No office rate
Choose 63303 for an extradural lesion at the lumbar or sacral level; this code describes the intradural situation.
On this page
CMS RVU26D · Effective 2026-10-01
63307 Vertebral resection Medicare reimbursement rates in Wyoming
Reports partial or complete removal of a lumbar or sacral vertebral body to reach and remove an intradural spinal lesion. Compare 63307 office and facility rates across CMS payment localities in Wyoming.
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 63307 in Wyoming?
Wyoming 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
$2200.40
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 63307: Lumbar or sacral intradural vertebral resection
Reports partial or complete removal of a lumbar or sacral vertebral body to reach and remove an intradural spinal lesion.
This service involves partial or complete removal of a lumbar or sacral vertebral body to access and excise an intradural spinal lesion. It is a major operation typically performed by a neurosurgeon or orthopedic spine surgeon in an operating room. An intradural mass is a representative clinical reason for the approach; the relevant distinctions are the lesion’s intradural location and the lumbar or sacral level.
Report the code for the qualifying vertebral segment and document the lesion’s location, the spinal level, and the vertebral-body resection performed. Code 63308 may be reported for each additional vertebral segment when applicable. 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. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 63307
- 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 RVU34.09 · 49%
- Practice expense (office) RVU21.14 · 30%
- Malpractice RVU14.39 · 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.
63307 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
Both address intradural lesions, but 63306 is for the thoracolumbar level rather than the lumbar or sacral level.
No office rate
This code reports the primary segment; 63308 is the add-on for each additional vertebral segment.
Compare 63307 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$2200.40
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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 63307 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
7,071
- Code
- 63307
- Physician work
- 34.09
- Practice expense
- 21.14
- Malpractice
- 14.39
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 34.09 | × 1.000 | 34.0900 |
| Practice expense | 21.14 | × 1.000 | 21.1400 |
| Malpractice | 14.39 | × 0.740 | 10.6486 |
| Total RVUs | 65.8786 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$2200.40
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 34.09 | 1 |
| Practice expense | 21.14 | 1 |
| Malpractice | 14.39 | 0.74 |
(34.09 × 1 + 21.14 × 1 + 14.39 × 0.74) × $33.4009 = $2200.40
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.
63307 billing questions
How does this differ from code 63303?
This code is for a lumbar or sacral intradural lesion requiring vertebral-body resection. Code 63303 describes the extradural counterpart.
When is code 63308 reported with this service?
Code 63308 is the add-on for each additional vertebral segment when the operation extends beyond the segment reported with this code.
Does the 90-day global include postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant or co-surgeon be paid?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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.
7,06863304,,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
7,07463610,,Stimulation of spinal cord,A,,8.50,4.35,NA,4.35,,3.58,16.43,16.43,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,