No office rate
63300 is the primary code for resection of an extradural cervical lesion. Code 63308 accounts for additional vertebral segments and must accompany a qualifying primary code.
On this page
CMS RVU26D · Effective 2026-10-01
63308 in Madera
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$268.94
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 63308: Additional vertebral segment resection
Additional vertebral-body resection for an intraspinal lesion is reported for each extra vertebral segment removed with a qualifying primary transpedicular resection.
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.
CMS billing rules for 63308
- 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 RVU5.11 · 59%
- Practice expense (office) RVU1.71 · 20%
- Malpractice RVU1.83 · 21%
122
Medicare services in 2024 · #4729 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.
63308 compared with similar codes
Office rates for Madera, from the same CMS release.
No office rate
63301 identifies a primary extradural thoracic resection. It does not represent an additional segment in the way 63308 does.
No office rate
63304 is the primary code for an intradural cervical lesion. Choose the primary code based on lesion relationship and region; use 63308 for additional resected segments.
The same code, a different location
How does Madera compare?
63308 across payment areas
Same release and payment basis · bars start at $0
Madera · 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.
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 · 63308
Office
Unavailable
Facility
$268.94
No comparable office rate is available.
Modesto
California · 63308
Office
Unavailable
Facility
$268.94
No comparable office rate is available.
Napa
California · 63308
Office
Unavailable
Facility
$287.76
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 63308
Office
Unavailable
Facility
$281.05
No comparable office rate is available.
Redding
California · 63308
Office
Unavailable
Facility
$268.94
No comparable office rate is available.
Rest Of California
California · 63308
Office
Unavailable
Facility
$268.94
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 63308
Office
Unavailable
Facility
$288.49
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 63308
Office
Unavailable
Facility
$276.01
No comparable office rate is available.
Salinas
California · 63308
Office
Unavailable
Facility
$274.93
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 63308
Office
Unavailable
Facility
$277.24
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 63308
Office
Unavailable
Facility
$295.48
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 63308
Office
Unavailable
Facility
$293.40
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 63308
Office
Unavailable
Facility
$304.58
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 63308
Office
Unavailable
Facility
$296.08
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 63308
Office
Unavailable
Facility
$271.40
No comparable office rate is available.
Santa Cruz-Watsonville
California · 63308
Office
Unavailable
Facility
$276.42
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 63308
Office
Unavailable
Facility
$274.82
No comparable office rate is available.
Santa Rosa-Petaluma
California · 63308
Office
Unavailable
Facility
$278.70
No comparable office rate is available.
Stockton
California · 63308
Office
Unavailable
Facility
$268.94
No comparable office rate is available.
Vallejo
California · 63308
Office
Unavailable
Facility
$284.77
No comparable office rate is available.
Visalia
California · 63308
Office
Unavailable
Facility
$268.94
No comparable office rate is available.
Yuba City
California · 63308
Office
Unavailable
Facility
$268.94
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 63308
Office
Unavailable
Facility
$315.21
No comparable office rate is available.
Miami
Florida · 63308
Office
Unavailable
Facility
$384.72
No comparable office rate is available.
Chicago
Illinois · 63308
Office
Unavailable
Facility
$369.55
No comparable office rate is available.
Manhattan
New York · 63308
Office
Unavailable
Facility
$344.91
No comparable office rate is available.
Alaska*
Alaska · 63308
Office
Unavailable
Facility
$350.53
No comparable office rate is available.
Alabama
Alabama · 63308
Office
Unavailable
Facility
$255.25
No comparable office rate is available.
Arkansas
Arkansas · 63308
Office
Unavailable
Facility
$251.22
No comparable office rate is available.
Arizona
Arizona · 63308
Office
Unavailable
Facility
$278.35
No comparable office rate is available.
Colorado
Colorado · 63308
Office
Unavailable
Facility
$281.24
No comparable office rate is available.
Connecticut
Connecticut · 63308
Office
Unavailable
Facility
$309.57
No comparable office rate is available.
Delaware
Delaware · 63308
Office
Unavailable
Facility
$282.91
No comparable office rate is available.
Fort Lauderdale
Florida · 63308
Office
Unavailable
Facility
$339.05
No comparable office rate is available.
Rest Of Florida
Florida · 63308
Office
Unavailable
Facility
$317.15
No comparable office rate is available.
Atlanta
Georgia · 63308
Office
Unavailable
Facility
$302.63
No comparable office rate is available.
