No office rate
63064 covers the primary thoracic segment treated through the costovertebral approach; 63066 is for additional segments in that operative service.
On this page
CMS RVU26D · Effective 2026-10-01
63066 Spinal decompression Medicare reimbursement rates in Oklahoma
Reports decompression at an additional thoracic segment performed through a costovertebral approach, alongside the primary procedure for that approach. Compare 63066 office and facility rates across CMS payment localities in Oklahoma.
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 63066 in Oklahoma?
Oklahoma 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
$173.84
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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 63066: Additional thoracic costovertebral decompression
Reports decompression at an additional thoracic segment performed through a costovertebral approach, alongside the primary procedure for that approach.
A spine surgeon reports 63066 for decompression at an additional thoracic segment using a costovertebral approach. The operation may involve removing part or all of a vertebral body to reach and relieve pressure on the spinal cord or nerve roots, with or without reconstruction. This is an operative service, generally performed in a hospital or other surgical setting; it is not a separate diagnostic or office procedure.
Use 63066 only for an additional segment and report it with the corresponding primary costovertebral procedure, 63064. The operative report should identify the thoracic levels treated, the approach, the decompression performed, and which segment represents the primary service versus each additional segment. CMS classifies this as an add-on code: it is billed only with a primary procedure and its payment falls within that procedure’s global period.
CMS billing rules for 63066
- 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 RVU3.18 · 57%
- Practice expense (office) RVU1.11 · 20%
- Malpractice RVU1.33 · 24%
31
Medicare services in 2024 · #5656 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.
63066 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
No office rate
Both are additional-segment codes, but 63057 is associated with a transpedicular approach, while 63066 is associated with a costovertebral approach.
No office rate
63055 reports the primary thoracic transpedicular decompression service. For additional segments with that approach, the related add-on code is 63057, not 63066.
Compare 63066 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
Oklahoma →
Office / nonfacility
Unavailable
Facility
$173.84
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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 63066 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
7,016
- Code
- 63066
- Physician work
- 3.18
- Practice expense
- 1.11
- Malpractice
- 1.33
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.18 | × 1.000 | 3.1800 |
| Practice expense | 1.11 | × 0.893 | 0.9912 |
| Malpractice | 1.33 | × 0.777 | 1.0334 |
| Total RVUs | 5.2046 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oklahoma$173.84
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.18 | 1 |
| Practice expense | 1.11 | 0.893 |
| Malpractice | 1.33 | 0.777 |
(3.18 × 1 + 1.11 × 0.893 + 1.33 × 0.777) × $33.4009 = $173.84
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.
63066 billing questions
When should 63066 be reported instead of 63064?
Report 63064 for the primary thoracic segment treated through the costovertebral approach. Use 63066 for each additional segment treated by that approach.
Can 63066 be billed by itself?
No. It is an add-on code and must be reported with the corresponding primary procedure, 63064.
How should the operative note support additional units?
Document the thoracic segments treated and the decompression performed at each one. The record should distinguish the primary segment from each additional segment.
How does 63066 differ from 63057?
Both describe additional-segment decompression, but 63066 is for the costovertebral approach. Code 63057 is the additional-segment code associated with a transpedicular approach.
What is the payment relationship to the primary procedure?
CMS treats 63066 as an add-on billed with a primary procedure, with payment within that procedure’s 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.
7,01363056,,Decompress spinal cord lmbr,A,,21.31,13.59,NA,13.59,,7.16,42.06,42.06,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,01463057,,Decompress spine cord add-on,A,,5.12,1.73,NA,1.73,,1.76,8.61,8.61,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,01563064,,Decompress spinal cord thrc,A,,25.56,15.66,NA,15.66,,9.25,50.47,50.47,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,01663066,,Decompress spine cord add-on,A,,3.18,1.11,NA,1.11,,1.33,5.62,5.62,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,01763075,,Neck spine disk surgery,A,,19.11,13.12,NA,13.12,,6.34,38.57,38.57,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,01863076,,Neck spine disk surgery,A,,3.94,1.30,NA,1.30,,1.26,6.50,6.50,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,01963077,,Spine disk surgery thorax,A,,22.31,12.21,NA,12.21,,4.75,39.27,39.27,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193