No office rate
Choose 63085 when thoracic vertebral body resection is performed for neural decompression. Code 63064 describes a different thoracic decompression approach without this corpectomy service.
On this page
CMS RVU26D · Effective 2026-10-01
63085 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1738.80
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 63085: Thoracic vertebral body resection for decompression
Reports partial or complete removal of a thoracic vertebral body to decompress the spinal cord or nerve root at one segment.
A spine surgeon reports this service when part or all of a thoracic vertebral body is removed to relieve pressure on the spinal cord or a nerve root. The work includes partial or complete removal of the disc at that level. Clinical reasons can include a thoracic vertebral tumor, destructive fracture, or infection causing neural compression. These operations are generally performed in a hospital operating room.
Select this code for one thoracic vertebral segment; document the level, the vertebral body resection, and the neural decompression performed. Additional thoracic segments are reported with the applicable add-on code, not by extending the single-segment service. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. CMS permits assistant-at-surgery, co-surgeon, and team-surgery payment for this service.
CMS billing rules for 63085
- 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 permitted.
- Team surgery
- Team surgery permitted.
Where the value comes from
- Work RVU28.73 · 53%
- Practice expense (office) RVU16.13 · 30%
- Malpractice RVU9.63 · 18%
242
Medicare services in 2024 · #4159 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.
63085 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
63085 represents the first thoracic vertebral segment; 63086 is the add-on code for each additional thoracic segment.
No office rate
Both describe vertebral body resection for neural decompression, but 63087 is for the thoracolumbar region rather than a thoracic segment.
No office rate
Use 63090 for lumbar vertebral body resection for neural decompression; 63085 is the corresponding single-segment service for the thoracic region.
The same code, a different location
How does Modesto compare?
63085 across payment areas
Same release and payment basis · bars start at $0
Modesto · 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
Madera
California · 63085
Office
Unavailable
Facility
$1738.80
No comparable office rate is available.
Merced
California · 63085
Office
Unavailable
Facility
$1738.80
No comparable office rate is available.
Napa
California · 63085
Office
Unavailable
Facility
$1893.54
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 63085
Office
Unavailable
Facility
$1823.68
No comparable office rate is available.
Redding
California · 63085
Office
Unavailable
Facility
$1738.80
No comparable office rate is available.
Rest Of California
California · 63085
Office
Unavailable
Facility
$1738.80
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 63085
Office
Unavailable
Facility
$1841.73
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 63085
Office
Unavailable
Facility
$1793.13
No comparable office rate is available.
Salinas
California · 63085
Office
Unavailable
Facility
$1786.18
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 63085
Office
Unavailable
Facility
$1807.08
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 63085
Office
Unavailable
Facility
$1958.05
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 63085
Office
Unavailable
Facility
$1947.12
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 63085
Office
Unavailable
Facility
$2014.46
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 63085
Office
Unavailable
Facility
$1969.75
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 63085
Office
Unavailable
Facility
$1761.97
No comparable office rate is available.
Santa Cruz-Watsonville
California · 63085
Office
Unavailable
Facility
$1806.75
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 63085
Office
Unavailable
Facility
$1787.07
No comparable office rate is available.
Santa Rosa-Petaluma
California · 63085
Office
Unavailable
Facility
$1822.39
No comparable office rate is available.
Stockton
California · 63085
Office
Unavailable
Facility
$1738.80
No comparable office rate is available.
Vallejo
California · 63085
Office
Unavailable
Facility
$1877.78
No comparable office rate is available.
Visalia
California · 63085
Office
Unavailable
Facility
$1738.80
No comparable office rate is available.
Yuba City
California · 63085
Office
Unavailable
Facility
$1738.80
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 63085
Office
Unavailable
Facility
$2004.08
No comparable office rate is available.
Miami
Florida · 63085
Office
Unavailable
Facility
$2333.91
No comparable office rate is available.
Chicago
Illinois · 63085
Office
Unavailable
Facility
$2245.96
No comparable office rate is available.
Manhattan
New York · 63085
Office
Unavailable
Facility
$2157.20
No comparable office rate is available.
Alaska*
Alaska · 63085
Office
Unavailable
Facility
$2190.42
No comparable office rate is available.
Alabama
Alabama · 63085
Office
Unavailable
Facility
$1613.07
No comparable office rate is available.
Arkansas
Arkansas · 63085
Office
Unavailable
Facility
$1588.05
No comparable office rate is available.
Arizona
Arizona · 63085
Office
Unavailable
Facility
$1757.00
No comparable office rate is available.
Colorado
Colorado · 63085
Office
Unavailable
Facility
$1795.57
No comparable office rate is available.
Connecticut
Connecticut · 63085
Office
Unavailable
Facility
$1948.24
No comparable office rate is available.
Delaware
Delaware · 63085
Office
Unavailable
Facility
$1785.86
No comparable office rate is available.
Fort Lauderdale
Florida · 63085
Office
Unavailable
Facility
$2086.91
No comparable office rate is available.
Rest Of Florida
Florida · 63085
Office
Unavailable
Facility
$1958.10
No comparable office rate is available.
