CPT code 63035: Nerve-root decompression, each additional interspace2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $202.60 for 63035 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 63035 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 63035 covers

This add-on represents decompression of nerve roots at another cervical or lumbar interspace during a laminotomy operation. The surgeon may remove bone or disc material and perform partial facetectomy or foraminotomy as needed to relieve root compression. Spine surgeons typically perform the work in an operating room, often for disc herniation or foraminal narrowing affecting more than one interspace.

Report 63035 with the applicable primary code, 63020 for cervical surgery or 63030 for lumbar surgery; it is not a standalone service. Count additional interspaces treated, rather than the number of nerve roots, and document the spinal region, interspaces, and decompression performed. CMS treats this as an add-on paid within the primary procedure’s global period. When the procedure is bilateral and modifier 50 is reported, CMS pays 150% of the applicable amount.

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 Delaware compares for 63035

Across 109 of 109 payment localities, the facility rate for 63035 runs from $177.62 in Wisconsin to $267.88 in Miami, FL. Delaware pays $202.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

63035 rates by state

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

See 63035 in every payment locality

How the 63035 rate is calculated

Each of 63035’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 63035

The CMS indicators that decide how 63035 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 63035

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

How 63035 has changed in Delaware

Price 63035 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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