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CMS RVU26D · Effective 2026-10-01

63087 Vertebral body removal Medicare reimbursement rates in Ohio

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 Ohio.

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 Ohio?

Ohio 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

$2212.10

1 of 1 localities have a supported rate.

Payment area: Ohio

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.

Find 63087 in your payment locality →

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 Ohio, from the same CMS release.

63085

Thoracic corpectomy

Single vertebral segment

No office rate

Use 63085 for a thoracic segment; 63087 is the corresponding code for a thoracolumbar segment.

63090

Vertebral corpectomy

Lumbar, abdominal approach

No office rate

Use 63090 when the treated segment is lumbar rather than thoracolumbar.

63088

Vertebral resection

Additional thoracolumbar segment

No office rate

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.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0
  • Ohio →

    Office / nonfacility

    Unavailable

    Facility

    $2212.10

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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 63087 in Ohio.

PPRRVU2026_Oct_nonQPP.csv

7,025

Code
63087
Physician work
36.59
Practice expense
19.06
Malpractice
12.14

GPCI2026.csv

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Facility calculation for 63087 in Ohio
ComponentRVULocality factorAdjusted
Physician work36.59× 1.00036.5900
Practice expense19.06× 0.91317.4018
Malpractice12.14× 1.00812.2371
Total RVUs66.2289
Conversion factor× 33.4009

Facility rate, Ohio$2212.10

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work36.591
Practice expense19.060.913
Malpractice12.141.008

(36.59 × 1 + 19.06 × 0.913 + 12.14 × 1.008) × $33.4009 = $2212.10

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.

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.

RVUs for 63087PPRRVU2026_Oct_nonQPP.csv, line 7,025 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)