CPT code 63005: Lumbar laminectomy, one or two segments2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $1,195.91 for 63005 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 63005 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 63005 covers

A spine surgeon removes lumbar lamina to enlarge the spinal canal and relieve compression of neural structures such as the cauda equina. The service may be performed for lumbar canal stenosis or to remove a spinal extradural lesion. It is an operative decompression, typically performed in a hospital operating room, rather than a limited laminotomy directed at a single nerve root.

Select this code when the documented laminectomy covers one or two lumbar vertebral segments and the work does not include the facetectomy, foraminotomy, or discectomy described by other procedure codes. The operative report should identify the lumbar levels, the decompression performed, and any additional work. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Bilateral adjustment does not apply. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How New Mexico compares for 63005

Across 109 of 109 payment localities, the facility rate for 63005 runs from $1,029.41 in Arkansas to $1,523.53 in Miami, FL. New Mexico pays $1,195.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

63005 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 63005 in every payment locality

How the 63005 rate is calculated

Each of 63005’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 63005

63005 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 63005

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 63005 has changed in New Mexico

Price 63005 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates