No office rate
The anatomic site is cervical in both codes; the lesion’s relationship to the dura determines the choice. Use 63304 for an intradural lesion and 63300 for an extradural lesion.
On this page
CMS RVU26D · Effective 2026-10-01
63304 Spinal lesion surgery Medicare reimbursement rates in New Mexico
Report cervical vertebral body resection performed to reach and remove an intraspinal lesion located within the dura at one segment. Compare 63304 office and facility rates across CMS payment localities in New Mexico.
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 63304 in New Mexico?
New Mexico 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
$2315.56
1 of 1 localities have a supported rate.
Payment area: New Mexico
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.
Neurosurgery
About 63304: Cervical intradural vertebral body resection
Report cervical vertebral body resection performed to reach and remove an intraspinal lesion located within the dura at one segment.
This code describes partial or complete removal of a cervical vertebral body as part of surgery to excise an intraspinal lesion within the dura. A neurosurgeon typically performs the operation in a hospital operating room. The vertebral resection provides access to the lesion; the intradural location distinguishes this service from the corresponding cervical procedure for a lesion outside the dura.
Select the code based on the cervical site, intradural location, and number of segments treated. The operative report should identify the lesion’s relationship to the dura, the cervical segment or segments involved, and the vertebral resection performed. Use the additional-segment code 63308 when another segment is treated. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted. Modifier 50 is inappropriate for this code.
CMS billing rules for 63304
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU33.00 · 48%
- Practice expense (office) RVU21.37 · 31%
- Malpractice RVU13.93 · 20%
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.
63304 compared with similar codes
Office rates for New Mexico, from the same CMS release.
No office rate
Both describe intradural lesion surgery with vertebral body resection, but 63305 is for the thoracic region rather than the cervical region.
No office rate
63304 represents the initial segment. Code 63308 is the add-on for each additional segment, not a substitute for the initial-segment code.
Compare 63304 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
New Mexico →
Office / nonfacility
Unavailable
Facility
$2315.56
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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 63304 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
7,068
- Code
- 63304
- Physician work
- 33.00
- Practice expense
- 21.37
- Malpractice
- 13.93
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 33.00 | × 1.000 | 33.0000 |
| Practice expense | 21.37 | × 0.917 | 19.5963 |
| Malpractice | 13.93 | × 1.201 | 16.7299 |
| Total RVUs | 69.3262 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$2315.56
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 33 | 1 |
| Practice expense | 21.37 | 0.917 |
| Malpractice | 13.93 | 1.201 |
(33 × 1 + 21.37 × 0.917 + 13.93 × 1.201) × $33.4009 = $2315.56
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.
63304 billing questions
How is this distinguished from 63300?
Both involve cervical vertebral body resection for an intraspinal lesion. Choose 63304 when the lesion is intradural; 63300 describes the extradural situation.
When is 63308 reported with this service?
Report 63308 for each additional segment treated when the work extends beyond the initial segment. The operative note should identify the additional segment or segments.
Can modifier 50 be used?
No. Modifier 50 is inappropriate for this cervical vertebral procedure.
Are the preoperative visit and follow-up separately included?
The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.
How are multiple procedures handled in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation.
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.
7,06563301,,Remove vert xdrl body thrc,A,,30.78,20.59,NA,20.59,,12.99,64.36,64.36,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,06663302,,Remove vert xdrl body thrlmb,A,,30.37,20.45,NA,20.45,,12.83,63.65,63.65,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,06763303,,Remov vert xdrl bdy lmbr/sac,A,,32.71,20.51,NA,20.51,,13.82,67.04,67.04,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,06863304,,Remove vert idrl body crvcl,A,,33.00,21.37,NA,21.37,,13.93,68.30,68.30,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,06963305,,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
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210