CPT code 63053: Lumbar decompression, additional fusion segment2026 Medicare rate & RVUs in Mississippi
Reports an additional lumbar segment decompressed for neural stenosis during posterior interbody arthrodesis, beyond the initial segment reported with 63052.
In Mississippi, Medicare pays $188.49 for 63053 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 63053 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 63053 covers
Code 63053 describes decompression of an additional lumbar vertebral segment during posterior interbody arthrodesis. The surgeon removes bone and related structures, such as lamina, facet, or foraminal tissue, to relieve compression of spinal nerve roots, the cauda equina, or the spinal cord. It is used in lumbar fusion operations for conditions such as degenerative stenosis when decompression extends beyond the initial segment. Orthopedic spine surgeons and neurosurgeons typically perform the service in a hospital or other surgical facility.
Report 63053 only as an add-on for each additional segment decompressed after the initial segment reported with 63052. The fusion may be reported with 22630 for posterior interbody arthrodesis or 22633 when the procedure also includes posterolateral fusion. The operative report should identify the additional segment and the neural compression requiring decompression; routine exposure or work inherent to placing the interbody fusion construct alone does not establish a separate decompression service. CMS treats this add-on as paid within the primary procedure’s global period, so it is not reported as a stand-alone service.
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 Mississippi compares for 63053
Across 109 of 109 payment localities, the facility rate for 63053 runs from $175.05 in Wisconsin to $268.23 in Miami, FL. Mississippi pays $188.49. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$188.49
- Los Angeles, CA · California$203.74+$15.25
- Washington, DC area · District of Columbia$223.28+$34.79
- Miami, FL · Florida$268.23+$79.74
- Chicago, IL · Illinois$258.15+$69.66
- Manhattan, NY · New York$242.97+$54.48
- Alaska · Alaska$250.90+$62.41
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $182.07 |
| ArkansasArkansas | — | $179.35 |
| ArizonaArizona | — | $197.65 |
| Bakersfield, CACalifornia | — | $195.23 |
| Chico, CACalifornia | — | $192.03 |
| El Centro, CACalifornia | — | $192.24 |
| Fresno, CACalifornia | — | $192.03 |
| Hanford, CACalifornia | — | $192.03 |
| Madera, CACalifornia | — | $192.03 |
| Merced, CACalifornia | — | $192.03 |
| Modesto, CACalifornia | — | $192.03 |
| Napa, CACalifornia | — | $205.69 |
| Oxnard, CACalifornia | — | $200.44 |
| Redding, CACalifornia | — | $192.03 |
| Rest of CaliforniaCalifornia | — | $192.03 |
| Riverside, CACalifornia | — | $204.97 |
| Sacramento, CACalifornia | — | $197.13 |
| Salinas, CACalifornia | — | $196.35 |
| San Diego, CACalifornia | — | $197.99 |
| Marin County, CACalifornia | — | $211.44 |
| San Francisco, CACalifornia | — | $210.06 |
| San Benito County, CACalifornia | — | $217.71 |
| Santa Clara County, CACalifornia | — | $212.09 |
| San Luis Obispo, CACalifornia | — | $193.80 |
| Santa Cruz, CACalifornia | — | $197.42 |
| Santa Maria, CACalifornia | — | $196.27 |
| Santa Rosa, CACalifornia | — | $199.06 |
| Stockton, CACalifornia | — | $192.03 |
| Vallejo, CACalifornia | — | $203.71 |
| Visalia, CACalifornia | — | $192.03 |
| Yuba City, CACalifornia | — | $192.03 |
| ColoradoColorado | — | $200.00 |
| ConnecticutConnecticut | — | $218.86 |
| DelawareDelaware | — | $200.79 |
| Fort Lauderdale, FLFlorida | — | $237.94 |
| Rest of FloridaFlorida | — | $223.27 |
| Atlanta, GAGeorgia | — | $213.90 |
| Rest of GeorgiaGeorgia | — | $208.07 |
| Hawaii, Guam, HIHawaii | — | $193.36 |
| IowaIowa | — | $176.89 |
| IdahoIdaho | — | $180.16 |
| East St. Louis, ILIllinois | — | $242.44 |
| Rest of IllinoisIllinois | — | $223.93 |
| Suburban Chicago, ILIllinois | — | $237.92 |
| IndianaIndiana | — | $180.98 |
| KansasKansas | — | $180.76 |
| KentuckyKentucky | — | $196.75 |
| New Orleans, LALouisiana | — | $207.82 |
| Rest of LouisianaLouisiana | — | $198.33 |
| Metropolitan Boston, MAMassachusetts | — | $213.33 |
| Rest of MassachusettsMassachusetts | — | $200.69 |
| Baltimore area, MDMaryland | — | $219.30 |
| Rest of MarylandMaryland | — | $203.16 |
| Rest of MaineMaine | — | $186.18 |
| Southern Maine, MEMaine | — | $189.46 |
| Detroit, MIMichigan | — | $231.03 |
| Rest of MichiganMichigan | — | $206.39 |
| MinnesotaMinnesota | — | $177.49 |
| Metropolitan Kansas City, MOMissouri | — | $201.31 |
| Metropolitan St. Louis, MOMissouri | — | $202.86 |
| Rest of MissouriMissouri | — | $198.03 |
| MontanaMontana | — | $204.67 |
| North CarolinaNorth Carolina | — | $187.41 |
| North DakotaNorth Dakota | — | $180.74 |
| NebraskaNebraska | — | $176.45 |
| New HampshireNew Hampshire | — | $201.38 |
| Northern New JerseyNew Jersey | — | $221.83 |
| Rest of New JerseyNew Jersey | — | $217.38 |
| New MexicoNew Mexico | — | $209.46 |
| NevadaNevada | — | $198.04 |
| NYC suburbs and Long Island, NYNew York | — | $255.04 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $222.68 |
