63075 represents the first cervical interspace; 63076 is the add-on for each additional cervical interspace treated.
On this page
CMS RVU26D · Effective 2026-10-01
63075 Cervical discectomy Medicare reimbursement rates in Utah
Reports anterior removal of cervical disc material and compressive bone to relieve spinal cord or nerve-root pressure at one interspace below C2. Compare 63075 office and facility rates across CMS payment localities in Utah.
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 63075 in Utah?
Utah 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
$1240.38
1 of 1 localities have a supported rate.
Payment area: Utah
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 63075: Anterior cervical disc decompression, one level
Reports anterior removal of cervical disc material and compressive bone to relieve spinal cord or nerve-root pressure at one interspace below C2.
A spine surgeon uses an anterior neck approach to remove disc material and, when needed, osteophytes compressing the spinal cord or nerve roots at one cervical interspace below C2. The operation is commonly performed in a hospital operating room for cervical radiculopathy or myelopathy associated with disc disease. The code represents decompression at one interspace, not removal of a vertebral body.
Documentation should identify the anterior approach, the treated interspace, and the disc or other compressive tissue removed to decompress the cord or nerve roots. Report 63076 for each additional cervical interspace treated when its add-on requirements are met. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 63075
- 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 not permitted.
Where the value comes from
- Work RVU19.11 · 50%
- Practice expense (office) RVU13.12 · 34%
- Malpractice RVU6.34 · 16%
210
Medicare services in 2024 · #4279 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.
63075 compared with similar codes
Office rates for Utah, from the same CMS release.
22551 reports anterior cervical fusion and includes disc removal and decompression at the fusion level. Use 63075 for the single-level anterior decompression when that work is not included in a fusion code.
63077 is the corresponding anterior disc decompression code for a thoracic interspace; 63075 is for cervical levels below C2.
63081 describes cervical decompression that removes a vertebral body. 63075 is for disc-level decompression without that corpectomy work.
Compare 63075 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
Utah →
Office / nonfacility
Unavailable
Facility
$1240.38
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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 63075 in Utah.
PPRRVU2026_Oct_nonQPP.csv
7,017
- Code
- 63075
- Physician work
- 19.11
- Practice expense
- 13.12
- Malpractice
- 6.34
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.11 | × 1.000 | 19.1100 |
| Practice expense | 13.12 | × 0.940 | 12.3328 |
| Malpractice | 6.34 | × 0.898 | 5.6933 |
| Total RVUs | 37.1361 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$1240.38
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.11 | 1 |
| Practice expense | 13.12 | 0.94 |
| Malpractice | 6.34 | 0.898 |
(19.11 × 1 + 13.12 × 0.94 + 6.34 × 0.898) × $33.4009 = $1240.38
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.
63075 billing questions
When is 63075 reported instead of 22551?
Use 63075 for anterior cervical disc decompression at one interspace when the service is not the discectomy/decompression included in a fusion reported with 22551. For fusion at that level, 22551 includes the disc work needed for decompression.
How is a second cervical interspace reported?
When an additional cervical interspace is treated in the same operative session, report add-on code 63076 for that additional level, subject to its coding requirements.
What documentation supports 63075?
The operative report should establish the anterior approach, the cervical interspace below C2, and the disc or compressive tissue removed to relieve spinal cord or nerve-root pressure.
Does the global period include related postoperative visits?
Yes. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment and co-surgeons for this service. Team surgery is not permitted.
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.
