No office rate
Both address lumbar vertebral body resection with neural decompression. Choose based on the documented approach: 63090 is transperitoneal or retroperitoneal, while 63087 uses a combined thoracolumbar approach.
On this page
CMS RVU26D · Effective 2026-10-01
63090 Vertebral corpectomy Medicare reimbursement rates in Kansas
Reports single-segment lumbar vertebral body resection through a transperitoneal or retroperitoneal route to decompress spinal neural structures. Compare 63090 office and facility rates across CMS payment localities in Kansas.
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 63090 in Kansas?
Kansas 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
$1627.18
1 of 1 localities have a supported rate.
Payment area: Kansas
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 63090: Lumbar vertebral body resection, abdominal approach
Reports single-segment lumbar vertebral body resection through a transperitoneal or retroperitoneal route to decompress spinal neural structures.
This code describes removal of part or all of one lumbar vertebral body through an abdominal route, entering through the peritoneum or working behind it. The resection also relieves pressure on the spinal cord or nerve roots. A spine surgeon typically performs the procedure in a hospital operating room; an access surgeon may assist with the abdominal exposure. The operative report should establish the lumbar level, extent of vertebral body removal, approach, and neural decompression performed.
Report this code for one lumbar segment when the documented approach matches the transperitoneal or retroperitoneal route. A separate add-on code is available for each additional segment. CMS assigns a 90-day global period, including 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 50% reduction. Modifier 50 is not appropriate for this single-segment service. CMS permits assistant-at-surgery payment and co-surgeon or team-surgery billing.
CMS billing rules for 63090
- 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 permitted.
- Team surgery
- Team surgery permitted.
Where the value comes from
- Work RVU30.16 · 55%
- Practice expense (office) RVU15.66 · 29%
- Malpractice RVU8.73 · 16%
694
Medicare services in 2024 · #3272 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.
63090 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
63090 represents the primary single lumbar segment; 63091 is the add-on for each additional segment treated through the corresponding approach.
No office rate
63085 is the thoracic-level counterpart. Select 63090 when the treated vertebral body is lumbar and the approach is transperitoneal or retroperitoneal.
Compare 63090 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
Kansas →
Office / nonfacility
Unavailable
Facility
$1627.18
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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 63090 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
7,027
- Code
- 63090
- Physician work
- 30.16
- Practice expense
- 15.66
- Malpractice
- 8.73
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 30.16 | × 1.000 | 30.1600 |
| Practice expense | 15.66 | × 0.904 | 14.1566 |
| Malpractice | 8.73 | × 0.504 | 4.3999 |
| Total RVUs | 48.7166 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$1627.18
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 30.16 | 1 |
| Practice expense | 15.66 | 0.904 |
| Malpractice | 8.73 | 0.504 |
(30.16 × 1 + 15.66 × 0.904 + 8.73 × 0.504) × $33.4009 = $1627.18
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.
63090 billing questions
How is this code different from 63087?
Both describe lumbar vertebral body resection with neural decompression, but 63090 is for a transperitoneal or retroperitoneal approach. Use 63087 when the documented approach is the combined thoracolumbar route.
When is 63091 reported?
63091 is the add-on for each additional lumbar segment treated by the approach represented by 63090. It is not a substitute for the primary single-segment code.
What should the operative report document?
Document the lumbar level, the vertebral body resection, the transperitoneal or retroperitoneal approach, and decompression of the spinal cord or nerve roots.
Can modifier 50 be used?
No. The service is defined for a single lumbar segment, and modifier 50 is not appropriate.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
CMS may pay for an assistant at surgery and permits co-surgeon and team-surgery billing for this procedure.
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.
7,02463086,,Remove vertebral body add-on,A,,3.11,0.98,NA,0.98,,1.03,5.12,5.12,0,ZZZ,0.00,0.00,0.00,0,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
7,02563087,,Remov vertbr dcmprn thrclmbr,A,,36.59,19.06,NA,19.06,,12.14,67.79,67.79,0,090,0.11,0.76,0.13,2,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
7,02663088,,Remove vertebral body add-on,A,,4.21,1.37,NA,1.37,,1.44,7.02,7.02,0,ZZZ,0.00,0.00,0.00,0,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
7,02763090,,Remove vert body dcmprn lmbr,A,,30.16,15.66,NA,15.66,,8.73,54.55,54.55,0,090,0.11,0.76,0.13,2,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
7,02863091,,Remove vertebral body add-on,A,,2.95,0.93,NA,0.93,,0.85,4.73,4.73,0,ZZZ,0.00,0.00,0.00,0,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
7,02963101,,Remove vert body dcmprn thrc,A,,33.25,20.92,NA,20.92,,12.22,66.39,66.39,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,03063102,,Remove vert body dcmprn lmbr,A,,33.25,20.28,NA,20.28,,11.56,65.09,65.09,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958