Atlanta
Georgia · 63085
Office
Unavailable
Facility
$1896.17
No comparable office rate is available.
Rest Of Georgia
Georgia · 63085
Office
Unavailable
Facility
$1823.59
No comparable office rate is available.
Hawaii, Guam
Hawaii · 63085
Office
Unavailable
Facility
$1758.41
No comparable office rate is available.
Iowa
Iowa · 63085
Office
Unavailable
Facility
$1580.27
No comparable office rate is available.
Idaho
Idaho · 63085
Office
Unavailable
Facility
$1607.40
No comparable office rate is available.
East St. Louis
Illinois · 63085
Office
Unavailable
Facility
$2103.07
No comparable office rate is available.
Rest Of Illinois
Illinois · 63085
Office
Unavailable
Facility
$1954.23
No comparable office rate is available.
Suburban Chicago
Illinois · 63085
Office
Unavailable
Facility
$2089.59
No comparable office rate is available.
Indiana
Indiana · 63085
Office
Unavailable
Facility
$1615.36
No comparable office rate is available.
Kansas
Kansas · 63085
Office
Unavailable
Facility
$1608.76
No comparable office rate is available.
Kentucky
Kentucky · 63085
Office
Unavailable
Facility
$1732.87
No comparable office rate is available.
New Orleans
Louisiana · 63085
Office
Unavailable
Facility
$1831.97
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 63085
Office
Unavailable
Facility
$1744.55
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 63085
Office
Unavailable
Facility
$1928.50
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 63085
Office
Unavailable
Facility
$1798.63
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 63085
Office
Unavailable
Facility
$1950.93
No comparable office rate is available.
Rest Of Maryland
Maryland · 63085
Office
Unavailable
Facility
$1809.70
No comparable office rate is available.
Rest Of Maine
Maine · 63085
Office
Unavailable
Facility
$1655.33
No comparable office rate is available.
Southern Maine
Maine · 63085
Office
Unavailable
Facility
$1696.48
No comparable office rate is available.
Detroit
Michigan · 63085
Office
Unavailable
Facility
$2021.81
No comparable office rate is available.
Rest Of Michigan
Michigan · 63085
Office
Unavailable
Facility
$1814.64
No comparable office rate is available.
Minnesota
Minnesota · 63085
Office
Unavailable
Facility
$1609.20
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 63085
Office
Unavailable
Facility
$1779.75
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 63085
Office
Unavailable
Facility
$1794.80
No comparable office rate is available.
Rest Of Missouri
Missouri · 63085
Office
Unavailable
Facility
$1737.30
No comparable office rate is available.
Mississippi
Mississippi · 63085
Office
Unavailable
Facility
$1661.18
No comparable office rate is available.
Montana**
Montana · 63085
Office
Unavailable
Facility
$1819.37
No comparable office rate is available.
North Carolina
North Carolina · 63085
Office
Unavailable
Facility
$1667.80
No comparable office rate is available.
North Dakota**
North Dakota · 63085
Office
Unavailable
Facility
$1628.95
No comparable office rate is available.
Nebraska
Nebraska · 63085
Office
Unavailable
Facility
$1578.46
No comparable office rate is available.
New Hampshire
New Hampshire · 63085
Office
Unavailable
Facility
$1801.90
No comparable office rate is available.
Northern Nj
New Jersey · 63085
Office
Unavailable
Facility
$1988.54
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 63085
Office
Unavailable
Facility
$1939.17
No comparable office rate is available.
New Mexico
New Mexico · 63085
Office
Unavailable
Facility
$1839.95
No comparable office rate is available.
Nevada**
Nevada · 63085
Office
Unavailable
Facility
$1766.84
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 63085
Office
Unavailable
Facility
$2258.91
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 63085
Office
Unavailable
Facility
$1981.93
No comparable office rate is available.
Queens
New York · 63085
Office
Unavailable
Facility
$2121.65
No comparable office rate is available.
Rest Of New York
New York · 63085
Office
Unavailable
Facility
$1697.55
No comparable office rate is available.
Ohio
Ohio · 63085
Office
Unavailable
Facility
$1775.72
No comparable office rate is available.
Oklahoma
Oklahoma · 63085
Office
Unavailable
Facility
$1690.64
No comparable office rate is available.
Portland
Oregon · 63085
Office
Unavailable
Facility
$1812.83
No comparable office rate is available.
Rest Of Oregon
Oregon · 63085
Office
Unavailable
Facility
$1722.33
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 63085
Office
Unavailable
Facility
$1921.46
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 63085
Office
Unavailable
Facility
$1758.15
No comparable office rate is available.
Puerto Rico
Puerto Rico · 63085
Office
Unavailable
Facility
$1821.12
No comparable office rate is available.
Rhode Island
Rhode Island · 63085
Office
Unavailable
Facility
$1821.29
No comparable office rate is available.
South Carolina
South Carolina · 63085
Office
Unavailable
Facility
$1730.82
No comparable office rate is available.
South Dakota**
South Dakota · 63085
Office
Unavailable
Facility
$1606.44
No comparable office rate is available.
Tennessee
Tennessee · 63085
Office
Unavailable
Facility
$1622.06
No comparable office rate is available.
