CPT code 63035: Nerve-root decompression, each additional interspace2026 Medicare rate & RVUs in New Mexico
Reports nerve-root decompression at each additional cervical or lumbar interspace treated during a laminotomy procedure beyond the first interspace.
In New Mexico, Medicare pays $210.81 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.
On this page 11 sections
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 New Mexico 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. New Mexico pays $210.81. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$210.81
- Los Angeles, CA · California$206.08−$4.73
- Washington, DC area · District of Columbia$225.05+$14.24
- Miami, FL · Florida$267.88+$57.07
- Chicago, IL · Illinois$258.11+$47.30
- Manhattan, NY · New York$244.12+$33.31
- Alaska · Alaska$254.38+$43.57
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $184.24 |
| ArkansasArkansas | — | $181.58 |
| ArizonaArizona | — | $199.50 |
| Bakersfield, CACalifornia | — | $197.53 |
| Chico, CACalifornia | — | $194.43 |
| El Centro, CACalifornia | — | $194.62 |
| Fresno, CACalifornia | — | $194.43 |
| Hanford, CACalifornia | — | $194.43 |
| Madera, CACalifornia | — | $194.43 |
| Merced, CACalifornia | — | $194.43 |
| Modesto, CACalifornia | — | $194.43 |
| Napa, CACalifornia | — | $208.38 |
| Oxnard, CACalifornia | — | $202.80 |
| Redding, CACalifornia | — | $194.43 |
| Rest of CaliforniaCalifornia | — | $194.43 |
| Riverside, CACalifornia | — | $206.94 |
| Sacramento, CACalifornia | — | $199.61 |
| Salinas, CACalifornia | — | $198.82 |
| San Diego, CACalifornia | — | $200.47 |
| Marin County, CACalifornia | — | $214.32 |
| San Francisco, CACalifornia | — | $213.00 |
| San Benito County, CACalifornia | — | $220.55 |
| Santa Clara County, CACalifornia | — | $215.12 |
| San Luis Obispo, CACalifornia | — | $196.22 |
| Santa Cruz, CACalifornia | — | $199.90 |
| Santa Maria, CACalifornia | — | $198.73 |
| Santa Rosa, CACalifornia | — | $201.57 |
| Stockton, CACalifornia | — | $194.43 |
| Vallejo, CACalifornia | — | $206.46 |
| Visalia, CACalifornia | — | $194.43 |
| Yuba City, CACalifornia | — | $194.43 |
| ColoradoColorado | — | $202.04 |
| ConnecticutConnecticut | — | $220.35 |
| DelawareDelaware | — | $202.60 |
| Fort Lauderdale, FLFlorida | — | $238.54 |
| Rest of FloridaFlorida | — | $224.24 |
| Atlanta, GAGeorgia | — | $215.32 |
| Rest of GeorgiaGeorgia | — | $209.41 |
| Hawaii, Guam, HIHawaii | — | $195.69 |
| IowaIowa | — | $179.30 |
| IdahoIdaho | — | $182.48 |
| East St. Louis, ILIllinois | — | $242.70 |
| Rest of IllinoisIllinois | — | $224.79 |
| Suburban Chicago, ILIllinois | — | $238.59 |
| IndianaIndiana | — | $183.28 |
| KansasKansas | — | $183.03 |
| KentuckyKentucky | — | $198.46 |
| New Orleans, LALouisiana | — | $209.27 |
| Rest of LouisianaLouisiana | — | $199.97 |
| Metropolitan Boston, MAMassachusetts | — | $215.37 |
| Rest of MassachusettsMassachusetts | — | $202.71 |
| Baltimore area, MDMaryland | — | $220.74 |
