No office rate
Both concern intradural lesions; 63305 applies to the thoracic region, while 63306 applies to the thoracolumbar region.
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CMS RVU26D · Effective 2026-10-01
63306 Vertebral resection Medicare reimbursement rates in Pennsylvania
Reports partial or complete thoracolumbar vertebral body removal to excise an intradural spinal lesion, selected by lesion compartment and operative level. Compare 63306 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 63306 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
$2292.80–$2525.09
2 of 2 localities have a supported rate.
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 63306: Thoracolumbar intradural vertebral body resection
Reports partial or complete thoracolumbar vertebral body removal to excise an intradural spinal lesion, selected by lesion compartment and operative level.
A spine surgeon, commonly a neurosurgeon or orthopedic spine surgeon, removes part or all of a vertebral body in the thoracolumbar region as part of excising an intradural spinal lesion. The operative distinction is the lesion’s position within the dura and the vertebral region treated; this is not the corresponding service for an extradural lesion.
Select the code from the operative report’s documented lesion location and vertebral level. Documentation should establish the intradural lesion, the thoracolumbar site, the extent of vertebral body removal, and the number of segments treated. Report 63308 for an additional vertebral segment when its requirements are met. This major surgery 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 setting, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate for this anatomy. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 63306
- 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 RVU34.66 · 49%
- Practice expense (office) RVU21.95 · 31%
- Malpractice RVU14.64 · 21%
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.
63306 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
63307 applies to the lumbar or sacral region. Use 63306 for the thoracolumbar region.
No office rate
The region is thoracolumbar in both codes; 63306 concerns an intradural lesion, while 63302 concerns an extradural lesion.
No office rate
63308 is an add-on for an additional vertebral segment, not the primary service code reported for the initial segment.
Compare 63306 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
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$2525.09
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$2292.80
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63306 billing questions
How is 63306 distinguished from 63305?
Both describe intradural vertebral body removal, but 63306 is for the thoracolumbar region and 63305 is for the thoracic region. Use the documented operative level to select the code.
When is 63308 reported with 63306?
63308 is the add-on code for each additional vertebral segment when the service meets its requirements. The operative report should support the additional segment treated.
Can modifier 50 be used for 63306?
No. The CMS bilateral adjustment does not apply because the descriptor and anatomy make bilateral reporting with modifier 50 inappropriate.
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?
Assistant-at-surgery payment may be made. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
How does 63306 differ from 63302?
63306 is for removal associated with an intradural lesion in the thoracolumbar region. 63302 describes the corresponding thoracolumbar service for an extradural lesion.
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.
7,06763303,,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
7,07263308,,Remove vertebral body add-on,A,,5.11,1.71,NA,1.71,,1.83,8.65,8.65,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,07363600,,Remove spinal cord lesion,A,,14.74,11.53,NA,11.53,,6.21,32.48,32.48,0,090,0.11,0.76,0.13,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00