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

In New Mexico, Medicare pays $235.01 for 63052 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 63052 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 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.

How New Mexico compares for 63052

Across 109 of 109 payment localities, the facility rate for 63052 runs from $196.65 in Wisconsin to $300.65 in Miami, FL. New Mexico pays $235.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

63052 rates by state

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

See 63052 in every payment locality

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.

Payment rules and modifiers for 63052

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

What modifiers do to the payment

When to use modifier 80

Codes related to 63052

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

How 63052 has changed in New Mexico

Price 63052 for an earlier date of service

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

Browse all communities in New Mexico

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