CPT code 63077: Thoracic disc surgery2026 Medicare rate & RVUs in Florida
Reports anterior removal of thoracic disc material and related osteophytes to decompress the spinal cord or nerve roots at one interspace.
CMS doesn’t publish an office rate for 63077 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 63077 covers
This code describes anterior surgery at one thoracic interspace to remove disc material and, as needed, osteophytes that compress the spinal cord or nerve roots. It is commonly performed by a neurosurgeon or orthopedic spine surgeon in a hospital operating room for a symptomatic thoracic disc herniation with neural compression. The code represents decompression through an anterior approach, rather than a posterior laminectomy-based procedure or removal of a vertebral body.
Select the code when the operative report supports anterior decompression at a single thoracic interspace; document the level, approach, disc removal, and neural structures decompressed. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. 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% multiple-procedure reduction. Modifier 50 is inappropriate for this code. CMS permits assistant-at-surgery and co-surgeon payment; team surgery is not permitted.
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.
Where 63077 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $1,445.15 |
| Miami | Unavailable | $1,570.96 |
| Rest Of Florida | Unavailable | $1,373.51 |
How the 63077 rate is calculated
Each of 63077’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 · 63077
RVUs × geographic indexes × conversion factor
Work22.31
22.31 RVUs× 1.000 GPCI
Practice expense12.21
12.21 RVUs× 1.000 GPCI
Malpractice4.75
4.75 RVUs× 1.000 GPCI
Adjusted RVUs
39.2700
Conversion factor
$33.4009
Medicare rate
$1,311.65
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 63077
63077 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 63077
Thoracic disc surgery
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 63077
Thoracic disc surgery
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
63077 without 51 · national facility
$1,311.65
Thoracic disc surgery
63077-51 · Second procedure: 50%
$655.83
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%).
63077 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 63075Cervical discectomy
- 63075 applies to a single cervical interspace; 63077 applies to a single thoracic interspace. The treated spinal region determines the code.
- 63078Thoracic disk surgery
- 63077 reports the primary thoracic interspace. 63078 is used for each additional thoracic interspace treated during the same operative session.
- 63046Thoracic decompression
- 63046 describes thoracic posterior laminectomy-based decompression. Use 63077 for anterior disc-space decompression at a thoracic interspace.
- 63085Thoracic corpectomy
- 63085 describes thoracic vertebral body removal for decompression. 63077 addresses anterior disc removal and related osteophyte work at an interspace.
63077 billing questions
When should 63077 be selected instead of 63075?
63077 is for anterior decompression at a thoracic interspace. 63075 is the corresponding single-interspace service for the cervical region.
How is another thoracic interspace reported?
63078 is the add-on code for each additional thoracic interspace treated after the primary interspace reported with 63077. The operative documentation should identify the additional level.
Is disc and osteophyte removal separately reported?
Disc removal and osteophytectomy performed as part of the decompression at the treated interspace are integral to this service; they are not separate decompression services.
What global period applies?
63077 has a 90-day global period. The day-before preoperative visit and 90 days of related postoperative care are included.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery and for co-surgeons. Team surgery is not permitted for this code.
Should modifier 50 be used for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code; report the thoracic interspace service without modifier 50.
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
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