No office rate
63085 covers the initial thoracic segment; 63086 reports each additional thoracic segment and is used with the primary code.
On this page
CMS RVU26D · Effective 2026-10-01
63086 Vertebral corpectomy Medicare reimbursement rates in Massachusetts
Reports removal of each additional thoracic vertebral body segment during a corpectomy performed to decompress the spinal cord or nerve roots. Compare 63086 office and facility rates across CMS payment localities in Massachusetts.
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 63086 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$167.43–$177.84
2 of 2 localities have a supported rate.
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 63086: Additional thoracic vertebral body removal
Reports removal of each additional thoracic vertebral body segment during a corpectomy performed to decompress the spinal cord or nerve roots.
A spine surgeon removes an additional thoracic vertebral body segment to create space for spinal cord or nerve-root decompression. This work is performed through an anterior transthoracic exposure, typically in an operating room. It is reported when the operation requires removal of more than one thoracic vertebral segment, rather than for work limited to the first segment.
Report 63086 with the primary thoracic corpectomy code 63085, counting each additional segment beyond the first. The operative report should identify the thoracic levels treated, the approach, and the extent of vertebral body removal supporting the additional segment. This is an add-on code and is not reported by itself; CMS treats its payment as part of the primary procedure’s global period.
CMS billing rules for 63086
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU3.11 · 61%
- Practice expense (office) RVU0.98 · 19%
- Malpractice RVU1.03 · 20%
75
Medicare services in 2024 · #5106 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.
63086 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
Both are additional-segment corpectomy codes, but 63082 is for cervical segments and 63086 is for thoracic segments.
No office rate
63088 covers additional thoracolumbar segments with the specified transperitoneal or retroperitoneal approach; 63086 is for additional thoracic segments.
No office rate
63091 reports additional lumbar corpectomy segments; 63086 reports additional thoracic segments.
Compare 63086 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$177.84
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$167.43
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63086 billing questions
Which primary code is reported with 63086?
Report 63086 with 63085 for the initial thoracic segment. It is an add-on code and should not be submitted by itself.
How many units of 63086 should be reported?
Report an additional unit for each thoracic vertebral segment removed beyond the first. The operative documentation should make the levels and number of segments clear.
How does 63086 differ from 63082?
63086 is for additional thoracic segments in a corpectomy. 63082 is the corresponding additional-segment code for a cervical corpectomy.
How does 63086 differ from 63088?
63086 applies to additional thoracic segments. 63088 is for additional segments in a thoracolumbar corpectomy performed through a transperitoneal or retroperitoneal approach.
What documentation supports reporting an additional segment?
The operative report should identify each thoracic vertebral level treated and describe the additional body removal and decompression work, along with the approach.
How does the global period affect 63086?
CMS treats this add-on service as paid within the global period of the primary 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.
7,02163081,,Remove vert body dcmprn crvl,A,,25.45,15.61,NA,15.61,,8.64,49.70,49.70,0,090,0.11,0.76,0.13,2,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
7,02263082,,Remove vertebral body add-on,A,,4.25,1.43,NA,1.43,,1.43,7.11,7.11,0,ZZZ,0.00,0.00,0.00,0,0,2,1,2,9,,33.4009,09,0,99,0.00,0.00,0.00
7,02363085,,Remove vert body dcmprn thrc,A,,28.73,16.13,NA,16.13,,9.63,54.49,54.49,0,090,0.11,0.76,0.13,2,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
7,02463086,,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