Austin
Texas · 63085
Office
Unavailable
Facility
$1816.51
No comparable office rate is available.
Beaumont
Texas · 63085
Office
Unavailable
Facility
$1748.69
No comparable office rate is available.
Brazoria
Texas · 63085
Office
Unavailable
Facility
$1752.08
No comparable office rate is available.
Dallas
Texas · 63085
Office
Unavailable
Facility
$1780.82
No comparable office rate is available.
Fort Worth
Texas · 63085
Office
Unavailable
Facility
$1779.62
No comparable office rate is available.
Galveston
Texas · 63085
Office
Unavailable
Facility
$1768.60
No comparable office rate is available.
Houston
Texas · 63085
Office
Unavailable
Facility
$1944.86
No comparable office rate is available.
Rest Of Texas
Texas · 63085
Office
Unavailable
Facility
$1761.34
No comparable office rate is available.
Utah
Utah · 63085
Office
Unavailable
Facility
$1754.88
No comparable office rate is available.
Virginia
Virginia · 63085
Office
Unavailable
Facility
$1716.29
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 63085
Office
Unavailable
Facility
$1821.12
No comparable office rate is available.
Vermont
Vermont · 63085
Office
Unavailable
Facility
$1655.73
No comparable office rate is available.
Rest Of Washington
Washington · 63085
Office
Unavailable
Facility
$1784.17
No comparable office rate is available.
Seattle (King Cnty)
Washington · 63085
Office
Unavailable
Facility
$1931.43
No comparable office rate is available.
Wisconsin
Wisconsin · 63085
Office
Unavailable
Facility
$1574.81
No comparable office rate is available.
West Virginia
West Virginia · 63085
Office
Unavailable
Facility
$1888.07
No comparable office rate is available.
Wyoming**
Wyoming · 63085
Office
Unavailable
Facility
$1736.39
No comparable office rate is available.
See how rates vary across the country
63085 · 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?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 63085 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1912.68
$1738.80 × 110% = $1912.68
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 63085 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
7,023
- Code
- 63085
- Physician work
- 28.73
- Practice expense
- 16.13
- Malpractice
- 9.63
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 28.73 | × 1.017 | 29.2184 |
| Practice expense | 16.13 | × 1.096 | 17.6785 |
| Malpractice | 9.63 | × 0.536 | 5.1617 |
| Total RVUs | 52.0586 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$1738.80
Open 63085 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 28.73 | 1.017 |
| Practice expense | 16.13 | 1.096 |
| Malpractice | 9.63 | 0.536 |
(28.73 × 1.017 + 16.13 × 1.096 + 9.63 × 0.536) × $33.4009 = $1738.80
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
63085 · 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 | $1738.80 | RVU26D |
| 2026-07-01 | Not available in this setting | $1738.80 | RVU26C |
| 2026-04-01 | Not available in this setting | $1738.80 | RVU26B |
| 2026-01-01 | Not available in this setting | $1738.80 | RVU26A |
| 2025-10-01 | Not available in this setting | $1834.43 | RVU25D |
| 2025-07-01 | Not available in this setting | $1834.43 | RVU25C |
| 2025-04-01 | Not available in this setting | $1834.43 | RVU25B |
| 2025-01-01 | Not available in this setting | $1834.43 | RVU25A |
63085 billing questions
When should this code be used instead of a thoracic decompression code?
Use it when the surgeon removes part or all of a thoracic vertebral body for spinal cord or nerve root decompression. A decompression performed without vertebral body resection is represented by a different code.
Does the service include disc removal at the treated level?
Yes. Partial or complete discectomy at the corpectomy level is included in the service.
How are additional thoracic segments reported?
Report the single-segment service for the first thoracic segment and use 63086 for each additional thoracic segment when the documented work meets that code’s requirements.
What documentation supports reporting this code?
The operative report should identify the thoracic level, describe partial or complete vertebral body removal, and explain the spinal cord or nerve root decompression performed.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery, co-surgeons, and team surgery for this service.
How does the multiple-procedure rule affect same-session services?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies the standard 50% reduction to the others.
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.
7,02063078,,Spine disk surgery thorax,A,,3.20,1.12,NA,1.12,,1.33,5.65,5.65,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,02163081,,Remove vert body dcmprn crvl,A,,25.45,15.61,NA,15.61,,8.64,49.70,49.70,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
7,02263082,,Remove vertebral body add-on,A,,4.25,1.43,NA,1.43,,1.43,7.11,7.11,0,ZZZ,0.00,0.00,0.00,0,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
7,02363085,,Remove vert body dcmprn thrc,A,,28.73,16.13,NA,16.13,,9.63,54.49,54.49,0,090,0.11,0.76,0.13,2,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
7,02463086,,Remove vertebral body add-on,A,,3.11,0.98,NA,0.98,,1.03,5.12,5.12,0,ZZZ,0.00,0.00,0.00,0,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
7,02563087,,Remov vertbr dcmprn thrclmbr,A,,36.59,19.06,NA,19.06,,12.14,67.79,67.79,0,090,0.11,0.76,0.13,2,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
7,02663088,,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
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
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536