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See a sample rate comparisonCPT 63086 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.
Remove Vertebral Body Add On, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete Transthoracic Approach With Decompression Of Spinal Cord And Or Nerve Root S Thoracic Each Additional Segment 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 22 - On Campus Outpatient Hospital |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 62 - Co-Surgeons |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 63086 |
| Medicaid Fee Schedule | View Medicaid rates for 63086 |
National average reimbursement for CPT 63086 by major payers:
$253.75
$267.35
$312.42
$312.43
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CPT 63086
5 of 25 sample ratesHigher to lower in this preview
Indiana Endoscopy Centers LLC, Indiana Endoscopy Center
$7,400.00Published rateOphthalmology Surgery Center Of Orlando LLC, Orlando Ophthalmology Surgery Center
$1,064.00Published rateThe Surgery Center At Sacred Heart Medical Park, Destin, LLC
The Surgery Center At Sacred Heart Medical Park Destin LLC
$935.00Published rateEyes On Stark Surgery Center, LLC, Vista Surgical Center
Eyes On Stark Surgery Center, LLC Dba Vista Surgical Center
$535.00Published rateThe Gastroenterology Center Of Virginia, PLLC
$288.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 63086 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 63086 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 63086 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 |
|---|---|---|
| 63085-CPT | High | Remove Vert Body Dcmprn Thrc, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete Transthoracic Approach With Decompression Of Spinal Cord And Or Nerve Root S Thoracic Single Segment |
| 63086-CPT | Moderate | Remove Vertebral Body Add On, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete Transthoracic Approach With Decompression Of Spinal Cord And Or Nerve Root S Thoracic Each Additional Segment List Separately In Addition To Code For Primary Procedure |
| 63087-CPT | High | Remov Vertbr Dcmprn Thrclmbr, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete Combined Thoracolumbar Approach With Decompression Of Spinal Cord Cauda Equina Or Nerve Root S Lower Thoracic Or Lumbar 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 63086. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63086 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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