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 Vertebral resection Medicare reimbursement rates in Hawaii
Reports partial or complete removal of a thoracic vertebral body to excise an extradural intraspinal lesion at one vertebral segment. Compare 63301 office and facility rates across CMS payment localities in Hawaii.
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 63301 in Hawaii?
Hawaii 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
$2061.24
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 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 Hawaii, 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.
Compare 63301 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$2061.24
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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 63301 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
7,065
- Code
- 63301
- Physician work
- 30.78
- Practice expense
- 20.59
- Malpractice
- 12.99
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 30.78 | × 1.000 | 30.7800 |
| Practice expense | 20.59 | × 1.137 | 23.4108 |
| Malpractice | 12.99 | × 0.579 | 7.5212 |
| Total RVUs | 61.7120 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$2061.24
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 30.78 | 1 |
| Practice expense | 20.59 | 1.137 |
| Malpractice | 12.99 | 0.579 |
(30.78 × 1 + 20.59 × 1.137 + 12.99 × 0.579) × $33.4009 = $2061.24
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.
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
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014