No office rate
Choose 63190 for spinal nerve root sectioning across more than two segments; 63185 represents a half-segment extent.
On this page
CMS RVU26D · Effective 2026-10-01
63190 Spinal rhizotomy Medicare reimbursement rates in Colorado
Report open spinal nerve root sectioning across more than two segments, such as a selective rhizotomy performed to address severe spasticity. Compare 63190 office and facility rates across CMS payment localities in Colorado.
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.
What does Medicare pay for 63190 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1127.89
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Neurosurgery
About 63190: Open spinal nerve root rhizotomy, extensive
Report open spinal nerve root sectioning across more than two segments, such as a selective rhizotomy performed to address severe spasticity.
This service is an open rhizotomy in which the surgeon interrupts spinal nerve roots across more than two segments. Neurosurgeons commonly perform selective dorsal rhizotomy for severe spasticity, including in patients with cerebral palsy, in a hospital operating room. The operative target is the spinal nerve roots; a procedure that instead interrupts pathways within the spinal cord is a different service.
Choose this code when the documented operative extent exceeds two segments, and ensure the operative report identifies the levels and roots treated. The procedure has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. For other procedures performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 63190
- 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 RVU18.42 · 55%
- Practice expense (office) RVU11.34 · 34%
- Malpractice RVU3.92 · 12%
63
Medicare services in 2024 · #5213 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.
63190 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
63190 treats spinal nerve roots. Code 63170 involves interruption of spinal cord tracts.
No office rate
63190 involves spinal nerve roots across more than two segments; 63191 identifies a procedure directed at the spinal accessory nerve.
Compare 63190 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Colorado →
Office / nonfacility
Unavailable
Facility
$1127.89
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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 63190 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
7,036
- Code
- 63190
- Physician work
- 18.42
- Practice expense
- 11.34
- Malpractice
- 3.92
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.42 | × 1.012 | 18.6410 |
| Practice expense | 11.34 | × 1.064 | 12.0658 |
| Malpractice | 3.92 | × 0.781 | 3.0615 |
| Total RVUs | 33.7683 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$1127.89
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 18.42 | 1.012 |
| Practice expense | 11.34 | 1.064 |
| Malpractice | 3.92 | 0.781 |
(18.42 × 1.012 + 11.34 × 1.064 + 3.92 × 0.781) × $33.4009 = $1127.89
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.
63190 billing questions
How does this differ from 63185?
63190 is for open spinal nerve root sectioning across more than two segments. Code 63185 is the related option for a half-segment extent.
What should the operative report document?
Document the spinal levels and roots treated and show that the operative extent exceeds two segments. The report should also describe the indication and the procedure performed.
Can modifier 50 be used for bilateral root treatment?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; 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.
7,03363172,,Drainage of spinal cyst,A,,19.27,14.48,NA,14.48,,8.13,41.88,41.88,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,03463173,,Drainage of spinal cyst,A,,23.70,17.09,NA,17.09,,10.02,50.81,50.81,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,03563185,,Incise spine nrv half segmnt,A,,16.08,14.17,NA,14.17,,6.77,37.02,37.02,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,03663190,,Incise spine nrv >2 segmnts,A,,18.42,11.34,NA,11.34,,3.92,33.68,33.68,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,03763191,,Incise spine accessory nerve,A,,18.45,15.00,NA,15.00,,7.77,41.22,41.22,0,090,0.11,0.76,0.13,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,03863197,,Lam w/cordotomy 1stg thrc,A,,23.48,17.01,NA,17.01,,9.92,50.41,50.41,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,03963200,,Release spinal cord lumbar,A,,20.90,16.33,NA,16.33,,8.73,45.96,45.96,0,090,0.11,0.76,0.13,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
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