| Rest of MarylandMaryland | — | $204.97 |
| Rest of MaineMaine | — | $188.31 |
| Southern Maine, MEMaine | — | $191.62 |
| Detroit, MIMichigan | — | $231.76 |
| Rest of MichiganMichigan | — | $207.83 |
| MinnesotaMinnesota | — | $180.12 |
| Metropolitan Kansas City, MOMissouri | — | $202.97 |
| Metropolitan St. Louis, MOMissouri | — | $204.49 |
| Rest of MissouriMissouri | — | $199.64 |
| MississippiMississippi | — | $190.41 |
| MontanaMontana | — | $206.34 |
| North CarolinaNorth Carolina | — | $189.51 |
| North DakotaNorth Dakota | — | $183.20 |
| NebraskaNebraska | — | $178.90 |
| New HampshireNew Hampshire | — | $203.24 |
| Northern New JerseyNew Jersey | — | $223.67 |
| Rest of New JerseyNew Jersey | — | $219.07 |
| NevadaNevada | — | $199.93 |
| NYC suburbs and Long Island, NYNew York | — | $255.84 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $224.24 |
| Queens, NYNew York | — | $239.33 |
| Rest of New YorkNew York | — | $192.72 |
| OhioOhio | — | $203.10 |
| OklahomaOklahoma | — | $193.24 |
| Portland, OROregon | — | $203.06 |
| Rest of OregonOregon | — | $194.64 |
| Metropolitan Philadelphia, PAPennsylvania | — | $217.93 |
| Rest of PennsylvaniaPennsylvania | — | $200.84 |
| Puerto RicoPuerto Rico | — | $206.29 |
| Rhode IslandRhode Island | — | $205.96 |
| South CarolinaSouth Carolina | — | $197.38 |
| South DakotaSouth Dakota | — | $180.47 |
| TennesseeTennessee | — | $184.52 |
| Austin, TXTexas | — | $204.64 |
| Beaumont, TXTexas | — | $199.89 |
| Brazoria, TXTexas | — | $198.45 |
| Dallas, TXTexas | — | $201.83 |
| Fort Worth, TXTexas | — | $201.92 |
| Galveston, TXTexas | — | $200.41 |
| Houston, TXTexas | — | $221.82 |
| Rest of TexasTexas | — | $200.50 |
| UtahUtah | — | $199.93 |
| VirginiaVirginia | — | $194.22 |
| Virgin Islands, VIUnited States Virgin Islands | — | $206.29 |
| VermontVermont | — | $186.69 |
| Rest of WashingtonWashington | — | $200.92 |
| King County, WAWashington | — | $215.02 |
| WisconsinWisconsin | — | $177.62 |
| West VirginiaWest Virginia | — | $217.79 |
| WyomingWyoming | — | $196.26 |
63035 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
How the rate is built · 63035
RVUs × geographic indexes × conversion factor
Work3.76
3.76 RVUs× 1.000 GPCI
Practice expense1.25
1.25 RVUs× 1.000 GPCI
Malpractice1.17
1.17 RVUs× 1.000 GPCI
Adjusted RVUs
6.1800
Conversion factor
$33.4009
Medicare rate
$206.42
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,999
- Code
- 63035
- Physician work
- 3.76
- Practice expense
- 1.25
- Malpractice
- 1.17
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.76 | × 1.000 | 3.7600 |
| Practice expense | 1.25 | × 0.917 | 1.1462 |
| Malpractice | 1.17 | × 1.201 | 1.4052 |
| Total RVUs | 6.3114 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$210.81
Facility: (3.76 × 1 + 1.25 × 0.917 + 1.17 × 1.201) × $33.4009 = $210.81
Payment rules and modifiers for 63035
The CMS indicators that decide how 63035 is paid alongside other services.
