable office rate is available.
Fort Worth
Texas · 63304
Office
Unavailable
Facility
$2221.19
No comparable office rate is available.
Galveston
Texas · 63304
Office
Unavailable
Facility
$2205.08
No comparable office rate is available.
Houston
Texas · 63304
Office
Unavailable
Facility
$2460.05
No comparable office rate is available.
Rest Of Texas
Texas · 63304
Office
Unavailable
Facility
$2199.75
No comparable office rate is available.
Utah
Utah · 63304
Office
Unavailable
Facility
$2191.00
No comparable office rate is available.
Virginia
Virginia · 63304
Office
Unavailable
Facility
$2132.36
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 63304
Office
Unavailable
Facility
$2282.15
No comparable office rate is available.
Vermont
Vermont · 63304
Office
Unavailable
Facility
$2044.30
No comparable office rate is available.
Rest Of Washington
Washington · 63304
Office
Unavailable
Facility
$2222.24
No comparable office rate is available.
Seattle (King Cnty)
Washington · 63304
Office
Unavailable
Facility
$2413.28
No comparable office rate is available.
Wisconsin
Wisconsin · 63304
Office
Unavailable
Facility
$1929.33
No comparable office rate is available.
West Virginia
West Virginia · 63304
Office
Unavailable
Facility
$2388.31
No comparable office rate is available.
Wyoming**
Wyoming · 63304
Office
Unavailable
Facility
$2160.31
No comparable office rate is available.
See how rates vary across the country
63304 · 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?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 63304 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2367.92
$2152.65 × 110% = $2367.92
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 63304 in Chico.
PPRRVU2026_Oct_nonQPP.csv
7,068
- Code
- 63304
- Physician work
- 33.00
- Practice expense
- 21.37
- Malpractice
- 13.93
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 33.00 | × 1.017 | 33.5610 |
| Practice expense | 21.37 | × 1.096 | 23.4215 |
| Malpractice | 13.93 | × 0.536 | 7.4665 |
| Total RVUs | 64.4490 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$2152.65
Open 63304 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 33 | 1.017 |
| Practice expense | 21.37 | 1.096 |
| Malpractice | 13.93 | 0.536 |
(33 × 1.017 + 21.37 × 1.096 + 13.93 × 0.536) × $33.4009 = $2152.65
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
63304 · 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 | $2152.65 | RVU26D |
| 2026-07-01 | Not available in this setting | $2152.65 | RVU26C |
| 2026-04-01 | Not available in this setting | $2152.65 | RVU26B |
| 2026-01-01 | Not available in this setting | $2152.65 | RVU26A |
| 2025-10-01 | Not available in this setting | $2213.57 | RVU25D |
| 2025-07-01 | Not available in this setting | $2213.57 | RVU25C |
| 2025-04-01 | Not available in this setting | $2213.57 | RVU25B |
| 2025-01-01 | Not available in this setting | $2213.57 | RVU25A |
63304 billing questions
How is this distinguished from 63300?
Both involve cervical vertebral body resection for an intraspinal lesion. Choose 63304 when the lesion is intradural; 63300 describes the extradural situation.
When is 63308 reported with this service?
Report 63308 for each additional segment treated when the work extends beyond the initial segment. The operative note should identify the additional segment or segments.
Can modifier 50 be used?
No. Modifier 50 is inappropriate for this cervical vertebral procedure.
Are the preoperative visit and follow-up separately included?
The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.
How are multiple procedures handled in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation.
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.
7,06563301,,Remove vert xdrl body thrc,A,,30.78,20.59,NA,20.59,,12.99,64.36,64.36,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,06663302,,Remove vert xdrl body thrlmb,A,,30.37,20.45,NA,20.45,,12.83,63.65,63.65,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,06763303,,Remov vert xdrl bdy lmbr/sac,A,,32.71,20.51,NA,20.51,,13.82,67.04,67.04,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,06863304,,Remove vert idrl body crvcl,A,,33.00,21.37,NA,21.37,,13.93,68.30,68.30,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,06963305,,Remove vert idrl body thrc,A,,35.33,22.19,NA,22.19,,14.93,72.45,72.45,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07063306,,Remov vert idrl bdy thrclmbr,A,,34.66,21.95,NA,21.95,,14.64,71.25,71.25,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07163307,,Remov vert idrl bdy lmbr/sac,A,,34.09,21.14,NA,21.14,,14.39,69.62,69.62,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536