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See a sample rate comparisonCPT 63090 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Remove Vert Body Dcmprn Lmbr, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete Transperitoneal Or Retroperitoneal Approach With Decompression Of Spinal Cord Cauda Equina Or Nerve Root S Lower Thoracic Lumbar Or Sacral Single Segment
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 63090 |
| Medicaid Fee Schedule | View Medicaid rates for 63090 |
National average reimbursement for CPT 63090 by major payers:
$2,464.23
$2,685.81
$2,723.04
$3,174.30
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CPT 63090
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Cleburne
$9,124.00Published rateOrthopaedic Surgery Center Of San Antonio Lp, Foundation Surgery Affiliate Of San Antonio Lp
Orthopaedic Surgery Center Of San Antonio Lp
$973.00Published rateEndoscopy Center Of Grand Junction LLC
$735.00Published rateMid-Atlantic Endoscopy Center, LLC, Mid-Atlantic Gastrointestinal Center II
Midatlantic Endoscopy Center LLC
$464.00Published rateDiscover Eye Surgery Center, LLC, Eye Surgery Center - The Cliffs
Discover Eye Surgery Center LLC
$75.00Published rate
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See a sample payer proposalCPT 63090 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 63090 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 63090 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 |
|---|---|---|
| 63088-CPT | Moderate | Remove Vertebral Body Add On, 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 Each Additional Segment List Separately In Addition To Code For Primary Procedure |
| 63090-CPT | High | Remove Vert Body Dcmprn Lmbr, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete Transperitoneal Or Retroperitoneal Approach With Decompression Of Spinal Cord Cauda Equina Or Nerve Root S Lower Thoracic Lumbar Or Sacral Single Segment |
| 63091-CPT | Moderate | Remove Vertebral Body Add On, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete Transperitoneal Or Retroperitoneal Approach With Decompression Of Spinal Cord Cauda Equina Or Nerve Root S Lower Thoracic Lumbar Or Sacral Each Additional Segment List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63090. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63090 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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