CMS payment indicators · 63035
Nerve-root decompression, each additional interspace
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
63035 without 50 · national facility
$206.42
Nerve-root decompression, each additional interspace
63035-50 · Bilateral: 150%
$309.63
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 63035 has changed in New Mexico
63035 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $210.81 | RVU26D |
| 2026-07-01 | Not available in this setting | $210.81 | RVU26C |
| 2026-04-01 | Not available in this setting | $210.81 | RVU26B |
| 2026-01-01 | Not available in this setting | $210.81 | RVU26A |
| 2025-10-01 | Not available in this setting | $226.49 | RVU25D |
| 2025-07-01 | Not available in this setting | $226.49 | RVU25C |
| 2025-04-01 | Not available in this setting | $226.49 | RVU25B |
| 2025-01-01 | Not available in this setting | $226.49 | RVU25A |
| 2024-10-01 | Not available in this setting | $233.43 | RVU24D |
| 2024-07-01 | Not available in this setting | $233.43 | RVU24C |
| 2024-04-01 | Not available in this setting | $233.43 | RVU24B |
| 2024-03-09 | Not available in this setting | $233.43 | RVU24AR |
| 2024-01-01 | Not available in this setting | $229.62 | RVU24A |
| 2023-10-01 | Not available in this setting | $236.63 | RVU23D |
| 2023-07-01 | Not available in this setting | $236.63 | RVU23C |
| 2023-04-01 | Not available in this setting | $236.63 | RVU23B |
| 2023-01-01 | Not available in this setting | $236.63 | RVU23A |
| 2022-10-01 | Not available in this setting | $195.09 | RVU22D |
| 2022-07-01 | Not available in this setting | $195.09 | RVU22C |
| 2022-04-01 | Not available in this setting | $195.09 | RVU22B |
| 2022-01-01 | Not available in this setting | $195.09 | RVU22A |
| 2021-10-01 | Not available in this setting | $196.52 | RVU21D |
| 2021-07-01 | Not available in this setting | $196.52 | RVU21C |
| 2021-04-01 | Not available in this setting | $196.52 | RVU21B |
| 2021-01-01 | Not available in this setting | $196.52 | RVU21A |
| 2020-10-01 | Not available in this setting | $202.04 | RVU20D |
| 2020-07-01 | Not available in this setting | $202.04 | RVU20C |
| 2020-04-01 | Not available in this setting | $202.04 | RVU20B |
| 2020-01-01 | Not available in this setting | $202.04 | RVU20A |
| 2019-10-01 | Not available in this setting | $205.11 | RVU19D |
| 2019-07-01 | Not available in this setting | $205.11 | RVU19C |
| 2019-04-01 | Not available in this setting | $205.11 | RVU19B |
| 2019-01-01 | Not available in this setting | $205.11 | RVU19A |
| 2018-10-01 | Not available in this setting | $204.76 | RVU18D |
| 2018-07-01 | Not available in this setting | $204.76 | RVU18C |
| 2018-04-01 | Not available in this setting | $204.76 | RVU18B |
| 2018-01-01 | Not available in this setting | $204.76 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $203.75 | RVU17D |
| 2017-07-01 | Not available in this setting | $203.75 | RVU17C |
| 2017-04-01 | Not available in this setting | $203.75 | RVU17B |
| 2017-01-01 | Not available in this setting | $203.75 | RVU17A |
| 2016-10-01 | Not available in this setting | $201.87 | RVU16D |
| 2016-07-01 | Not available in this setting | $201.87 | RVU16C |
| 2016-04-01 | Not available in this setting | $201.87 | RVU16B |
| 2016-01-01 | Not available in this setting | $201.87 | RVU16A |
| 2015-10-01 | Not available in this setting | $203.77 | RVU15D |
| 2015-07-01 | Not available in this setting | $203.77 | RVU15C |
| 2015-04-01 | Not available in this setting | $202.75 | RVU15B |
| 2015-01-01 | Not available in this setting | $202.75 | RVU15A |
| 2014-10-01 | Not available in this setting | $195.95 | RVU14D |
| 2014-07-01 | Not available in this setting | $195.95 | RVU14C |
| 2014-04-01 | Not available in this setting | $195.95 | RVU14B |
| 2014-01-01 | Not available in this setting | $195.95 | RVU14A |
| 2013-10-01 | Not available in this setting | $187.82 | RVU13D |
| 2013-07-01 | Not available in this setting | $187.82 | RVU13C |
| 2013-04-01 | Not available in this setting | $187.82 | RVU13B |
| 2013-01-01 | Not available in this setting | $187.82 | RVU13AR |
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
63035 billing questions
Can 63035 be reported by itself?
No. It is an add-on for an additional cervical or lumbar interspace and must be reported with the applicable primary procedure, 63020 or 63030.
How is the number of units determined?
Count each additional interspace decompressed beyond the first interspace covered by the primary procedure. The number of nerve roots treated does not determine the unit count.
What documentation supports 63035?
Document the cervical or lumbar region, each interspace treated, and the decompression work performed at the additional interspace.
When is modifier 50 relevant?
For a bilateral procedure, CMS pays 150% when modifier 50 is reported. The record should support decompression on both sides.
Does 63035 have its own global period?
No separate global period is assigned; payment is within the primary procedure’s global period.
How does 63035 differ from 63043 or 63044?
63035 represents an additional interspace in the 63020 or 63030 procedure family. Codes 63043 and 63044 describe additional interspaces in the cervical or lumbar reexploration family.
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
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