CPT code 63048: Spinal decompression, each additional vertebral segment2026 Medicare rate & RVUs in Arkansas

Reports each additional vertebral segment decompressed during extensive laminectomy, facetectomy, and foraminotomy for spinal canal or nerve-root compression.

CMS RVU26DEffective Oct 1, 2026One payment locality151.3K Medicare services in 2024

In Arkansas, Medicare pays $164.24 for 63048 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$164.24Hospital or facility

Check a contract rate as a % of Medicare · 63048 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 63048 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arkansas
  2. What 63048 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 63048 covers

Code 63048 captures each additional vertebral segment decompressed after the first during an extensive laminectomy, facetectomy, and foraminotomy for spinal canal or nerve-root compression. The work may include removing lamina and facet bone and enlarging the foramen to free the spinal cord, cauda equina, or nerve roots. Neurosurgeons and orthopedic spine surgeons commonly perform this operation in an operating room for multilevel stenosis. It can accompany cervical, thoracic, or lumbar primary decompression codes.

Report 63048 only with the applicable primary code—63045, 63046, or 63047—and only for segments beyond the first. The operative report should identify the spinal region and each decompressed vertebral segment and support the extent of bony decompression, rather than a limited laminotomy alone. Count additional segments, not sides; bilateral work at one segment does not create another segment. As an add-on, it is paid within the primary procedure's global period.

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 Arkansas compares for 63048

Across 109 of 109 payment localities, the facility rate for 63048 runs from $160.37 in Wisconsin to $245.10 in Miami, FL. Arkansas pays $164.24. The RVUs are the same everywhere; the geographic indexes change the dollars.

63048 in Arkansas vs other payment areas
  1. Arkansas · this page$164.24
  2. Los Angeles, CA · California$186.57+$22.33
  3. Washington, DC area · District of Columbia$204.35+$40.11
  4. Miami, FL · Florida$245.10+$80.86
  5. Chicago, IL · Illinois$235.94+$71.70
  6. Manhattan, NY · New York$222.25+$58.01
  7. Alaska · Alaska$229.78+$65.54

Other areas in Arkansas first, then benchmark localities. Bars start at $0.

Every other payment area

63048 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$166.72
ArizonaArizona—$180.92
Bakersfield, CACalifornia—$178.78
Chico, CACalifornia—$175.87
El Centro, CACalifornia—$176.06
Fresno, CACalifornia—$175.87
Hanford, CACalifornia—$175.87
Madera, CACalifornia—$175.87

63048 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
63048 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 63048 in every payment locality

How the 63048 rate is calculated

Each of 63048’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 · 63048

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.38

3.38 RVUs× 1.000 GPCI

Practice expense1.13

1.13 RVUs× 1.000 GPCI

Malpractice1.10

1.10 RVUs× 1.000 GPCI

Adjusted RVUs

5.6100

Conversion factor

$33.4009

Medicare rate

$187.38

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Arkansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,007

Code
63048
Physician work
3.38
Practice expense
1.13
Malpractice
1.10

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Facility calculation for 63048 in Arkansas
ComponentRVULocality factorAdjusted
Physician work3.38× 1.0003.3800
Practice expense1.13× 0.8590.9707
Malpractice1.10× 0.5150.5665
Total RVUs4.9172
Conversion factor× 33.4009

Facility rate, Arkansas$164.24

Facility: (3.38 × 1 + 1.13 × 0.859 + 1.1 × 0.515) × $33.4009 = $164.24

Open 63048 in the RVU calculator

Payment rules and modifiers for 63048

The CMS indicators that decide how 63048 is paid alongside other services.

