CPT code 63040: Cervical laminotomy, single cervical segment2026 Medicare rate & RVUs in North Carolina

In North Carolina, Medicare pays $1,185.56 for 63040 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 63040 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 63040 covers

A spine surgeon performs a limited posterior opening through the cervical lamina to relieve compression of the spinal cord, cauda equina, and/or nerve roots at one vertebral segment. A typical clinical setting is operative treatment of cervical spinal stenosis. The work is defined by the decompression at that segment, rather than by the number of individual nerve roots addressed.

Report one unit for the single cervical segment treated, with the operative report identifying the level and the compressive condition addressed. Distinguish this service from a nerve-root-focused laminotomy reported by interspace and from a more extensive laminectomy with facetectomy and foraminotomy. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made, 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 North Carolina compares for 63040

Across 109 of 109 payment localities, the facility rate for 63040 runs from $1,127.74 in Nebraska to $1,619.29 in Miami, FL. North Carolina pays $1,185.56. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

63040 rates by state

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

See 63040 in every payment locality

How the 63040 rate is calculated

Each of 63040’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 63040

63040 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 63040

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

How 63040 has changed in North Carolina

Price 63040 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Advance
• Ahoskie
• Alamance
• Albemarle
• Alexis
• Alliance
• Altamahaw

Browse all communities in North Carolina

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