CPT code 63047: Lumbar decompression, single lumbar segment2026 Medicare rate & RVUs in Florida
Reports lumbar decompression involving lamina, facet, and foraminal work to relieve pressure on neural structures at one lumbar segment.
CMS doesn’t publish an office rate for 63047 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 63047 covers
A spine surgeon removes portions of the lamina and facet and enlarges the foramen to decompress the cauda equina or lumbar nerve roots at one segment. The operation is commonly performed for lumbar spinal stenosis causing neurogenic claudication or radicular symptoms, in a hospital operating room or ambulatory surgery setting. The procedure may address one or both sides of the segment.
Report the code for one lumbar segment when the operative report supports the decompression and the associated bone removal. The code is priced as bilateral, so modifier 50 does not increase payment. A 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and other procedures at 50%. Assistant-at-surgery payment may be made, and co-surgeons are permitted; team-surgery payment 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.
Where 63047 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | $1,202.41 |
| Miami, FL | Unavailable | $1,331.18 |
| Rest of Florida | Unavailable | $1,129.80 |
How the 63047 rate is calculated
Each of 63047’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 · 63047
RVUs × geographic indexes × conversion factor
Work14.99
14.99 RVUs× 1.000 GPCI
Practice expense12.03
12.03 RVUs× 1.000 GPCI
Malpractice4.88
4.88 RVUs× 1.000 GPCI
Adjusted RVUs
31.9000
Conversion factor
$33.4009
Medicare rate
$1,065.49
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 63047
63047 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 63047
Lumbar decompression, single lumbar segment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| 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. |
| Split (54/55/56) | 0.11/0.76/0.13 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 63047
Lumbar decompression, single lumbar segment
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
63047 without 51 · national facility
$1,065.49
Lumbar decompression, single lumbar segment
63047-51 · Second procedure: 50%
$532.75
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
63047 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 63048Spinal decompressionEach additional vertebral segment
- 63047 represents the primary single-segment lumbar decompression. 63048 is an add-on for each qualifying additional segment, not a replacement primary code.
- 63052Spinal decompressionSingle lumbar segment
- Use 63052 when the qualifying lumbar decompression is performed during interbody arthrodesis; 63047 describes decompression outside that specific arthrodesis context.
- 63030Lumbar decompressionSingle interspace
- 63030 describes a more limited lumbar nerve-root decompression with disc work. Choose 63047 when the documented procedure includes the broader lamina, facet, and foraminal decompression at one segment.
- 63017Lumbar laminectomyMore than two segments
- 63017 is for lumbar decompression across more than two segments. 63047 represents a single lumbar segment.
63047 billing questions
How is this code different from 63030?
This code represents broader bony decompression at a lumbar segment, including facet and foraminal work. 63030 describes a more limited lumbar nerve-root decompression that includes disc work.
Can modifier 50 be used when both sides are decompressed?
The code is already priced as bilateral, and modifier 50 does not increase payment. The operative report should document the sides and structures decompressed.
How are additional lumbar segments reported?
For qualifying decompression at each additional segment, report add-on code 63048 with this primary code. Document the distinct segments treated.
Can this code be reported with lumbar fusion?
When the qualifying decompression is performed during lumbar interbody arthrodesis, compare the service with 63052, which describes decompression in that arthrodesis context.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment and co-surgeons for this code. Team-surgery payment is not permitted.
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
Show the CMS file lines behind this rate
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