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See a sample rate comparisonCPT 63091 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 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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 80 - Assistant surgeon |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 63091 |
| Medicaid Fee Schedule | View Medicaid rates for 63091 |
National average reimbursement for CPT 63091 by major payers:
$229.43
$248.69
$282.38
$294.38
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CPT 63091
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Azle
$9,124.00Published rateSouthhealth Asc, LLC, Edina Specialty Surgery Center
Southhealth Asc LLC
$1,366.00Published rateSurgcenter Of Greenbelt, LLC
Surgcenter Of Greenbelt LLC
$758.00Published rateVivere Health New Orleans, LLC, Vivere Audubon Surgery Center
Vivere Health New Orleans LLC
$523.00Published rateCheckerspot Surgery Centers, LLC
Checkerspot Surgery Centers LLC
$120.00Published rate
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See a sample payer proposalCPT 63091 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 63091 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 63091 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 |
|---|---|---|
| 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 |
| 63101-CPT | High | Remove Vert Body Dcmprn Thrc, Vertebral Corpectomy Vertebral Body Resection Partial Or Complete Lateral Extracavitary Approach With Decompression Of Spinal Cord And Or Nerve Root S Eg For Tumor Or Retropulsed Bone Fragments Thoracic 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 63091. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63091 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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