No office rate
This code is for the thoracic region; 63300 is the extradural counterpart for a cervical lesion.
On this page
CMS RVU26D · Effective 2026-10-01
63301 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$2031.86
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 63301: Thoracic extradural lesion vertebral resection
Reports partial or complete removal of a thoracic vertebral body to excise an extradural intraspinal lesion at one vertebral segment.
This service involves removing part or all of a thoracic vertebral body to reach and excise an extradural lesion within the spinal canal. A spine surgeon or neurosurgeon typically performs it in an operating room when a lesion, such as an extradural spinal tumor, requires this bony exposure and resection. The code describes one vertebral segment; the lesion is extradural, rather than within the dura.
Select the code based on the operative report’s documented lesion location, extradural status, thoracic level, and vertebral segment resected. Code 63308 may be reported for each additional segment when the work extends beyond the primary segment. The 90-day global period includes 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 multiple procedure reduction. Bilateral adjustment is inappropriate for this code. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 63301
- 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 RVU30.78 · 48%
- Practice expense (office) RVU20.59 · 32%
- Malpractice RVU12.99 · 20%
85
Medicare services in 2024 · #5001 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.
63301 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
This code is for a thoracic segment. Code 63302 applies when the documented level is thoracolumbar.
No office rate
Both are thoracic vertebral body resections for intraspinal lesions. Choose 63301 for an extradural lesion and 63305 for an intradural lesion.
No office rate
Code 63301 represents the primary single-segment service; 63308 is the add-on for each additional vertebral segment.
The same code, a different location
How does Modesto compare?
63301 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 · 63301
Office
Unavailable
Facility
$2031.86
No comparable office rate is available.
Merced
California · 63301
Office
Unavailable
Facility
$2031.86
No comparable office rate is available.
Napa
California · 63301
Office
Unavailable
Facility
$2219.68
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 63301
Office
Unavailable
Facility
$2140.06
No comparable office rate is available.
Redding
California · 63301
Office
Unavailable
Facility
$2031.86
No comparable office rate is available.
Rest Of California
California · 63301
Office
Unavailable
Facility
$2031.86
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 63301
Office
Unavailable
Facility
$2170.43
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 63301
Office
Unavailable
Facility
$2097.47
No comparable office rate is available.
Salinas
California · 63301
Office
Unavailable
Facility
$2089.58
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 63301
Office
Unavailable
Facility
$2116.60
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 63301
Office
Unavailable
Facility
$2294.59
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 63301
Office
Unavailable
Facility
$2279.84
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 63301
Office
Unavailable
Facility
$2365.43
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 63301
Office
Unavailable
Facility
$2305.12
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 63301
Office
Unavailable
Facility
$2061.43
No comparable office rate is available.
Santa Cruz-Watsonville
California · 63301
Office
Unavailable
Facility
$2117.81
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 63301
Office
Unavailable
Facility
$2091.31
No comparable office rate is available.
Santa Rosa-Petaluma
California · 63301
Office
Unavailable
Facility
$2136.01
No comparable office rate is available.
Stockton
California · 63301
Office
Unavailable
Facility
$2031.86
No comparable office rate is available.
Vallejo
California · 63301
Office
Unavailable
Facility
$2198.42
No comparable office rate is available.
Visalia
California · 63301
Office
Unavailable
Facility
$2031.86
No comparable office rate is available.
Yuba City
California · 63301
Office
Unavailable
Facility
$2031.86
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 63301
Office
Unavailable
Facility
$2376.64
No comparable office rate is available.
Miami
Florida · 63301
Office
Unavailable
Facility
$2841.28
No comparable office rate is available.
Chicago
Illinois · 63301
Office
Unavailable
Facility
$2722.19
No comparable office rate is available.
Manhattan
New York · 63301
Office
Unavailable
Facility
$2581.14
No comparable office rate is available.
Alaska*
Alaska · 63301
Office
Unavailable
Facility
$2513.61
No comparable office rate is available.
Alabama
Alabama · 63301
Office
Unavailable
Facility
$1875.41
No comparable office rate is available.
Arkansas
Arkansas · 63301
Office
Unavailable
Facility
$1842.28
No comparable office rate is available.
Arizona
Arizona · 63301
Office
Unavailable
Facility
$2065.88
No comparable office rate is available.
Colorado
Colorado · 63301
Office
Unavailable
Facility
$2111.01
No comparable office rate is available.
Connecticut
Connecticut · 63301
Office
Unavailable
Facility
$2314.31
No comparable office rate is available.
Delaware
Delaware · 63301
Office
Unavailable
Facility
$2102.75
No comparable office rate is available.
Fort Lauderdale
Florida · 63301
Office
Unavailable
Facility
$2509.20
No comparable office rate is available.
Rest Of Florida
Florida · 63301
Office
Unavailable
Facility
$2337.66
No comparable office rate is available.
Atlanta
Georgia · 63301
Office
Unavailable
Facility
$2250.98
No comparable office rate is available.
