No office rate
Use 63101 for a thoracic segment and 63102 for a lumbar segment. The treated region, not the degree of vertebral-body removal, distinguishes them.
On this page
CMS RVU26D · Effective 2026-10-01
63101 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$2173.43
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 63101: Thoracic vertebral body resection for decompression
Reports partial or complete removal of a thoracic vertebral body to decompress the spinal cord or nerve roots at one segment.
An orthopedic spine surgeon or neurosurgeon removes part or all of a thoracic vertebral body when it contributes to spinal cord or nerve root compression. The operation is performed in a surgical setting and may address structural disease such as a vertebral lesion or traumatic collapse when direct neural decompression requires vertebral-body removal. The code represents one thoracic segment.
Report 63101 when the operative note identifies the thoracic level and documents vertebral-body resection for neural decompression; use 63102 for the lumbar region. Code 63103 may be reported for each additional segment with the primary procedure. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 63101
- 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 RVU33.25 · 50%
- Practice expense (office) RVU20.92 · 32%
- Malpractice RVU12.22 · 18%
788
Medicare services in 2024 · #3164 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.
63101 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
63101 reports the primary thoracic segment. 63103 is the add-on for each additional segment, rather than a replacement for the primary code.
No office rate
63085 describes an approach-specific thoracic corpectomy. Compare the operative approach and the applicable descriptor; thoracic location alone does not determine the code.
The same code, a different location
How does Delaware compare?
63101 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
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 Delaware 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
Alabama
Alabama · 63101
Office
Unavailable
Facility
$1953.00
No comparable office rate is available.
Arkansas
Arkansas · 63101
Office
Unavailable
Facility
$1921.01
No comparable office rate is available.
Arizona
Arizona · 63101
Office
Unavailable
Facility
$2137.05
No comparable office rate is available.
Bakersfield
California · 63101
Office
Unavailable
Facility
$2146.08
No comparable office rate is available.
Chico
California · 63101
Office
Unavailable
Facility
$2114.06
No comparable office rate is available.
El Centro
California · 63101
Office
Unavailable
Facility
$2116.10
No comparable office rate is available.
Fresno
California · 63101
Office
Unavailable
Facility
$2114.06
No comparable office rate is available.
Hanford-Corcoran
California · 63101
Office
Unavailable
Facility
$2114.06
No comparable office rate is available.
Madera
California · 63101
Office
Unavailable
Facility
$2114.06
No comparable office rate is available.
Merced
California · 63101
Office
Unavailable
Facility
$2114.06
No comparable office rate is available.
Modesto
California · 63101
Office
Unavailable
Facility
$2114.06
No comparable office rate is available.
Napa
California · 63101
Office
Unavailable
Facility
$2308.84
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 63101
Office
Unavailable
Facility
$2221.88
No comparable office rate is available.
Redding
California · 63101
Office
Unavailable
Facility
$2114.06
No comparable office rate is available.
Rest Of California
California · 63101
Office
Unavailable
Facility
$2114.06
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 63101
Office
Unavailable
Facility
$2244.56
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 63101
Office
Unavailable
Facility
$2181.98
No comparable office rate is available.
Salinas
California · 63101
Office
Unavailable
Facility
$2173.63
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 63101
Office
Unavailable
Facility
$2200.82
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 63101
Office
Unavailable
Facility
$2388.66
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 63101
Office
Unavailable
Facility
$2374.79
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 63101
Office
Unavailable
Facility
$2459.11
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 63101
Office
Unavailable
Facility
$2402.38
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 63101
Office
Unavailable
Facility
$2144.11
No comparable office rate is available.
Santa Cruz-Watsonville
California · 63101
Office
Unavailable
Facility
$2201.65
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 63101
Office
Unavailable
Facility
$2175.19
No comparable office rate is available.
Santa Rosa-Petaluma
California · 63101
Office
Unavailable
Facility
$2220.73
No comparable office rate is available.
Stockton
California · 63101
Office
Unavailable
Facility
$2114.06
No comparable office rate is available.
Vallejo
California · 63101
Office
Unavailable
Facility
$2288.84
No comparable office rate is available.
Visalia
California · 63101
Office
Unavailable
Facility
$2114.06
No comparable office rate is available.
Yuba City
California · 63101
Office
Unavailable
Facility
$2114.06
No comparable office rate is available.
Colorado
Colorado · 63101
Office
Unavailable
Facility
$2186.15
No comparable office rate is available.
Connecticut
Connecticut · 63101
Office
Unavailable
Facility
$2379.21
No comparable office rate is available.
Fort Lauderdale
Florida · 63101
Office
Unavailable
Facility
$2556.36
No comparable office rate is available.
Rest Of Florida
Florida · 63101
Office
Unavailable
Facility
$2392.04
No comparable office rate is available.
