No office rate
63302 applies to extradural vertebral body resection in the thoracolumbar region; 63303 is for the lumbar/sacral region.
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CMS RVU26D · Effective 2026-10-01
63303 Vertebral resection Medicare reimbursement rates in Hawaii
Reports removal of a lumbar or sacral vertebral body outside the dura, typically during surgery to address vertebral disease or decompress neural structures. Compare 63303 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 63303 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
$2138.71
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 63303: Extradural lumbar vertebral body resection
Reports removal of a lumbar or sacral vertebral body outside the dura, typically during surgery to address vertebral disease or decompress neural structures.
This service is a lumbar or sacral corpectomy: the surgeon removes a vertebral body in the extradural space, commonly as part of treatment for a vertebral lesion or to relieve pressure on nearby neural structures. It is performed by a spine surgeon in an operating room, generally in a hospital setting. The code identifies the lumbar/sacral region and the extradural location of the resection; it is not selected solely because a lumbar decompression or fusion is performed.
Report one unit for the single vertebral segment represented by this code. Documentation should identify the vertebral level or levels removed and support that the resection was extradural. When an additional segment is resected, 63308 is the related add-on code. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation. Team surgery is not permitted, and modifier 50 is inappropriate for this code.
CMS billing rules for 63303
- 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 RVU32.71 · 49%
- Practice expense (office) RVU20.51 · 31%
- Malpractice RVU13.82 · 21%
73
Medicare services in 2024 · #5124 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.
63303 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
Choose 63307 when the lumbar/sacral vertebral body resection is intradural. Code 63303 represents an extradural resection.
No office rate
63308 is an add-on for an additional segment, not the code for the primary lumbar/sacral extradural resection.
Compare 63303 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
$2138.71
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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 63303 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
7,067
- Code
- 63303
- Physician work
- 32.71
- Practice expense
- 20.51
- Malpractice
- 13.82
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 32.71 | × 1.000 | 32.7100 |
| Practice expense | 20.51 | × 1.137 | 23.3199 |
| Malpractice | 13.82 | × 0.579 | 8.0018 |
| Total RVUs | 64.0316 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$2138.71
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 32.71 | 1 |
| Practice expense | 20.51 | 1.137 |
| Malpractice | 13.82 | 0.579 |
(32.71 × 1 + 20.51 × 1.137 + 13.82 × 0.579) × $33.4009 = $2138.71
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.
63303 billing questions
How does 63303 differ from 63307?
Both describe vertebral body resection in the lumbar/sacral region, but 63303 is for an extradural resection and 63307 is for an intradural resection. The operative report should support the applicable location.
When is 63308 reported with 63303?
63308 is the add-on code for an additional vertebral segment resected in the applicable vertebral body resection family. The operative documentation should identify the additional segment.
Can modifier 50 be used for 63303?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
7,06463300,,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
7,07063306,,Remov vert idrl bdy thrclmbr,A,,34.66,21.95,NA,21.95,,14.64,71.25,71.25,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,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