Rest Of Georgia
Georgia · 63301
Office
Unavailable
Facility
$2158.71
No comparable office rate is available.
Hawaii, Guam
Hawaii · 63301
Office
Unavailable
Facility
$2061.24
No comparable office rate is available.
Iowa
Iowa · 63301
Office
Unavailable
Facility
$1829.60
No comparable office rate is available.
Idaho
Idaho · 63301
Office
Unavailable
Facility
$1866.01
No comparable office rate is available.
East St. Louis
Illinois · 63301
Office
Unavailable
Facility
$2534.62
No comparable office rate is available.
Rest Of Illinois
Illinois · 63301
Office
Unavailable
Facility
$2334.12
No comparable office rate is available.
Suburban Chicago
Illinois · 63301
Office
Unavailable
Facility
$2510.40
No comparable office rate is available.
Indiana
Indiana · 63301
Office
Unavailable
Facility
$1876.46
No comparable office rate is available.
Kansas
Kansas · 63301
Office
Unavailable
Facility
$1868.46
No comparable office rate is available.
Kentucky
Kentucky · 63301
Office
Unavailable
Facility
$2036.46
No comparable office rate is available.
New Orleans
Louisiana · 63301
Office
Unavailable
Facility
$2168.11
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 63301
Office
Unavailable
Facility
$2052.37
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 63301
Office
Unavailable
Facility
$2277.53
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 63301
Office
Unavailable
Facility
$2114.50
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 63301
Office
Unavailable
Facility
$2319.16
No comparable office rate is available.
Rest Of Maryland
Maryland · 63301
Office
Unavailable
Facility
$2132.64
No comparable office rate is available.
Rest Of Maine
Maine · 63301
Office
Unavailable
Facility
$1930.66
No comparable office rate is available.
Southern Maine
Maine · 63301
Office
Unavailable
Facility
$1983.39
No comparable office rate is available.
Detroit
Michigan · 63301
Office
Unavailable
Facility
$2423.25
No comparable office rate is available.
Rest Of Michigan
Michigan · 63301
Office
Unavailable
Facility
$2145.82
No comparable office rate is available.
Minnesota
Minnesota · 63301
Office
Unavailable
Facility
$1864.18
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 63301
Office
Unavailable
Facility
$2097.75
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 63301
Office
Unavailable
Facility
$2117.54
No comparable office rate is available.
Rest Of Missouri
Missouri · 63301
Office
Unavailable
Facility
$2043.50
No comparable office rate is available.
Mississippi
Mississippi · 63301
Office
Unavailable
Facility
$1940.85
No comparable office rate is available.
Montana**
Montana · 63301
Office
Unavailable
Facility
$2148.81
No comparable office rate is available.
North Carolina
North Carolina · 63301
Office
Unavailable
Facility
$1946.97
No comparable office rate is available.
North Dakota**
North Dakota · 63301
Office
Unavailable
Facility
$1891.96
No comparable office rate is available.
Nebraska
Nebraska · 63301
Office
Unavailable
Facility
$1826.86
No comparable office rate is available.
New Hampshire
New Hampshire · 63301
Office
Unavailable
Facility
$2123.64
No comparable office rate is available.
Northern Nj
New Jersey · 63301
Office
Unavailable
Facility
$2353.99
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 63301
Office
Unavailable
Facility
$2296.16
No comparable office rate is available.
New Mexico
New Mexico · 63301
Office
Unavailable
Facility
$2179.81
No comparable office rate is available.
Nevada**
Nevada · 63301
Office
Unavailable
Facility
$2077.91
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 63301
Office
Unavailable
Facility
$2717.29
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 63301
Office
Unavailable
Facility
$2352.39
No comparable office rate is available.
Queens
New York · 63301
Office
Unavailable
Facility
$2532.42
No comparable office rate is available.
Rest Of New York
New York · 63301
Office
Unavailable
Facility
$1986.43
No comparable office rate is available.
Ohio
Ohio · 63301
Office
Unavailable
Facility
$2093.32
No comparable office rate is available.
Oklahoma
Oklahoma · 63301
Office
Unavailable
Facility
$1979.34
No comparable office rate is available.
Portland
Oregon · 63301
Office
Unavailable
Facility
$2131.40
No comparable office rate is available.
Rest Of Oregon
Oregon · 63301
Office
Unavailable
Facility
$2018.07
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 63301
Office
Unavailable
Facility
$2280.12
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 63301
Office
Unavailable
Facility
$2069.43
No comparable office rate is available.
Puerto Rico
Puerto Rico · 63301
Office
Unavailable
Facility
$2150.74
No comparable office rate is available.
Rhode Island
Rhode Island · 63301
Office
Unavailable
Facility
$2145.05
No comparable office rate is available.
South Carolina
South Carolina · 63301
Office
Unavailable
Facility
$2032.33
No comparable office rate is available.