Rest Of Georgia
Georgia · 63308
Office
Unavailable
Facility
$294.49
No comparable office rate is available.
Hawaii, Guam
Hawaii · 63308
Office
Unavailable
Facility
$271.01
No comparable office rate is available.
Iowa
Iowa · 63308
Office
Unavailable
Facility
$247.21
No comparable office rate is available.
Idaho
Idaho · 63308
Office
Unavailable
Facility
$252.14
No comparable office rate is available.
East St. Louis
Illinois · 63308
Office
Unavailable
Facility
$346.33
No comparable office rate is available.
Rest Of Illinois
Illinois · 63308
Office
Unavailable
Facility
$318.36
No comparable office rate is available.
Suburban Chicago
Illinois · 63308
Office
Unavailable
Facility
$338.84
No comparable office rate is available.
Indiana
Indiana · 63308
Office
Unavailable
Facility
$253.33
No comparable office rate is available.
Kansas
Kansas · 63308
Office
Unavailable
Facility
$253.12
No comparable office rate is available.
Kentucky
Kentucky · 63308
Office
Unavailable
Facility
$277.38
No comparable office rate is available.
New Orleans
Louisiana · 63308
Office
Unavailable
Facility
$293.86
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 63308
Office
Unavailable
Facility
$279.78
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 63308
Office
Unavailable
Facility
$300.27
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 63308
Office
Unavailable
Facility
$282.27
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 63308
Office
Unavailable
Facility
$310.30
No comparable office rate is available.
Rest Of Maryland
Maryland · 63308
Office
Unavailable
Facility
$286.30
No comparable office rate is available.
Rest Of Maine
Maine · 63308
Office
Unavailable
Facility
$261.24
No comparable office rate is available.
Southern Maine
Maine · 63308
Office
Unavailable
Facility
$265.85
No comparable office rate is available.
Detroit
Michigan · 63308
Office
Unavailable
Facility
$328.85
No comparable office rate is available.
Rest Of Michigan
Michigan · 63308
Office
Unavailable
Facility
$291.83
No comparable office rate is available.
Minnesota
Minnesota · 63308
Office
Unavailable
Facility
$247.54
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 63308
Office
Unavailable
Facility
$284.03
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 63308
Office
Unavailable
Facility
$286.30
No comparable office rate is available.
Rest Of Missouri
Missouri · 63308
Office
Unavailable
Facility
$279.45
No comparable office rate is available.
Mississippi
Mississippi · 63308
Office
Unavailable
Facility
$265.03
No comparable office rate is available.
Montana**
Montana · 63308
Office
Unavailable
Facility
$288.80
No comparable office rate is available.
North Carolina
North Carolina · 63308
Office
Unavailable
Facility
$263.03
No comparable office rate is available.
North Dakota**
North Dakota · 63308
Office
Unavailable
Facility
$252.61
No comparable office rate is available.
Nebraska
Nebraska · 63308
Office
Unavailable
Facility
$246.50
No comparable office rate is available.
New Hampshire
New Hampshire · 63308
Office
Unavailable
Facility
$283.62
No comparable office rate is available.
Northern Nj
New Jersey · 63308
Office
Unavailable
Facility
$312.97
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 63308
Office
Unavailable
Facility
$306.93
No comparable office rate is available.
New Mexico
New Mexico · 63308
Office
Unavailable
Facility
$296.46
No comparable office rate is available.
Nevada**
Nevada · 63308
Office
Unavailable
Facility
$278.77
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 63308
Office
Unavailable
Facility
$363.02
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 63308
Office
Unavailable
Facility
$314.86
No comparable office rate is available.
Queens
New York · 63308
Office
Unavailable
Facility
$337.25
No comparable office rate is available.
Rest Of New York
New York · 63308
Office
Unavailable
Facility
$267.91
No comparable office rate is available.
Ohio
Ohio · 63308
Office
Unavailable
Facility
$284.44
No comparable office rate is available.
Oklahoma
Oklahoma · 63308
Office
Unavailable
Facility
$269.18
No comparable office rate is available.
Portland
Oregon · 63308
Office
Unavailable
Facility
$282.34
No comparable office rate is available.
Rest Of Oregon
Oregon · 63308
Office
Unavailable
Facility
$270.54
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 63308
Office
Unavailable
Facility
$306.13
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 63308
Office
Unavailable
Facility
$280.87
No comparable office rate is available.
Puerto Rico
Puerto Rico · 63308
Office
Unavailable
Facility
$288.63
No comparable office rate is available.
