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See a sample rate comparisonCPT 63101 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 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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 82 - Assistant surgeon - no qualified resident |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 63101 |
| Medicaid Fee Schedule | View Medicaid rates for 63101 |
National average reimbursement for CPT 63101 by major payers:
$2,981.09
$3,163.00
$3,285.84
$3,739.82
Compare published rates across providers.
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CPT 63101
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Endoscopy & Surgery Center North Houston, LLC, North Houston Endoscopy & Surgery Center
$4,893.00Published rateMinnesota Vascular Surgery Center
$1,000.00Published rateMedical Center Endoscopy, LLC, Medical Center Endoscopy
Medical Center Endoscopy, LLP
$736.00Published rateAustell Surgery Center, LLC
Austell Surgery Center LLC
$616.00Published rateMid-Florida Endoscopy & Surgery Center LLC
Mid-Florida Endoscopy & Surger
$364.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 63101 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 63101 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 63101 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 |
|---|---|---|
| 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 |
| 63102-CPT | High | Remove Vert Body Dcmprn Lmbr, 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 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 63101. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63101 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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