South Dakota**
South Dakota · 63301
Office
Unavailable
Facility
$1861.59
No comparable office rate is available.
Tennessee
Tennessee · 63301
Office
Unavailable
Facility
$1886.21
No comparable office rate is available.
Austin
Texas · 63301
Office
Unavailable
Facility
$2142.16
No comparable office rate is available.
Beaumont
Texas · 63301
Office
Unavailable
Facility
$2056.98
No comparable office rate is available.
Brazoria
Texas · 63301
Office
Unavailable
Facility
$2056.26
No comparable office rate is available.
Dallas
Texas · 63301
Office
Unavailable
Facility
$2094.57
No comparable office rate is available.
Fort Worth
Texas · 63301
Office
Unavailable
Facility
$2093.34
No comparable office rate is available.
Galveston
Texas · 63301
Office
Unavailable
Facility
$2078.47
No comparable office rate is available.
Houston
Texas · 63301
Office
Unavailable
Facility
$2316.23
No comparable office rate is available.
Rest Of Texas
Texas · 63301
Office
Unavailable
Facility
$2072.52
No comparable office rate is available.
Utah
Utah · 63301
Office
Unavailable
Facility
$2064.16
No comparable office rate is available.
Virginia
Virginia · 63301
Office
Unavailable
Facility
$2010.43
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 63301
Office
Unavailable
Facility
$2150.74
No comparable office rate is available.
Vermont
Vermont · 63301
Office
Unavailable
Facility
$1928.47
No comparable office rate is available.
Rest Of Washington
Washington · 63301
Office
Unavailable
Facility
$2095.80
No comparable office rate is available.
Seattle (King Cnty)
Washington · 63301
Office
Unavailable
Facility
$2277.80
No comparable office rate is available.
Wisconsin
Wisconsin · 63301
Office
Unavailable
Facility
$1820.55
No comparable office rate is available.
West Virginia
West Virginia · 63301
Office
Unavailable
Facility
$2246.59
No comparable office rate is available.
Wyoming**
Wyoming · 63301
Office
Unavailable
Facility
$2036.87
No comparable office rate is available.
See how rates vary across the country
63301 · 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 63301 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2235.05
$2031.86 × 110% = $2235.05
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 63301 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
7,065
- Code
- 63301
- Physician work
- 30.78
- Practice expense
- 20.59
- Malpractice
- 12.99
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 30.78 | × 1.017 | 31.3033 |
| Practice expense | 20.59 | × 1.096 | 22.5666 |
| Malpractice | 12.99 | × 0.536 | 6.9626 |
| Total RVUs | 60.8325 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$2031.86
Open 63301 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 30.78 | 1.017 |
| Practice expense | 20.59 | 1.096 |
| Malpractice | 12.99 | 0.536 |
(30.78 × 1.017 + 20.59 × 1.096 + 12.99 × 0.536) × $33.4009 = $2031.86
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
63301 · 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 | $2031.86 | RVU26D |
| 2026-07-01 | Not available in this setting | $2031.86 | RVU26C |
| 2026-04-01 | Not available in this setting | $2031.86 | RVU26B |
| 2026-01-01 | Not available in this setting | $2031.86 | RVU26A |
| 2025-10-01 | Not available in this setting | $2011.29 | RVU25D |
| 2025-07-01 | Not available in this setting | $2011.29 | RVU25C |
| 2025-04-01 | Not available in this setting | $2011.29 | RVU25B |
| 2025-01-01 | Not available in this setting | $2011.29 | RVU25A |
63301 billing questions
How is this code distinguished from the cervical or thoracolumbar codes?
This code applies to an extradural lesion treated by vertebral body resection in the thoracic region. Use the corresponding code when the documented site is cervical, thoracolumbar, or lumbar/sacral.
What distinguishes this from code 63305?
Both concern thoracic vertebral body resection for an intraspinal lesion, but 63301 is for an extradural lesion and 63305 is for an intradural lesion.
When is code 63308 reported with this service?
Code 63308 is the add-on for each additional vertebral segment when resection extends beyond the single primary segment. The operative report should identify the additional segment or segments.
What documentation supports reporting 63301?
The operative report should establish that the lesion was extradural, identify its thoracic location, and describe partial or complete vertebral body resection and the segment treated.
Can modifier 50 be used for bilateral work?
No. Bilateral adjustment is inappropriate for this code under the CMS facts.
How are assistant and co-surgeon services handled?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
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.
7,06263290,,Bx/exc xdrl/idrl lsn any lvl,A,,39.80,23.76,NA,23.76,,16.81,80.37,80.37,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,06363295,,Repair laminectomy defect,A,,5.12,1.79,NA,1.79,,2.15,9.06,9.06,0,ZZZ,0.00,0.00,0.00,0,2,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,06463300,,Remove vert xdrl body crvcl,A,,26.13,16.47,NA,16.47,,9.53,52.13,52.13,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,06563301,,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
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