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CPT code 63052: Spinal decompression, single lumbar segment2026 Medicare rate & RVUs

Reports additional lumbar nerve or spinal canal decompression performed at one segment during posterior interbody fusion for stenosis or related compression.

CMS RVU26DEffective Oct 1, 2026109 payment localities48.8K Medicare services in 2024

Medicare pays $229.80 for 63052 nationally in a facility.

Medicare rate · 63052

Spinal decompression, single lumbar segment

Office or facility?

Work RVUs
4.14
Total RVUs
6.88
Global days
ZZZ

National rate · 2026

$229.80

Facility setting, before claim adjustments.

See every locality for 63052 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 63052 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 63052 covers

This add-on describes a surgeon’s decompression of the lumbar canal, lateral recess, or nerve roots at one segment while performing posterior interbody fusion. The work may involve removing bone or other compressive tissue to relieve stenosis or nerve compression. It is used when decompression goes beyond the work needed to access and prepare the disc space for fusion, rather than for routine fusion exposure alone.

Report 63052 with the applicable primary posterior interbody arthrodesis service, such as 22630 or 22633. The operative report should identify the lumbar segment, the compression being treated, and the additional decompression performed. Medicare treats 63052 as an add-on: it is billed only with a primary procedure and paid within that procedure’s global period. For an additional decompressed segment, consider the related add-on code 63053 when its requirements are met.

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 63052 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

63052 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$204.43
AlaskaUnavailable$281.71
ArizonaUnavailable$221.87
ArkansasUnavailable$201.38
Atlanta, GAUnavailable$240.02
Austin, TXUnavailable$227.63
Bakersfield, CAUnavailable$219.25
Baltimore area, MDUnavailable$246.09
Beaumont, TXUnavailable$222.42
Brazoria, TXUnavailable$220.57

63052 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
63052 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

How the 63052 rate is calculated

Each of 63052’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 · 63052

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.14

4.14 RVUs× 1.000 GPCI

Practice expense1.39

1.39 RVUs× 1.000 GPCI

Malpractice1.35

1.35 RVUs× 1.000 GPCI

Adjusted RVUs

6.8800

Conversion factor

$33.4009

Medicare rate

$229.80

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

Payment rules and modifiers for 63052

The CMS indicators that decide how 63052 is paid alongside other services.

CMS payment indicators · 63052

Spinal decompression, single lumbar 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

63052 without 80 · national facility

$229.80

Spinal decompression, single lumbar segment

63052-80 · Assistant: 16%

$36.77

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

When to use modifier 80

63052 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 63052

    Spinal decompression, single lumbar segment4.14 wRVU

    Not priced

  • 63047

    Lumbar decompression, single lumbar segment14.99 wRVU

    Not priced

  • 63053

    Lumbar decompression, additional fusion segment3.69 wRVU

    Not priced

  • 22630

    Lumbar fusion, single lumbar interspace21.54 wRVU

    Not priced

How to choose

63047Lumbar decompressionSingle lumbar segment
Use 63052 for additional decompression performed during posterior interbody fusion. 63047 describes lumbar decompression outside that fusion-specific context.
63053Lumbar decompressionAdditional fusion segment
63052 covers one lumbar segment; 63053 is the add-on for each additional decompressed segment during posterior interbody arthrodesis.
22630Lumbar fusionSingle lumbar interspace
22630 reports the posterior interbody fusion itself. 63052 reports qualifying additional decompression at one segment and is not a stand-alone fusion code.

Codes related to 63052

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

Codes related to 63052
CodeHow it relatesNational office range
Primary code
22630Lumbar fusion, single lumbar interspacePrimary posterior interbody arthrodesis service that may be reported with this decompression add-on.No office rate
22633Lumbar fusion, combined techniques, one levelCombined posterior and interbody fusion service that may accompany this add-on.No office rate
Same family
63053Lumbar decompression, additional fusion segmentAdd-on for decompression at each additional segment during posterior interbody arthrodesis.No office rate
Used instead
63047Lumbar decompression, single lumbar segmentLumbar decompression code for a different context, rather than decompression during posterior interbody fusion.No office rate

63052 billing questions

Can 63052 be billed by itself?

No. It is an add-on and must be reported with a qualifying primary posterior interbody arthrodesis procedure.

What distinguishes 63052 from 63047?

63052 is for additional decompression performed during posterior interbody fusion. 63047 describes lumbar decompression outside that specific fusion context.

Does routine work to prepare the disc space support 63052?

No. The record should support additional decompression for neural or canal compression beyond the work needed to access and prepare the space for fusion.

When is 63053 used with 63052?

63053 is the related add-on for decompression at each additional segment. Document the separate level and decompressive work.

What documentation supports reporting 63052?

Document the lumbar segment, the source of compression, and the decompression performed in addition to the posterior interbody fusion 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 63052PPRRVU2026_Oct_nonQPP.csv, line 7,010 (RVU26D)

Open CMS sourceHow we calculate rates

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