PFS ExplorerMedicare Physician Fee Schedule · 2026

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63307

Remov vert idrl bdy lmbr/sac

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Code typePrimary
Payment statusActive (A)
Global period90-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary63307Remov vert idrl bdy lmbr/sac
1
$2,325.37
$2,325.37
Add-on22840Insert spine fixation device
0
$668.35/ unit
$668.35/ unit
Add-on22841Insert spine fixation device
0
$0.00/ unit
$0.00/ unit
Add-on22842Insert spine fixation device
0
$680.04/ unit
$680.04/ unit
Add-on22843Insert spine fixation device
0
$728.47/ unit
$728.47/ unit
Add-on22844Insert spine fixation device
0
$875.10/ unit
$875.10/ unit
Add-on22845Insert spine fixation device
0
$647.64/ unit
$647.64/ unit
Add-on22846Insert spine fixation device
0
$673.36/ unit
$673.36/ unit
Add-on22847Insert spine fixation device
0
$687.39/ unit
$687.39/ unit
Add-on22848Insert pelv fixation device
0
$317.64/ unit
$317.64/ unit
Add-on22853Insj biomechanical device
0
$228.80/ unit
$228.80/ unit
Add-on22854Insj biomechanical device
0
$300.61/ unit
$300.61/ unit
Add-on22859Insj biomechanical device
0
$300.27/ unit
$300.27/ unit
Add-on63308Remove vertebral body add-on
0
$288.92/ unit
$288.92/ unit
Add-on69990Microsurgery add-on
0
$198.07/ unit
$198.07/ unit
Whole procedure · 34.09 wRVU credited
$2,325.37
$2,325.37
How these numbers were computed
  • status=BThis code is not separately payable under the Physician Fee Schedule (status B) — amounts shown are $0.

RVU Breakdown

Component
Office
Facility
Work
34.09
34.09
Practice expense
21.14
21.14
Malpractice
14.39
14.39
Total RVU
69.62
69.62

Payment Policy & Modifiers

Allowed adjustments
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Assistant surgeon -80/81/8216%
Assistant at surgery (mod 80/81/82) is paid at 16% of the fee schedule amount.
Co-surgeons -6262.5% each
Co-surgeons paid (62.5% each) if medical necessity is documented.
Not applicable to this code
Bilateral -50Team surgeon -66Prof / tech split

Global surgery package

Major surgery: payment covers the day before, the day of, and 90 days after. Of the total payment, 11% is attributed to pre-operative care, 76% to the procedure itself, and 13% to post-operative visits.