63091 Remove vertebral body add-on
Also known as: additional lumbar vertebrectomy, lumbar extension
Removal of vertebral body for decompression, add-on code for each additional lumbar vertebra. Used when lumbar vertebrectomy requires excising multiple vertebral bodies.
In Plain Language
additional lower back bone removal
Clinical Context
Applied when multi-level lumbar vertebrectomy is performed for extensive compressive pathology affecting multiple levels.
RVU Breakdown
| Work RVU | 2.95 |
| Total RVU | 2.95 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 2.95, this code ranks in the 21st percentile among Surgery codes — 2.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 63091?
CPT 63091 (Remove vertebral body add-on) is a Surgery code. Removal of vertebral body for decompression, add-on code for each additional lumbar vertebra. Used when lumbar vertebrectomy requires excising multiple vertebral bodies.
What is the wRVU value for CPT 63091?
The work RVU for CPT 63091 is 2.95. This code is primarily used by Orthopedic Spine Surgery, Neurosurgery.
When is CPT 63091 used?
Applied when multi-level lumbar vertebrectomy is performed for extensive compressive pathology affecting multiple levels.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.