Use 63085 for a thoracic segment; 63087 is the corresponding code for a thoracolumbar segment.
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CMS RVU26D · Effective 2026-10-01
63087 Vertebral body removal Medicare reimbursement rates in Michigan
Reports anterior removal of a thoracolumbar vertebral body segment to decompress the spinal cord or nerve roots at that level. Compare 63087 office and facility rates across CMS payment localities in Michigan.
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 63087 in Michigan?
Michigan 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
$2261.17–$2520.13
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.
Spinal surgery
About 63087: Thoracolumbar corpectomy with decompression
Reports anterior removal of a thoracolumbar vertebral body segment to decompress the spinal cord or nerve roots at that level.
CPT 63087 covers partial or complete removal of one thoracolumbar vertebral body through an anterior approach, with decompression of the spinal cord or nerve roots. Spine surgeons, including orthopedic spine surgeons and neurosurgeons, typically perform it in an operating room for conditions such as a destructive vertebral lesion or collapse that compresses neural structures. The operative report should establish the treated level, anterior approach, vertebral-body resection, and decompression performed.
Select 63087 for one thoracolumbar segment; report the add-on code 63088 for each additional qualifying segment. The record should distinguish the resected segments and describe the decompression rather than relying only on a diagnosis. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are permitted.
CMS billing rules for 63087
- 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 RVU36.59 · 54%
- Practice expense (office) RVU19.06 · 28%
- Malpractice RVU12.14 · 18%
313
Medicare services in 2024 · #3964 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.
63087 compared with similar codes
Office rates for Michigan, from the same CMS release.
Use 63090 when the treated segment is lumbar rather than thoracolumbar.
63088 is the add-on for each additional thoracolumbar segment, not the first-segment service reported with 63087.
Compare 63087 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
Detroit →
Office / nonfacility
Unavailable
Facility
$2520.13
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$2261.17
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63087 billing questions
When is 63087 selected instead of 63085 or 63090?
Choose by the vertebral segment’s region: 63087 is for a thoracolumbar segment, 63085 for a thoracic segment, and 63090 for a lumbar segment.
How are additional thoracolumbar segments reported?
Report 63087 for the first segment and 63088 for each additional qualifying thoracolumbar segment. The operative note should identify the segments treated.
Does 63087 include neural decompression?
Yes. The reported service includes vertebral-body removal with decompression of the spinal cord or nerve roots.
What documentation supports 63087?
The operative report should identify the thoracolumbar level, anterior approach, partial or complete vertebral-body removal, and the neural structures decompressed.
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.
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.
