CPT code 63017: Lumbar laminectomy, more than two segments2026 Medicare rate & RVUs in Washington, DC area

Reports lumbar laminectomy to decompress the spinal cord or cauda equina across more than two vertebral segments, without facetectomy, foraminotomy, or discectomy.

CMS RVU26DEffective Oct 1, 2026One payment locality1K Medicare services in 2024

In Washington, DC area, Medicare pays $1,382.74 for 63017 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,382.74Hospital or facility

Check a contract rate as a % of Medicare · 63017 nationwide

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

We’ll open 63017 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 63017 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 63017 covers

This service covers removal of lumbar lamina across more than two vertebral segments to relieve compression of the spinal cord or cauda equina, commonly in patients with multilevel spinal stenosis. A spine surgeon typically performs the operation in a hospital or other surgical facility. The operative work is a broader decompression than a limited laminotomy, but this code describes decompression without facetectomy, foraminotomy, or discectomy.

Select the code based on the lumbar region, the number of vertebral segments treated, and the documented surgical work. The operative report should identify the levels decompressed, the indication, and the extent of bone removal. CMS 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 other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not permitted.

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 Washington, DC area compares for 63017

Across 109 of 109 payment localities, the facility rate for 63017 runs from $1,074.63 in Nebraska to $1,595.65 in Miami, FL. Washington, DC area pays $1,382.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

63017 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$1,382.74
  2. Los Angeles, CA · California$1,280.39−$102.35
  3. Miami, FL · Florida$1,595.65+$212.91
  4. Chicago, IL · Illinois$1,532.18+$149.44
  5. Manhattan, NY · New York$1,483.50+$100.76
  6. Alaska · Alaska$1,460.25+$77.51
  7. Alabama · Alabama$1,093.11−$289.63

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

63017 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$1,074.64
ArizonaArizona—$1,199.59
Bakersfield, CACalifornia—$1,215.69
Chico, CACalifornia—$1,198.74
El Centro, CACalifornia—$1,199.82
Fresno, CACalifornia—$1,198.74
Hanford, CACalifornia—$1,198.74
Madera, CACalifornia—$1,198.74

63017 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
63017 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 63017 in every payment locality

How the 63017 rate is calculated

Each of 63017’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.

How the rate is built · 63017

RVUs × geographic indexes × conversion factor

Office or facility?

Work16.90

16.90 RVUs× 1.000 GPCI

Practice expense13.89

13.89 RVUs× 1.000 GPCI

Malpractice6.49

6.49 RVUs× 1.000 GPCI

Adjusted RVUs

37.2800

Conversion factor

$33.4009

Medicare rate

$1,245.19

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,995

Code
63017
Physician work
16.90
Practice expense
13.89
Malpractice
6.49

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Facility calculation for 63017 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work16.90× 1.05417.8126
Practice expense13.89× 1.17816.3624
Malpractice6.49× 1.1137.2234
Total RVUs41.3984
Conversion factor× 33.4009

Facility rate, Washington, DC area$1382.74

Facility: (16.9 × 1.054 + 13.89 × 1.178 + 6.49 × 1.113) × $33.4009 = $1382.74

Open 63017 in the RVU calculator

Payment rules and modifiers for 63017

63017 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 63017

Lumbar laminectomy, more than two segments

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 63017

Lumbar laminectomy, more than two segments

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

63017 without 51 · national facility

$1,245.19

Lumbar laminectomy, more than two segments

63017-51 · Second procedure: 50%

$622.60

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 63017 has changed in Washington, DC area

