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See a sample rate comparisonCPT 63102 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 Lateral Extracavitary Approach With Decompression Of Spinal Cord And Or Nerve Root S Eg For Tumor Or Retropulsed Bone Fragments Lumbar 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 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 63102 |
| Medicaid Fee Schedule | View Medicaid rates for 63102 |
National average reimbursement for CPT 63102 by major payers:
$2,746.53
$3,095.28
$3,134.32
$3,676.92
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CPT 63102
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Southwest Fort Worth
$11,727.00Published rateMiami Surgery Center LLC, Surgery Center At Doral
Miami Surgery Center LLC
$840.00Published rateBirmingham Outpatient Surgery Center Ltd, Outpatient Carecenter
Birmingham Outpatient Surgery Center Ltd
$572.00Published rateRuxton Surgicenter LLC
$425.00Published rateAmerican Access Care Of Towson Asc LLC
$150.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 63102 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 63102 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 63102 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 |
|---|---|---|
| 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 |
| 63103-CPT | Moderate | Remove Vertebral Body Add On, 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 Or Lumbar 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 63102. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63102 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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