Billing code 63302: Vertebral body removalMedicare rate & RVUs in Nevada

Reports thoracolumbar vertebral-body removal to reach and excise an extradural intraspinal lesion, with the operative level and extent documented.

CMS RVU26DEffective Oct 1, 20261 payment locality37 Medicare services in 2024

CMS doesn’t publish an office rate for 63302 in Nevada.

—Office (non-facility)
$2,055.09Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 63302 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Nevada
  2. What 63302 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 63302 covers

This code represents partial or complete removal of a vertebral body in the thoracolumbar region as part of surgery to excise an extradural lesion within the spinal canal. Neurosurgeons and orthopedic spine surgeons may perform the operation in a hospital operating room. The vertebral-body work provides access to, or permits removal of, the lesion; a corpectomy for a different purpose is not enough to support this service.

Select the code when the operative report supports an extradural lesion, the thoracolumbar location, and the vertebral-body removal performed. Document the lesion, level or levels, and extent of resection. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

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.

63302 in Nevada**

63302 office and facility rates by payment locality
Payment localityOfficeFacility
Nevada**Unavailable$2,055.09

How the 63302 rate is calculated

Each of 63302’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 63302

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 30.37Practice expense 20.45Malpractice 12.83

63.6500 adjusted RVUs×$33.4009 conversion factor=$2,125.97

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 63302

63302 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 63302

Vertebral body removal

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 63302

Vertebral body removal

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

63302 without 51 · national facility

$2,125.97

Vertebral body removal

63302-51 · Second procedure: 50%

$1,062.99

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

63302 compared with similar codes

Compare codes

63302 vs 63301 vs 63303 vs 63306 vs 63308: national Medicare rates

Swap in your local Medicare rate.

  • 63302
    Vertebral body removal · 30.37 wRVU
    —
  • 63301
    Vertebral resection · 30.78 wRVU
    —
  • 63303
    Vertebral resection · 32.71 wRVU
    —
  • 63306
    Vertebral resection · 34.66 wRVU
    —
  • 63308
    Vertebral resection · 5.11 wRVU
    —

How to choose

63301Vertebral resection
Use 63301 for the thoracic region. Code 63302 identifies the thoracolumbar region; determine the appropriate family code from the documented operative level.
63303Vertebral resection
Use 63303 for lumbar or sacral extradural lesion surgery involving vertebral-body removal. Code 63302 is for the thoracolumbar region.
63306Vertebral resection
Both codes concern the thoracolumbar region, but 63302 is for an extradural lesion and 63306 is for an intradural lesion.
63308Vertebral resection
63302 is a primary procedure; 63308 is an add-on for each additional vertebral segment and cannot stand alone.

63302 billing questions

How is 63302 distinguished from 63301 or 63303?

The distinction is the operative spinal region: 63302 is thoracolumbar, 63301 is thoracic, and 63303 is lumbar or sacral. Use the documented vertebral level and code-family boundaries.

Does the lesion need to be extradural?

Yes. This code describes vertebral-body removal for excision of an extradural intraspinal lesion. The intradural code family, including 63306 for the thoracolumbar region, describes a different lesion location.

When is 63308 reported with 63302?

63308 is the add-on code for each additional vertebral segment when its requirements are met. Report it with the applicable primary procedure, not by itself.

Can modifier 50 be used for bilateral work?

No. The CMS bilateral adjustment does not apply to 63302, and modifier 50 is inappropriate for this code.

What documentation supports reporting 63302?

The operative report should identify the extradural intraspinal lesion, the thoracolumbar level or levels, and the partial or complete vertebral-body removal performed to treat it.

How are assistant or co-surgeon claims handled?

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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 63302PPRRVU2026_Oct_nonQPP.csv, line 7,066 (RVU26D)
Geographic factors for Nevada**GPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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