63017 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,382.74RVU26D
2026-07-01Not available in this setting$1,382.74RVU26C
2026-04-01Not available in this setting$1,382.74RVU26B
2026-01-01Not available in this setting$1,382.74RVU26A
2025-10-01Not available in this setting$1,417.96RVU25D
2025-07-01Not available in this setting$1,417.96RVU25C
2025-04-01Not available in this setting$1,417.96RVU25B
2025-01-01Not available in this setting$1,417.96RVU25A
2024-10-01Not available in this setting$1,448.05RVU24D
2024-07-01Not available in this setting$1,448.05RVU24C
2024-04-01Not available in this setting$1,448.05RVU24B
2024-03-09Not available in this setting$1,448.05RVU24AR
2024-01-01Not available in this setting$1,424.42RVU24A
2023-10-01Not available in this setting$1,483.26RVU23D
2023-07-01Not available in this setting$1,483.26RVU23C
2023-04-01Not available in this setting$1,483.26RVU23B
2023-01-01Not available in this setting$1,483.26RVU23A
2022-10-01Not available in this setting$1,509.15RVU22D
2022-07-01Not available in this setting$1,509.15RVU22C
2022-04-01Not available in this setting$1,509.15RVU22B
2022-01-01Not available in this setting$1,509.15RVU22A
2021-10-01Not available in this setting$1,509.22RVU21D
2021-07-01Not available in this setting$1,509.22RVU21C
2021-04-01Not available in this setting$1,509.22RVU21B
2021-01-01Not available in this setting$1,509.22RVU21A
2020-10-01Not available in this setting$1,507.77RVU20D
2020-07-01Not available in this setting$1,507.77RVU20C
2020-04-01Not available in this setting$1,507.77RVU20B
2020-01-01Not available in this setting$1,507.77RVU20A
2019-10-01Not available in this setting$1,506.50RVU19D
2019-07-01Not available in this setting$1,506.50RVU19C
2019-04-01Not available in this setting$1,506.50RVU19B
2019-01-01Not available in this setting$1,506.50RVU19A
2018-10-01Not available in this setting$1,499.03RVU18D
2018-07-01Not available in this setting$1,499.03RVU18C
2018-04-01Not available in this setting$1,499.03RVU18B
2018-01-01Not available in this setting$1,499.03RVU18AR1
2017-10-01Not available in this setting$1,502.89RVU17D
2017-07-01Not available in this setting$1,502.89RVU17C
2017-04-01Not available in this setting$1,502.89RVU17B
2017-01-01Not available in this setting$1,502.89RVU17A
2016-10-01Not available in this setting$1,501.47RVU16D
2016-07-01Not available in this setting$1,501.47RVU16C
2016-04-01Not available in this setting$1,501.47RVU16B
2016-01-01Not available in this setting$1,501.47RVU16A
2015-10-01Not available in this setting$1,514.65RVU15D
2015-07-01Not available in this setting$1,514.65RVU15C
2015-04-01Not available in this setting$1,507.11RVU15B
2015-01-01Not available in this setting$1,507.11RVU15A
2014-10-01Not available in this setting$1,446.43RVU14D
2014-07-01Not available in this setting$1,446.43RVU14C
2014-04-01Not available in this setting$1,446.43RVU14B
2014-01-01Not available in this setting$1,446.43RVU14A
2013-10-01Not available in this setting$1,421.63RVU13D
2013-07-01Not available in this setting$1,421.63RVU13C
2013-04-01Not available in this setting$1,421.63RVU13B
2013-01-01Not available in this setting$1,421.63RVU13AR

Price 63017 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

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63017 billing questions

When is 63017 appropriate instead of 63005?

Use 63017 for lumbar decompression across more than two vertebral segments. Code 63005 is the related lumbar code for one or two segments.

How does 63017 differ from 63047?

63017 describes lumbar decompression without facetectomy or foraminotomy. Consider 63047 when the documented lumbar decompression includes facetectomy and foraminotomy.

Should modifier 50 be reported for bilateral decompression?

No. CMS identifies the bilateral adjustment as inapplicable for this code and modifier 50 as inappropriate.

What operative documentation supports 63017?

Document the lumbar levels treated, the indication for decompression, and the extent of the laminectomy. The record should support treatment of more than two vertebral segments and the work described by this code.

How does the multiple-procedure reduction affect this code?

For procedures performed in the same session, CMS pays the highest-valued procedure in full and applies the standard 50% reduction to the others.

What services are included in the global period?

The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.

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

Show the CMS file lines behind this rate
RVUs for 63017PPRRVU2026_Oct_nonQPP.csv, line 6,995 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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