Atlanta
Georgia · 63101
Office
Unavailable
Facility
$2314.04
No comparable office rate is available.
Rest Of Georgia
Georgia · 63101
Office
Unavailable
Facility
$2220.39
No comparable office rate is available.
Hawaii, Guam
Hawaii · 63101
Office
Unavailable
Facility
$2141.38
No comparable office rate is available.
Iowa
Iowa · 63101
Office
Unavailable
Facility
$1911.97
No comparable office rate is available.
Idaho
Idaho · 63101
Office
Unavailable
Facility
$1946.49
No comparable office rate is available.
East St. Louis
Illinois · 63101
Office
Unavailable
Facility
$2575.46
No comparable office rate is available.
Rest Of Illinois
Illinois · 63101
Office
Unavailable
Facility
$2386.49
No comparable office rate is available.
Suburban Chicago
Illinois · 63101
Office
Unavailable
Facility
$2559.22
No comparable office rate is available.
Indiana
Indiana · 63101
Office
Unavailable
Facility
$1956.68
No comparable office rate is available.
Kansas
Kansas · 63101
Office
Unavailable
Facility
$1947.96
No comparable office rate is available.
Kentucky
Kentucky · 63101
Office
Unavailable
Facility
$2105.23
No comparable office rate is available.
New Orleans
Louisiana · 63101
Office
Unavailable
Facility
$2231.77
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 63101
Office
Unavailable
Facility
$2119.99
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 63101
Office
Unavailable
Facility
$2353.68
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 63101
Office
Unavailable
Facility
$2189.43
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 63101
Office
Unavailable
Facility
$2383.00
No comparable office rate is available.
Rest Of Maryland
Maryland · 63101
Office
Unavailable
Facility
$2203.51
No comparable office rate is available.
Rest Of Maine
Maine · 63101
Office
Unavailable
Facility
$2007.30
No comparable office rate is available.
Southern Maine
Maine · 63101
Office
Unavailable
Facility
$2060.59
No comparable office rate is available.
Detroit
Michigan · 63101
Office
Unavailable
Facility
$2473.03
No comparable office rate is available.
Rest Of Michigan
Michigan · 63101
Office
Unavailable
Facility
$2209.35
No comparable office rate is available.
Minnesota
Minnesota · 63101
Office
Unavailable
Facility
$1950.41
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 63101
Office
Unavailable
Facility
$2165.47
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 63101
Office
Unavailable
Facility
$2184.76
No comparable office rate is available.
Rest Of Missouri
Missouri · 63101
Office
Unavailable
Facility
$2110.45
No comparable office rate is available.
Mississippi
Mississippi · 63101
Office
Unavailable
Facility
$2013.83
No comparable office rate is available.
Montana**
Montana · 63101
Office
Unavailable
Facility
$2216.67
No comparable office rate is available.
North Carolina
North Carolina · 63101
Office
Unavailable
Facility
$2023.32
No comparable office rate is available.
North Dakota**
North Dakota · 63101
Office
Unavailable
Facility
$1975.04
No comparable office rate is available.
Nebraska
Nebraska · 63101
Office
Unavailable
Facility
$1909.81
No comparable office rate is available.
New Hampshire
New Hampshire · 63101
Office
Unavailable
Facility
$2195.11
No comparable office rate is available.
Northern Nj
New Jersey · 63101
Office
Unavailable
Facility
$2427.01
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 63101
Office
Unavailable
Facility
$2365.79
No comparable office rate is available.
New Mexico
New Mexico · 63101
Office
Unavailable
Facility
$2241.53
No comparable office rate is available.
Nevada**
Nevada · 63101
Office
Unavailable
Facility
$2150.02
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 63101
Office
Unavailable
Facility
$2770.42
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 63101
Office
Unavailable
Facility
$2419.56
No comparable office rate is available.
Queens
New York · 63101
Office
Unavailable
Facility
$2596.14
No comparable office rate is available.
Rest Of New York
New York · 63101
Office
Unavailable
Facility
$2061.33
No comparable office rate is available.
Ohio
Ohio · 63101
Office
Unavailable
Facility
$2159.96
No comparable office rate is available.
Oklahoma
Oklahoma · 63101
Office
Unavailable
Facility
$2051.70
No comparable office rate is available.
Portland
Oregon · 63101
Office
Unavailable
Facility
$2208.33
No comparable office rate is available.
Rest Of Oregon
Oregon · 63101
Office
Unavailable
Facility
$2093.47
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 63101
Office
Unavailable
Facility
$2344.90
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 63101
Office
Unavailable
Facility
$2137.74
No comparable office rate is available.
Puerto Rico
Puerto Rico · 63101
Office
Unavailable
Facility
$2219.05
No comparable office rate is available.
