No office rate
Choose 63102 for the lateral extracavitary approach; 63087 describes lumbar vertebral-body resection through an anterior approach.
On this page
CMS RVU26D · Effective 2026-10-01
63102 Vertebral resection Medicare reimbursement rates in Ohio
Reports lumbar vertebral-body resection through a lateral extracavitary approach to decompress the spinal cord, cauda equina, or nerve roots. Compare 63102 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 63102 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
$2118.22
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.
Spine surgery
About 63102: Lumbar vertebral body resection, lateral approach
Reports lumbar vertebral-body resection through a lateral extracavitary approach to decompress the spinal cord, cauda equina, or nerve roots.
Code 63102 represents lumbar vertebral-body resection performed through a lateral extracavitary approach to relieve compression of the spinal cord, cauda equina, or nerve roots. A spine surgeon removes part or all of a lumbar vertebral body for neural decompression. The operation is typically performed in an operating room, often in a hospital facility, for pathology requiring direct bony decompression. It is distinct from a routine lumbar laminectomy and from vertebral-body resection performed through an anterior approach.
Report one unit for the single lumbar segment treated. The operative report should identify the lumbar level, lateral extracavitary route, extent of vertebral-body removal, and neural structure being decompressed. For an additional segment treated through the same approach, report add-on code 63103. CMS assigns 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. An assistant may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 63102
- 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 RVU33.25 · 51%
- Practice expense (office) RVU20.28 · 31%
- Malpractice RVU11.56 · 18%
395
Medicare services in 2024 · #3749 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.
63102 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
63101 is the thoracic counterpart. 63102 applies when the treated vertebral segment is lumbar.
No office rate
63102 covers the first lumbar segment; 63103 is used for an additional segment treated through the same approach.
Compare 63102 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
Ohio →
Office / nonfacility
Unavailable
Facility
$2118.22
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 63102 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
7,030
- Code
- 63102
- Physician work
- 33.25
- Practice expense
- 20.28
- Malpractice
- 11.56
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 33.25 | × 1.000 | 33.2500 |
| Practice expense | 20.28 | × 0.913 | 18.5156 |
| Malpractice | 11.56 | × 1.008 | 11.6525 |
| Total RVUs | 63.4181 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$2118.22
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 33.25 | 1 |
| Practice expense | 20.28 | 0.913 |
| Malpractice | 11.56 | 1.008 |
(33.25 × 1 + 20.28 × 0.913 + 11.56 × 1.008) × $33.4009 = $2118.22
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.
63102 billing questions
How does 63102 differ from 63087?
Both describe lumbar vertebral-body resection for neural decompression, but 63102 is for the lateral extracavitary approach; 63087 describes an anterior approach.
When is 63103 reported with 63102?
Report 63103 for an additional vertebral segment treated through the lateral extracavitary approach. It is an add-on code, not a substitute for 63102 at the first segment.
What documentation supports 63102?
The operative report should show the lumbar level, lateral extracavitary approach, vertebral-body removal, and the neural structure decompressed.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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.
7,02763090,,Remove vert body dcmprn lmbr,A,,30.16,15.66,NA,15.66,,8.73,54.55,54.55,0,090,0.11,0.76,0.13,2,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
7,02863091,,Remove vertebral body add-on,A,,2.95,0.93,NA,0.93,,0.85,4.73,4.73,0,ZZZ,0.00,0.00,0.00,0,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
7,02963101,,Remove vert body dcmprn thrc,A,,33.25,20.92,NA,20.92,,12.22,66.39,66.39,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,03063102,,Remove vert body dcmprn lmbr,A,,33.25,20.28,NA,20.28,,11.56,65.09,65.09,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,03163103,,Remove vertebral body add-on,A,,4.70,1.58,NA,1.58,,1.59,7.87,7.87,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,03263170,,Incise spinal cord tract(s),A,,21.65,16.38,NA,16.38,,9.16,47.19,47.19,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,03363172,,Drainage of spinal cyst,A,,19.27,14.48,NA,14.48,,8.13,41.88,41.88,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703