Billing code 63300: Vertebral resectionMedicare rate & RVUs in Delaware

Cervical extradural vertebral body resection is reported for a single segment when removal decompresses the spinal cord or cervical nerve roots.

CMS RVU26DEffective Oct 1, 20261 payment locality153 Medicare services in 2024

CMS doesn’t publish an office rate for 63300 in Delaware.

—Office (non-facility)
$1,706.80Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 63300 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Delaware
  2. What 63300 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 63300 covers

This operation removes a cervical vertebral body through an extradural route to relieve pressure on the spinal cord or cervical nerve roots. A neurosurgeon or orthopedic spine surgeon typically performs it in an operating room, for example, to remove an extradural vertebral tumor that requires body resection. The decompression is part of the resection service.

Report 63300 for one cervical vertebral segment when the operative report supports extradural resection and neural decompression. Document the cervical segment, extradural route, extent of vertebral-body removal, and structures decompressed. Code 63308 is the add-on for each additional vertebral segment when applicable. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted. The anatomy is not reported bilaterally with modifier 50.

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.

63300 in Delaware

63300 office and facility rates by payment locality
Payment localityOfficeFacility
DelawareUnavailable$1,706.80

How the 63300 rate is calculated

Each of 63300’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 63300

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 26.13Practice expense 16.47Malpractice 9.53

52.1300 adjusted RVUs×$33.4009 conversion factor=$1,741.19

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 63300

63300 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 63300

Vertebral resection

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 63300

Vertebral resection

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

63300 without 51 · national facility

$1,741.19

Vertebral resection

63300-51 · Second procedure: 50%

$870.60

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

63300 compared with similar codes

Compare codes

63300 vs 63301 vs 63304 vs 63081 vs 63308: national Medicare rates

Swap in your local Medicare rate.

  • 63300
    Vertebral resection · 26.13 wRVU
    —
  • 63301
    Vertebral resection · 30.78 wRVU
    —
  • 63304
    Spinal lesion surgery · 33 wRVU
    —
  • 63081
    Cervical corpectomy · 25.45 wRVU
    —
  • 63308
    Vertebral resection · 5.11 wRVU
    —

How to choose

63301Vertebral resection
63301 is the extradural vertebral-body resection code for the thoracic level; 63300 is for the cervical level.
63304Spinal lesion surgery
Both describe cervical vertebral-body resection, but 63300 is extradural and 63304 is intradural.
63081Cervical corpectomy
63081 describes cervical corpectomy using an anterior approach. Choose between it and 63300 based on the operative approach and applicable procedure description.
63308Vertebral resection
63308 is an add-on for an additional vertebral segment, not the primary single-segment cervical resection.

63300 billing questions

How does 63300 differ from 63304?

63300 describes extradural cervical vertebral-body resection. Use 63304 when the cervical resection is intradural.

Is decompression separately reported with 63300?

Cord or nerve-root decompression is included in this resection service; it is not a separate service under this code.

When can 63308 be added?

63308 is the add-on for each additional vertebral segment beyond the primary segment. It is reported with an eligible primary procedure, not by itself.

Should modifier 50 be appended?

No. This cervical vertebral-body service is not reported bilaterally with modifier 50.

What postoperative care is included?

The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 63300PPRRVU2026_Oct_nonQPP.csv, line 7,064 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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