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CMS RVU26D · Effective 2026-10-01

63300 Vertebral resection Medicare reimbursement rates in Pennsylvania

Cervical extradural vertebral body resection is reported for a single segment when removal decompresses the spinal cord or cervical nerve roots. Compare 63300 office and facility rates across CMS payment localities in Pennsylvania.

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 63300 in Pennsylvania?

Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$1678.57–$1840.89

2 of 2 localities have a supported rate.

Lowest: Rest Of Pennsylvania

Highest: Metropolitan Philadelphia

A spread of $162.32 per service.

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 63300 in your payment locality →

Spine surgery

About 63300: Cervical extradural vertebral body resection

Cervical extradural vertebral body resection is reported for a single segment when removal decompresses the spinal cord or cervical nerve roots.

This operation removes a cervical vertebral body through an extradural route to relieve pressure on the spinal cord or cervical nerve roots. A neurosurgeon or orthopedic spine surgeon typically performs it in an operating room, for example, to remove an extradural vertebral tumor that requires body resection. The decompression is part of the resection service.

Report 63300 for one cervical vertebral segment when the operative report supports extradural resection and neural decompression. Document the cervical segment, extradural route, extent of vertebral-body removal, and structures decompressed. Code 63308 is the add-on for each additional vertebral segment when applicable. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted. The anatomy is not reported bilaterally with modifier 50.

CMS billing rules for 63300

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 RVU26.13 · 50%
  • Practice expense (office) RVU16.47 · 32%
  • Malpractice RVU9.53 · 18%

153

Medicare services in 2024 · #4550 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.

63300 compared with similar codes

Office rates for Pennsylvania, from the same CMS release.

63301

Vertebral resection

Thoracic, extradural lesion

No office rate

63301 is the extradural vertebral-body resection code for the thoracic level; 63300 is for the cervical level.

63304

Spinal lesion surgery

Cervical, intradural

No office rate

Both describe cervical vertebral-body resection, but 63300 is extradural and 63304 is intradural.

63081

Cervical corpectomy

Single segment

No office rate

63081 describes cervical corpectomy using an anterior approach. Choose between it and 63300 based on the operative approach and applicable procedure description.

63308

Vertebral resection

Each additional segment

No office rate

63308 is an add-on for an additional vertebral segment, not the primary single-segment cervical resection.

Compare 63300 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.

2 of 2 payment localities

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

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63300 billing questions

How does 63300 differ from 63304?

63300 describes extradural cervical vertebral-body resection. Use 63304 when the cervical resection is intradural.

Is decompression separately reported with 63300?

Cord or nerve-root decompression is included in this resection service; it is not a separate service under this code.

When can 63308 be added?

63308 is the add-on for each additional vertebral segment beyond the primary segment. It is reported with an eligible primary procedure, not by itself.

Should modifier 50 be appended?

No. This cervical vertebral-body service is not reported bilaterally with modifier 50.

What postoperative care is included?

The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.

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 63300PPRRVU2026_Oct_nonQPP.csv, line 7,064 (RVU26D)