Rhode Island
Rhode Island · 63308
Office
Unavailable
Facility
$287.44
No comparable office rate is available.
South Carolina
South Carolina · 63308
Office
Unavailable
Facility
$275.41
No comparable office rate is available.
South Dakota**
South Dakota · 63308
Office
Unavailable
Facility
$248.33
No comparable office rate is available.
Tennessee
Tennessee · 63308
Office
Unavailable
Facility
$255.42
No comparable office rate is available.
Austin
Texas · 63308
Office
Unavailable
Facility
$285.60
No comparable office rate is available.
Beaumont
Texas · 63308
Office
Unavailable
Facility
$279.44
No comparable office rate is available.
Brazoria
Texas · 63308
Office
Unavailable
Facility
$276.32
No comparable office rate is available.
Dallas
Texas · 63308
Office
Unavailable
Facility
$281.55
No comparable office rate is available.
Fort Worth
Texas · 63308
Office
Unavailable
Facility
$281.77
No comparable office rate is available.
Galveston
Texas · 63308
Office
Unavailable
Facility
$279.37
No comparable office rate is available.
Houston
Texas · 63308
Office
Unavailable
Facility
$312.87
No comparable office rate is available.
Rest Of Texas
Texas · 63308
Office
Unavailable
Facility
$280.08
No comparable office rate is available.
Utah
Utah · 63308
Office
Unavailable
Facility
$279.26
No comparable office rate is available.
Virginia
Virginia · 63308
Office
Unavailable
Facility
$269.98
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 63308
Office
Unavailable
Facility
$288.63
No comparable office rate is available.
Vermont
Vermont · 63308
Office
Unavailable
Facility
$258.15
No comparable office rate is available.
Rest Of Washington
Washington · 63308
Office
Unavailable
Facility
$279.56
No comparable office rate is available.
Seattle (King Cnty)
Washington · 63308
Office
Unavailable
Facility
$299.23
No comparable office rate is available.
Wisconsin
Wisconsin · 63308
Office
Unavailable
Facility
$244.22
No comparable office rate is available.
West Virginia
West Virginia · 63308
Office
Unavailable
Facility
$307.78
No comparable office rate is available.
Wyoming**
Wyoming · 63308
Office
Unavailable
Facility
$273.03
No comparable office rate is available.
See how rates vary across the country
63308 · 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?
Madera is a Medicare payment area. Our Census mapping connects it to 17 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 63308 in Madera. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$295.83
$268.94 × 110% = $295.83
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 63308 in Madera.
PPRRVU2026_Oct_nonQPP.csv
7,072
- Code
- 63308
- Physician work
- 5.11
- Practice expense
- 1.71
- Malpractice
- 1.83
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.11 | × 1.017 | 5.1969 |
| Practice expense | 1.71 | × 1.096 | 1.8742 |
| Malpractice | 1.83 | × 0.536 | 0.9809 |
| Total RVUs | 8.0519 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Madera$268.94
Open 63308 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.11 | 1.017 |
| Practice expense | 1.71 | 1.096 |
| Malpractice | 1.83 | 0.536 |
(5.11 × 1.017 + 1.71 × 1.096 + 1.83 × 0.536) × $33.4009 = $268.94
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
63308 · 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 | $268.94 | RVU26D |
| 2026-07-01 | Not available in this setting | $268.94 | RVU26C |
| 2026-04-01 | Not available in this setting | $268.94 | RVU26B |
| 2026-01-01 | Not available in this setting | $268.94 | RVU26A |
| 2025-10-01 | Not available in this setting | $294.98 | RVU25D |
| 2025-07-01 | Not available in this setting | $294.98 | RVU25C |
| 2025-04-01 | Not available in this setting | $294.98 | RVU25B |
| 2025-01-01 | Not available in this setting | $294.98 | RVU25A |
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 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.
7,06963305,,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
7,07263308,,Remove vertebral body add-on,A,,5.11,1.71,NA,1.71,,1.83,8.65,8.65,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07363600,,Remove spinal cord lesion,A,,14.74,11.53,NA,11.53,,6.21,32.48,32.48,0,090,0.11,0.76,0.13,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07463610,,Stimulation of spinal cord,A,,8.50,4.35,NA,4.35,,3.58,16.43,16.43,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07563620,,Srs spinal lesion,A,,15.21,11.72,NA,11.72,,6.40,33.33,33.33,0,090,0.11,0.76,0.13,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508