CPT code 63030: Lumbar decompression, single interspace2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $892.47 for 63030 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 63030 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 63030 covers

A spine surgeon uses a limited opening through part of the lumbar lamina to reach and decompress a nerve root at one interspace. The work may include removing a portion of facet bone, widening the nerve-root exit, and removing herniated disk material when needed. A common clinical setting is surgery for lumbar radiculopathy caused by a disk herniation; the service is typically performed in a hospital or ambulatory surgical facility.

Report one unit for the treated lumbar interspace when the operative note supports nerve-root decompression and identifies the level and approach. Use the additional-interspace code when qualifying decompression is performed at another interspace in the same session; use the re-exploration code for lumbar reoperation instead. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant surgeons and co-surgeons may be paid; 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 New Mexico compares for 63030

Across 109 of 109 payment localities, the facility rate for 63030 runs from $782.49 in Arkansas to $1,109.80 in Miami, FL. New Mexico pays $892.47. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

63030 rates by state

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

See 63030 in every payment locality

How the 63030 rate is calculated

Each of 63030’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 63030

63030 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 50

Codes related to 63030

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

How 63030 has changed in New Mexico

Price 63030 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