CMS payment indicators · 63048

Spinal decompression, each additional vertebral segment

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

63048 without 80 · national facility

$187.38

Spinal decompression, each additional vertebral segment

63048-80 · Assistant: 16%

$29.98

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

How 63048 has changed in Arkansas

63048 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$164.24RVU26D
2026-07-01Not available in this setting$164.24RVU26C
2026-04-01Not available in this setting$164.24RVU26B
2026-01-01Not available in this setting$164.24RVU26A
2025-10-01Not available in this setting$179.63RVU25D
2025-07-01Not available in this setting$179.63RVU25C
2025-04-01Not available in this setting$179.63RVU25B
2025-01-01Not available in this setting$179.63RVU25A
2024-10-01Not available in this setting$183.89RVU24D
2024-07-01Not available in this setting$183.89RVU24C
2024-04-01Not available in this setting$183.89RVU24B
2024-03-09Not available in this setting$183.89RVU24AR
2024-01-01Not available in this setting$180.88RVU24A
2023-10-01Not available in this setting$185.27RVU23D
2023-07-01Not available in this setting$185.27RVU23C
2023-04-01Not available in this setting$185.27RVU23B
2023-01-01Not available in this setting$185.27RVU23A
2022-10-01Not available in this setting$186.65RVU22D
2022-07-01Not available in this setting$186.65RVU22C
2022-04-01Not available in this setting$186.65RVU22B
2022-01-01Not available in this setting$186.65RVU22A
2021-10-01Not available in this setting$188.46RVU21D
2021-07-01Not available in this setting$188.46RVU21C
2021-04-01Not available in this setting$188.46RVU21B
2021-01-01Not available in this setting$188.46RVU21A
2020-10-01Not available in this setting$195.50RVU20D
2020-07-01Not available in this setting$195.50RVU20C
2020-04-01Not available in this setting$195.50RVU20B
2020-01-01Not available in this setting$195.50RVU20A
2019-10-01Not available in this setting$198.81RVU19D
2019-07-01Not available in this setting$198.81RVU19C
2019-04-01Not available in this setting$198.81RVU19B
2019-01-01Not available in this setting$198.81RVU19A
2018-10-01Not available in this setting$198.91RVU18D
2018-07-01Not available in this setting$198.91RVU18C
2018-04-01Not available in this setting$198.91RVU18B
2018-01-01Not available in this setting$198.91RVU18AR1
2017-10-01Not available in this setting$197.59RVU17D
2017-07-01Not available in this setting$197.59RVU17C
2017-04-01Not available in this setting$197.59RVU17B
2017-01-01Not available in this setting$197.59RVU17A
2016-10-01Not available in this setting$196.35RVU16D
2016-07-01Not available in this setting$196.35RVU16C
2016-04-01Not available in this setting$196.35RVU16B
2016-01-01Not available in this setting$196.35RVU16A
2015-10-01Not available in this setting$197.94RVU15D
2015-07-01Not available in this setting$197.94RVU15C
2015-04-01Not available in this setting$196.96RVU15B
2015-01-01Not available in this setting$196.96RVU15A
2014-10-01Not available in this setting$193.83RVU14D
2014-07-01Not available in this setting$193.83RVU14C
2014-04-01Not available in this setting$193.83RVU14B
2014-01-01Not available in this setting$193.83RVU14A
2013-10-01Not available in this setting$186.50RVU13D
2013-07-01Not available in this setting$186.50RVU13C
2013-04-01Not available in this setting$186.50RVU13B
2013-01-01Not available in this setting$186.50RVU13AR

Price 63048 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

  • Acorn
  • Adona
  • Alexander
  • Alicia
  • Alix
  • Alleene
  • Allport
  • Alma

Browse all communities in Arkansas

63048 billing questions

Which primary codes can be reported with 63048?

Report it with 63045 for cervical, 63046 for thoracic, or 63047 for lumbar decompression. It represents additional segments beyond the first treated by the primary procedure.

How should units be counted?

Count each additional vertebral segment decompressed after the first. Bilateral decompression at the same segment is still one segment.

Can 63048 be used for a limited laminotomy?

No. This code is for additional segments treated with the extensive laminectomy, facetectomy, and foraminotomy service; a limited laminotomy or nerve-root decompression is a different service.

What should the operative report identify?

Document the spinal region, each vertebral segment treated, and the decompressive work performed. The record should make clear which segment is covered by the primary code and which are additional.

How does a lumbar fusion change code selection?

When the lumbar decompression is performed during posterior interbody arthrodesis, compare the fusion-specific codes 63052 and 63053 with 63047 and 63048. The operative circumstances determine which code family describes the work.

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
RVUs for 63048PPRRVU2026_Oct_nonQPP.csv, line 7,007 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)

Open CMS sourceHow we calculate rates

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