No office rate
Use 63301 for the thoracic region. Code 63302 identifies the thoracolumbar region; determine the appropriate family code from the documented operative level.
On this page
CMS RVU26D · Effective 2026-10-01
63302 Vertebral body removal Medicare reimbursement rates in Colorado
Reports thoracolumbar vertebral-body removal to reach and excise an extradural intraspinal lesion, with the operative level and extent documented. Compare 63302 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 63302 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
$2088.01
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.
Spine surgery
About 63302: Thoracolumbar vertebral body removal for extradural lesion
Reports thoracolumbar vertebral-body removal to reach and excise an extradural intraspinal lesion, with the operative level and extent documented.
This code represents partial or complete removal of a vertebral body in the thoracolumbar region as part of surgery to excise an extradural lesion within the spinal canal. Neurosurgeons and orthopedic spine surgeons may perform the operation in a hospital operating room. The vertebral-body work provides access to, or permits removal of, the lesion; a corpectomy for a different purpose is not enough to support this service.
Select the code when the operative report supports an extradural lesion, the thoracolumbar location, and the vertebral-body removal performed. Document the lesion, level or levels, and extent of resection. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 63302
- 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 RVU30.37 · 48%
- Practice expense (office) RVU20.45 · 32%
- Malpractice RVU12.83 · 20%
37
Medicare services in 2024 · #5543 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.
63302 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
Use 63303 for lumbar or sacral extradural lesion surgery involving vertebral-body removal. Code 63302 is for the thoracolumbar region.
No office rate
Both codes concern the thoracolumbar region, but 63302 is for an extradural lesion and 63306 is for an intradural lesion.
No office rate
63302 is a primary procedure; 63308 is an add-on for each additional vertebral segment and cannot stand alone.
Compare 63302 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
$2088.01
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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 63302 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
7,066
- Code
- 63302
- Physician work
- 30.37
- Practice expense
- 20.45
- Malpractice
- 12.83
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 30.37 | × 1.012 | 30.7344 |
| Practice expense | 20.45 | × 1.064 | 21.7588 |
| Malpractice | 12.83 | × 0.781 | 10.0202 |
| Total RVUs | 62.5135 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$2088.01
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 30.37 | 1.012 |
| Practice expense | 20.45 | 1.064 |
| Malpractice | 12.83 | 0.781 |
(30.37 × 1.012 + 20.45 × 1.064 + 12.83 × 0.781) × $33.4009 = $2088.01
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.
63302 billing questions
How is 63302 distinguished from 63301 or 63303?
The distinction is the operative spinal region: 63302 is thoracolumbar, 63301 is thoracic, and 63303 is lumbar or sacral. Use the documented vertebral level and code-family boundaries.
Does the lesion need to be extradural?
Yes. This code describes vertebral-body removal for excision of an extradural intraspinal lesion. The intradural code family, including 63306 for the thoracolumbar region, describes a different lesion location.
When is 63308 reported with 63302?
63308 is the add-on code for each additional vertebral segment when its requirements are met. Report it with the applicable primary procedure, not by itself.
Can modifier 50 be used for bilateral work?
No. The CMS bilateral adjustment does not apply to 63302, and modifier 50 is inappropriate for this code.
What documentation supports reporting 63302?
The operative report should identify the extradural intraspinal lesion, the thoracolumbar level or levels, and the partial or complete vertebral-body removal performed to treat it.
How are assistant or co-surgeon claims handled?
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.
7,06363295,,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
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
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