| Queens, NYNew York | — | $237.98 |
| Rest of New YorkNew York | — | $190.69 |
| OhioOhio | — | $201.50 |
| OklahomaOklahoma | — | $191.34 |
| Portland, OROregon | — | $200.93 |
| Rest of OregonOregon | — | $192.58 |
| Metropolitan Philadelphia, PAPennsylvania | — | $216.45 |
| Rest of PennsylvaniaPennsylvania | — | $199.16 |
| Puerto RicoPuerto Rico | — | $204.59 |
| Rhode IslandRhode Island | — | $204.08 |
| South CarolinaSouth Carolina | — | $195.56 |
| South DakotaSouth Dakota | — | $177.91 |
| TennesseeTennessee | — | $182.30 |
| Austin, TXTexas | — | $202.77 |
| Beaumont, TXTexas | — | $198.18 |
| Brazoria, TXTexas | — | $196.47 |
| Dallas, TXTexas | — | $199.95 |
| Fort Worth, TXTexas | — | $200.07 |
| Galveston, TXTexas | — | $198.49 |
| Houston, TXTexas | — | $220.64 |
| Rest of TexasTexas | — | $198.73 |
| UtahUtah | — | $198.16 |
| VirginiaVirginia | — | $192.17 |
| Virgin Islands, VIUnited States Virgin Islands | — | $204.59 |
| VermontVermont | — | $184.37 |
| Rest of WashingtonWashington | — | $198.87 |
| King County, WAWashington | — | $212.84 |
| WisconsinWisconsin | — | $175.05 |
| West VirginiaWest Virginia | — | $216.78 |
| WyomingWyoming | — | $194.24 |
63053 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 63053 rate is calculated
Each of 63053’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 · 63053
RVUs × geographic indexes × conversion factor
Work3.69
3.69 RVUs× 1.000 GPCI
Practice expense1.23
1.23 RVUs× 1.000 GPCI
Malpractice1.21
1.21 RVUs× 1.000 GPCI
Adjusted RVUs
6.1300
Conversion factor
$33.4009
Medicare rate
$204.75
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,011
- Code
- 63053
- Physician work
- 3.69
- Practice expense
- 1.23
- Malpractice
- 1.21
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.69 | × 1.000 | 3.6900 |
| Practice expense | 1.23 | × 0.861 | 1.0590 |
| Malpractice | 1.21 | × 0.739 | 0.8942 |
| Total RVUs | 5.6432 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$188.49
Facility: (3.69 × 1 + 1.23 × 0.861 + 1.21 × 0.739) × $33.4009 = $188.49
Payment rules and modifiers for 63053
The CMS indicators that decide how 63053 is paid alongside other services.
CMS payment indicators · 63053
Lumbar decompression, additional fusion segment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
63053 without 80 · national facility
$204.75
Lumbar decompression, additional fusion segment
63053-80 · Assistant: 16%
$32.76
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 63053 has changed in Mississippi
63053 · 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
January 1, 2022
RVU22A
No ratechanged toNo rate
Held through RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $188.49 | RVU26D |
| 2026-07-01 | Not available in this setting | $188.49 | RVU26C |
| 2026-04-01 | Not available in this setting | $188.49 | RVU26B |
| 2026-01-01 | Not available in this setting | $188.49 | RVU26A |
| 2025-10-01 | Not available in this setting | $204.50 | RVU25D |
| 2025-07-01 | Not available in this setting | $204.50 | RVU25C |
| 2025-04-01 | Not available in this setting | $204.50 | RVU25B |
| 2025-01-01 | Not available in this setting | $204.50 | RVU25A |
| 2024-10-01 | Not available in this setting | $209.80 | RVU24D |
| 2024-07-01 | Not available in this setting | $209.80 | RVU24C |
| 2024-04-01 | Not available in this setting | $209.80 | RVU24B |
| 2024-03-09 | Not available in this setting | $209.80 | RVU24AR |
| 2024-01-01 | Not available in this setting | $206.37 | RVU24A |
| 2023-10-01 | Not available in this setting | $210.11 | RVU23D |
| 2023-07-01 | Not available in this setting | $210.11 | RVU23C |
| 2023-04-01 | Not available in this setting | $210.11 | RVU23B |
| 2023-01-01 | Not available in this setting | $210.11 | RVU23A |
| 2022-10-01 | Not available in this setting | $177.91 | RVU22D |
| 2022-07-01 | Not available in this setting | $177.91 | RVU22C |
| 2022-04-01 | Not available in this setting | $177.91 | RVU22B |
| 2022-01-01 | Not available in this setting | $177.91 | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
63053 billing questions
How does 63053 differ from 63052?
63052 represents decompression at the initial lumbar segment during posterior interbody arthrodesis. Use 63053 for each additional segment decompressed in that setting.
Which fusion codes may accompany 63053?
It is reported as an add-on with the applicable posterior interbody arthrodesis, such as 22630 or 22633, along with 63052 for the initial decompressed segment.
Can 63053 be reported for routine fusion exposure?
No. The record should support additional decompression for neural compression, rather than only the exposure or bone work inherent to performing the fusion.
What supports reporting an additional unit?
Document the additional lumbar segment treated and the decompression performed there. The code represents an additional segment, not an additional side.
Is 63053 reported as a stand-alone service?
No. It is an add-on code reported with the primary procedure and is paid within that procedure’s global period.
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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