Add-on for each additional cervical interspace treated with anterior discectomy and decompression, billed with the single-interspace anterior cervical discectomy code.
- Medicare
- $217.11
- Work RVU
- 3.94
- Global, days
- Region
- Spine
Documentation requirements
What must appear in the operative or office note to support the claim.
Source · Editorial brief grounded in 3 cited references ↓
- Each additional cervical interspace named
- Disc and osteophyte removal at each added level
- No fusion or arthroplasty at the added interspace
- Imaging and exam findings supporting each level
- Primary 63075 in the same session
Applicable modifiers
Modifiers commonly billed with this code.
Source · AMA CPT modifier descriptors · CMS NCCI Policy Manual
What this code covers
Source · Editorial summary grounded in 3 cited references ↓
63076 adds each additional cervical interspace to an anterior discectomy reported with 63075. It is an add-on with no global of its own and is billed only with 63075 on the same claim by the same surgeon.
The same bundling rules carry over. If the added level gets an interbody fusion, it belongs on 22552 with the ACDF primary, not here. If it gets a disc arthroplasty, the arthroplasty codes cover the discectomy. 63076 fits only when the extra interspace is decompressed without fusion or arthroplasty.
One unit per additional interspace. A two-level standalone discectomy at C5-C6 and C6-C7 is 63075 plus one unit of 63076. Do not append modifier 51. If the primary is denied, this code goes with it, so appeals should address 63075 first. Payers look for interspace-by-interspace detail in the op note, including what was removed and which roots or cord segments were freed.
RVU & reimbursement
Component RVUs and Medicare national rate. Actual payment varies by GPCI locality.
Source · CMS Physician Fee Schedule, RVU26A · January 2026
Work RVU vs. total RVU
The work RVU (3.94) is the surgeon's own effort — the figure physician pay and productivity targets are built on. The total RVU (6.5) adds practice overhead and malpractice, and is what drives the Medicare payment below.
| Work RVU | 3.94 |
| Practice expense RVU | 1.3 |
| Malpractice RVU | 1.26 |
| Total RVU | 6.5 |
| Medicare national rate | $217.11 |
| Global period | days |
Payment by site of service
Medicare pays different rates by setting. HOPD typically pays substantially more than ASC for the same procedure.
Source · CMS OPPS Addendum B·ASC HCPCS payment rates·2026
| Setting | Medicare rate (national) |
|---|---|
Office (PFS non-facility) Procedure performed in physician's office | $217.11 |
Common denial reasons
The recurring reasons claims for CPT 63076 get rejected.
Source · Editorial brief grounded in CMS NCCI edits, AAOS coding appeals, and cited references ↓
- Billed without primary 63075
- Added level had interbody fusion and belonged on 22552
- Added level had disc arthroplasty
- Modifier 51 appended to an add-on
- Units exceed interspaces described in the op note
- Primary code denied
Frequently asked questions
Source · Generated from the editorial pipeline, verified against 3 cited references ↓
01What does CPT 63076 go with?
02Can 63076 be billed for an extra ACDF level?
03Does 63076 take modifier 51?
Sources & references
Editorial content was developed using the following public sources.
Mira Scribe
Mira Scribe's notes tie each symptomatic level to exam and imaging findings, which supports billing multiple interspaces instead of just the worst one.
See how Mira captures CPT 63076 documentation