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See a sample rate comparisonCPT 63078 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Spine Disk Surgery Thorax, Discectomy Anterior With Decompression Of Spinal Cord And Or Nerve Root S Including Osteophytectomy Thoracic Each Additional Interspace List Separately In Addition To Code For Primary Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery XU - Unusual Non-Overlapping Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 63078 |
| Medicaid Fee Schedule | View Medicaid rates for 63078 |
National average reimbursement for CPT 63078 by major payers:
$263.64
$282.72
$317.52
$328.57
Compare published rates across providers.
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CPT 63078
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Fort Worth
Texas Health Harris Methodist Hospital Southwest Fort Worth
$9,124.00Published rateNorth Valley Orthopedic Surgery Center LLC, The Orthopedic Surgery Center Of Arizona
North Valley Orthopedic Surgery Center LLC
$1,064.00Published rateWestern Washington Endoscopy Centers LLC, Sunrise Endoscopy Center
Western Washington Endoscopy Centers LLC
$676.00Published rateRuxton Surgicenter LLC
$413.00Published rateWinter Haven-Sebring Fl Ophthalmology Asc LLC, Eye Surgery & Laser Center Of Sebring
$50.00Published rate
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See a sample payer proposalCPT 63078 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 63078 code is part of the Surgery services used for Surgical Procedures on the Nervous System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 63078 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 63077-CPT | High | Relieve Pinched Nerve In Spine, Surgery To Remove A Portion Of A Bulging (Herniated) Disc And Vertebral (Spine) Bone Spurs In Order To Relieve A Pinched Nerve In The Upper Back. |
| 63078-CPT | Moderate | Spine Disk Surgery Thorax, Discectomy Anterior With Decompression Of Spinal Cord And Or Nerve Root S Including Osteophytectomy Thoracic Each Additional Interspace List Separately In Addition To Code For Primary Procedure |
| 63081-CPT | High | Remove Vert Body Dcmprn Crvl, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete Anterior Approach With Decompression Of Spinal Cord And Or Nerve Root S Cervical Single Segment |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63078. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63078 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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