CPT code 63046: Thoracic decompression, single vertebral segment2026 Medicare rate & RVUs in Montana

In Montana, Medicare pays $1,184.01 for 63046 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 63046 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 63046 covers

A spine surgeon uses this service to relieve thoracic spinal canal, lateral recess, or foraminal narrowing at one vertebral segment. The operation removes portions of the lamina and facet and enlarges the foramen to free the spinal cord or affected nerve roots. It is commonly performed in a hospital operating room for thoracic stenosis causing cord compression or radicular symptoms.

Select the code by the thoracic location and the single vertebral segment treated, not by the number of sides or nerve roots decompressed. The operative report should identify the segment, the stenosis, and the decompression performed. A further treated segment may support the add-on code 63048. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period. 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 multiple-procedure reduction. The code is priced as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery and co-surgeon services 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 Montana compares for 63046

Across 109 of 109 payment localities, the facility rate for 63046 runs from $1,030.66 in Arkansas to $1,495.20 in Miami, FL. Montana pays $1,184.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

63046 rates by state

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

See 63046 in every payment locality

How the 63046 rate is calculated

Each of 63046’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 63046

63046 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 51

Codes related to 63046

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

How 63046 has changed in Montana

Price 63046 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

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