No office rate
63300 is the primary code for resection of an extradural cervical lesion. Code 63308 accounts for additional vertebral segments and must accompany a qualifying primary code.
On this page
CMS RVU26D · Effective 2026-10-01
63308 Vertebral resection Medicare reimbursement rates in Michigan
Additional vertebral-body resection for an intraspinal lesion is reported for each extra vertebral segment removed with a qualifying primary transpedicular resection. Compare 63308 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 63308 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
$291.83–$328.85
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 63308: Additional vertebral segment resection
Additional vertebral-body resection for an intraspinal lesion is reported for each extra vertebral segment removed with a qualifying primary transpedicular resection.
Code 63308 captures removal of an additional vertebral segment during transpedicular resection to excise an intraspinal lesion. Spine surgeons, including neurosurgeons and orthopedic spine surgeons, report it when the resection involves more segments than the primary procedure represents. The primary code distinguishes extradural from intradural disease and identifies the spinal region; this add-on accounts for each additional segment removed.
Report 63308 only with a qualifying primary procedure from 63300–63307, not for the first segment alone. The operative report should identify the lesion, its extradural or intradural relationship, the spinal region, and each additional vertebral segment resected. CMS treats 63308 as an add-on: it is billed only with a primary procedure and paid within that procedure’s global period. It is not a stand-alone service for a separate encounter.
CMS billing rules for 63308
- 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 RVU5.11 · 59%
- Practice expense (office) RVU1.71 · 20%
- Malpractice RVU1.83 · 21%
122
Medicare services in 2024 · #4729 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.
63308 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
63301 identifies a primary extradural thoracic resection. It does not represent an additional segment in the way 63308 does.
No office rate
63304 is the primary code for an intradural cervical lesion. Choose the primary code based on lesion relationship and region; use 63308 for additional resected segments.
Compare 63308 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
$328.85
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$291.83
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63308 billing questions
When is 63308 reported instead of a primary code?
Use 63300–63307 for the primary resection, based on the lesion’s extradural or intradural location and spinal region. Report 63308 for each additional vertebral segment resected beyond the segment represented by the primary procedure.
Can 63308 be billed by itself?
No. It is an add-on code reported with a qualifying primary resection code from 63300–63307.
What documentation supports an additional segment?
The operative report should identify each additional vertebral segment actually resected as part of the intraspinal lesion procedure. It should also support the primary code’s lesion relationship and spinal region.
How does CMS treat payment and the global period?
CMS requires 63308 to be billed with a primary procedure and pays it within that procedure’s global period.
Can a modifier make 63308 payable without its primary code?
No. A modifier does not replace the required primary procedure; 63308 remains an add-on to a qualifying resection code.
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.
7,06963305,,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
7,07163307,,Remov vert idrl bdy lmbr/sac,A,,34.09,21.14,NA,21.14,,14.39,69.62,69.62,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07263308,,Remove vertebral body add-on,A,,5.11,1.71,NA,1.71,,1.83,8.65,8.65,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07363600,,Remove spinal cord lesion,A,,14.74,11.53,NA,11.53,,6.21,32.48,32.48,0,090,0.11,0.76,0.13,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07463610,,Stimulation of spinal cord,A,,8.50,4.35,NA,4.35,,3.58,16.43,16.43,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07563620,,Srs spinal lesion,A,,15.21,11.72,NA,11.72,,6.40,33.33,33.33,0,090,0.11,0.76,0.13,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00