Rhode Island
Rhode Island · 63101
Office
Unavailable
Facility
$2217.56
No comparable office rate is available.
South Carolina
South Carolina · 63101
Office
Unavailable
Facility
$2103.16
No comparable office rate is available.
South Dakota**
South Dakota · 63101
Office
Unavailable
Facility
$1946.47
No comparable office rate is available.
Tennessee
Tennessee · 63101
Office
Unavailable
Facility
$1964.92
No comparable office rate is available.
Austin
Texas · 63101
Office
Unavailable
Facility
$2213.70
No comparable office rate is available.
Beaumont
Texas · 63101
Office
Unavailable
Facility
$2125.62
No comparable office rate is available.
Brazoria
Texas · 63101
Office
Unavailable
Facility
$2130.29
No comparable office rate is available.
Dallas
Texas · 63101
Office
Unavailable
Facility
$2166.73
No comparable office rate is available.
Fort Worth
Texas · 63101
Office
Unavailable
Facility
$2165.05
No comparable office rate is available.
Galveston
Texas · 63101
Office
Unavailable
Facility
$2151.28
No comparable office rate is available.
Houston
Texas · 63101
Office
Unavailable
Facility
$2374.95
No comparable office rate is available.
Rest Of Texas
Texas · 63101
Office
Unavailable
Facility
$2142.26
No comparable office rate is available.
Utah
Utah · 63101
Office
Unavailable
Facility
$2133.93
No comparable office rate is available.
Virginia
Virginia · 63101
Office
Unavailable
Facility
$2085.61
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 63101
Office
Unavailable
Facility
$2219.05
No comparable office rate is available.
Vermont
Vermont · 63101
Office
Unavailable
Facility
$2008.87
No comparable office rate is available.
Rest Of Washington
Washington · 63101
Office
Unavailable
Facility
$2171.41
No comparable office rate is available.
Seattle (King Cnty)
Washington · 63101
Office
Unavailable
Facility
$2356.94
No comparable office rate is available.
Wisconsin
Wisconsin · 63101
Office
Unavailable
Facility
$1905.69
No comparable office rate is available.
West Virginia
West Virginia · 63101
Office
Unavailable
Facility
$2301.87
No comparable office rate is available.
Wyoming**
Wyoming · 63101
Office
Unavailable
Facility
$2111.36
No comparable office rate is available.
See how rates vary across the country
63101 · 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?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 63101 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2390.77
$2173.43 × 110% = $2390.77
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 63101 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
7,029
- Code
- 63101
- Physician work
- 33.25
- Practice expense
- 20.92
- Malpractice
- 12.22
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 33.25 | × 1.005 | 33.4162 |
| Practice expense | 20.92 | × 0.988 | 20.6690 |
| Malpractice | 12.22 | × 0.899 | 10.9858 |
| Total RVUs | 65.0710 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$2173.43
Open 63101 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 33.25 | 1.005 |
| Practice expense | 20.92 | 0.988 |
| Malpractice | 12.22 | 0.899 |
(33.25 × 1.005 + 20.92 × 0.988 + 12.22 × 0.899) × $33.4009 = $2173.43
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
63101 · 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 | $2173.43 | RVU26D |
| 2026-07-01 | Not available in this setting | $2173.43 | RVU26C |
| 2026-04-01 | Not available in this setting | $2173.43 | RVU26B |
| 2026-01-01 | Not available in this setting | $2173.43 | RVU26A |
| 2025-10-01 | Not available in this setting | $2268.57 | RVU25D |
| 2025-07-01 | Not available in this setting | $2268.57 | RVU25C |
| 2025-04-01 | Not available in this setting | $2268.57 | RVU25B |
| 2025-01-01 | Not available in this setting | $2268.57 | RVU25A |
63101 billing questions
How is 63101 distinguished from 63102?
63101 is for thoracic vertebral-body resection for decompression; 63102 is the lumbar-region counterpart. The operative documentation should establish the anatomic region treated.
When is 63103 reported with 63101?
63103 is the add-on code for each additional vertebral segment treated. Report 63101 for the first thoracic segment and use 63103 for qualifying additional segments.
What should the operative note document?
Document the thoracic level, the vertebral body or bodies resected, and how the resection decompresses the spinal cord or nerve roots. The note should support the number of segments reported.
How does the multiple-procedure payment rule affect 63101?
When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and pays the others at 50%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided.
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.
7,02663088,,Remove vertebral body add-on,A,,4.21,1.37,NA,1.37,,1.44,7.02,7.02,0,ZZZ,0.00,0.00,0.00,0,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
7,02763090,,Remove vert body dcmprn lmbr,A,,30.16,15.66,NA,15.66,,8.73,54.55,54.55,0,090,0.11,0.76,0.13,2,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
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
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503