CPT code 63047: Lumbar decompression, single lumbar segment2026 Medicare rate & RVUs in New Mexico
Reports lumbar decompression involving lamina, facet, and foraminal work to relieve pressure on neural structures at one lumbar segment.
In New Mexico, Medicare pays $1,064.90 for 63047 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 63047 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 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.
How New Mexico compares for 63047
Across 109 of 109 payment localities, the facility rate for 63047 runs from $929.78 in Arkansas to $1,331.18 in Miami, FL. New Mexico pays $1,064.90. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$1,064.90
- Los Angeles, CA · California$1,104.78+$39.88
- Washington, DC area · District of Columbia$1,182.47+$117.57
- Miami, FL · Florida$1,331.18+$266.28
- Chicago, IL · Illinois$1,282.08+$217.18
- Manhattan, NY · New York$1,258.14+$193.24
- Alaska · Alaska$1,268.76+$203.86
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $944.52 |
| ArkansasArkansas | — | $929.78 |
| ArizonaArizona | — | $1,029.56 |
| Bakersfield, CACalifornia | — | $1,049.84 |
| Chico, CACalifornia | — | $1,036.94 |
| El Centro, CACalifornia | — | $1,037.76 |
| Fresno, CACalifornia | — | $1,036.94 |
| Hanford, CACalifornia | — | $1,036.94 |
| Madera, CACalifornia | — | $1,036.94 |
| Merced, CACalifornia | — | $1,036.94 |
| Modesto, CACalifornia | — | $1,036.94 |
| Napa, CACalifornia | — | $1,144.61 |
| Oxnard, CACalifornia | — | $1,091.19 |
| Redding, CACalifornia | — | $1,036.94 |
| Rest of CaliforniaCalifornia | — | $1,036.94 |
| Riverside, CACalifornia | — | $1,089.11 |
| Sacramento, CACalifornia | — | $1,073.38 |
| Salinas, CACalifornia | — | $1,069.27 |
| San Diego, CACalifornia | — | $1,084.61 |
| Marin County, CACalifornia | — | $1,189.62 |
| San Francisco, CACalifornia | — | $1,184.07 |
| San Benito County, CACalifornia | — | $1,222.53 |
| Santa Clara County, CACalifornia | — | $1,199.88 |
| San Luis Obispo, CACalifornia | — | $1,054.22 |
| Santa Cruz, CACalifornia | — | $1,086.76 |
| Santa Maria, CACalifornia | — | $1,070.58 |
| Santa Rosa, CACalifornia | — | $1,096.49 |
| Stockton, CACalifornia | — | $1,036.94 |
| Vallejo, CACalifornia | — | $1,136.63 |
| Visalia, CACalifornia | — | $1,036.94 |
| Yuba City, CACalifornia | — | $1,036.94 |
| ColoradoColorado | — | $1,061.52 |
| ConnecticutConnecticut | — | $1,140.67 |
| DelawareDelaware | — | $1,046.71 |
| Fort Lauderdale, FLFlorida | — | $1,202.41 |
| Rest of FloridaFlorida | — | $1,129.80 |
| Atlanta, GAGeorgia | — | $1,106.18 |
| Rest of GeorgiaGeorgia | — | $1,053.39 |
| Hawaii, Guam, HIHawaii | — | $1,051.92 |
| IowaIowa | — | $933.05 |
| IdahoIdaho | — | $947.44 |
| East St. Louis, ILIllinois | — | $1,198.62 |
| Rest of IllinoisIllinois | — | $1,122.30 |
| Suburban Chicago, ILIllinois | — | $1,205.68 |
| IndianaIndiana | — | $952.38 |
| KansasKansas | — | $946.07 |
| KentuckyKentucky | — | $1,007.03 |
| New Orleans, LALouisiana | — | $1,063.95 |
| Rest of LouisianaLouisiana | — | $1,012.43 |
| Metropolitan Boston, MAMassachusetts | — | $1,146.04 |
| Rest of MassachusettsMassachusetts | — | $1,061.71 |
| Baltimore area, MDMaryland | — | $1,141.46 |
| Rest of MarylandMaryland | — | $1,061.95 |
| Rest of MaineMaine | — | $971.73 |
| Southern Maine, MEMaine | — | $1,001.73 |
| Detroit, MIMichigan | — | $1,163.24 |
| Rest of MichiganMichigan | — | $1,051.56 |
| MinnesotaMinnesota | — | $962.39 |
| Metropolitan Kansas City, MOMissouri | — | $1,037.23 |
| Metropolitan St. Louis, MOMissouri | — | $1,046.53 |
| Rest of MissouriMissouri | — | $1,005.80 |
| MississippiMississippi | — | $967.09 |
| MontanaMontana | — | $1,065.16 |
| North CarolinaNorth Carolina | — | $979.73 |
| North DakotaNorth Dakota | — | $968.67 |
| NebraskaNebraska | — | $933.17 |
| New HampshireNew Hampshire | — | $1,061.59 |
| Northern New JerseyNew Jersey | — | $1,172.41 |
| Rest of New JerseyNew Jersey | — | $1,138.29 |
| NevadaNevada | — | $1,038.67 |
| NYC suburbs and Long Island, NYNew York | — | $1,313.16 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,160.42 |
| Queens, NYNew York | — | $1,242.71 |
| Rest of New YorkNew York | — | $996.99 |
| OhioOhio | — | $1,031.83 |
| OklahomaOklahoma | — | $986.15 |
| Portland, OROregon | — | $1,076.37 |
| Rest of OregonOregon | — | $1,015.47 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,122.43 |
| Rest of PennsylvaniaPennsylvania | — | $1,023.58 |
| Puerto RicoPuerto Rico | — | $1,067.46 |
| Rhode IslandRhode Island | — | $1,070.66 |
| South CarolinaSouth Carolina | — | $1,010.50 |
| South DakotaSouth Dakota | — | $957.26 |
| TennesseeTennessee | — | $953.46 |
| Austin, TXTexas | — | $1,071.21 |
| Beaumont, TXTexas | — | $1,017.75 |
| Brazoria, TXTexas | — | $1,030.02 |
| Dallas, TXTexas | — | $1,045.24 |
| Fort Worth, TXTexas | — | $1,043.34 |
| Galveston, TXTexas | — | $1,038.65 |
| Houston, TXTexas | — | $1,127.97 |
| Rest of TexasTexas | — | $1,029.19 |
| UtahUtah | — | $1,024.75 |
| VirginiaVirginia | — | $1,010.74 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,067.46 |
| VermontVermont | — | $980.95 |
| Rest of WashingtonWashington | — | $1,054.34 |
| King County, WAWashington | — | $1,151.91 |
| WisconsinWisconsin | — | $935.82 |
| West VirginiaWest Virginia | — | $1,083.10 |
| WyomingWyoming | — | $1,023.11 |
63047 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 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.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,006
- Code
- 63047
- Physician work
- 14.99
- Practice expense
- 12.03
- Malpractice
- 4.88
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.99 | × 1.000 | 14.9900 |
| Practice expense | 12.03 | × 0.917 | 11.0315 |
| Malpractice | 4.88 | × 1.201 | 5.8609 |
| Total RVUs | 31.8824 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$1064.90
Facility: (14.99 × 1 + 12.03 × 0.917 + 4.88 × 1.201) × $33.4009 = $1064.90
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%).
How 63047 has changed in New Mexico
63047 · 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 | $1,064.90 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,064.90 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,064.90 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,064.90 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,081.52 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,081.52 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,081.52 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,081.52 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,106.17 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,106.17 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,106.17 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,106.17 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,088.12 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,113.03 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,113.03 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,113.03 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,113.03 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,117.13 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,117.13 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,117.13 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,117.13 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,118.61 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,118.61 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,118.61 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,118.61 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,145.04 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,145.04 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,145.04 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,145.04 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,159.77 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,159.77 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,159.77 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,159.77 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,159.38 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,159.38 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,159.38 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,159.38 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,150.58 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,150.58 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,150.58 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,150.58 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,143.12 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,143.12 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,143.12 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,143.12 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,152.07 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,152.07 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,146.34 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,146.34 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,108.66 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,108.66 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,108.66 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,108.66 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,081.41 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,081.41 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,081.41 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,081.41 | 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
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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