CPT code 63056: Spinal decompression, lumbar, single segment2026 Medicare rate & RVUs in Mississippi

Reports lumbar decompression performed through a transpedicular approach to relieve pressure on neural structures at one spinal segment.

CMS RVU26DEffective Oct 1, 2026One payment locality6.7K Medicare services in 2024

In Mississippi, Medicare pays $1,279.33 for 63056 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,279.33Hospital or facility

Check a contract rate as a % of Medicare · 63056 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 63056 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 63056 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 63056 covers

A spine surgeon uses a transpedicular route through a lumbar vertebra to reach and decompress neural structures, such as when a herniated disc or another extradural lesion is compressing them. The code describes work at one lumbar segment. This is an operative service, typically performed in a hospital or other surgical facility by an orthopedic spine surgeon or neurosurgeon.

Report the code when the operative documentation supports both the transpedicular approach and decompression at a single lumbar segment. Identify the treated level, compressive pathology, and work performed; a routine lumbar laminotomy or decompression by a different approach is not this service. The day-before preoperative visit and 90 days of related postoperative care are included in its 90-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery 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 Mississippi compares for 63056

Across 109 of 109 payment localities, the facility rate for 63056 runs from $1,220.29 in Wisconsin to $1,789.11 in Miami, FL. Mississippi pays $1,279.33. The RVUs are the same everywhere; the geographic indexes change the dollars.

63056 in Mississippi vs other payment areas
  1. Mississippi · this page$1,279.33
  2. Los Angeles, CA · California$1,436.74+$157.41
  3. Washington, DC area · District of Columbia$1,551.10+$271.77
  4. Miami, FL · Florida$1,789.11+$509.78
  5. Chicago, IL · Illinois$1,721.79+$442.46
  6. Manhattan, NY · New York$1,664.07+$384.74
  7. Alaska · Alaska$1,682.85+$403.52

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

Every other payment area

63056 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,244.31
ArkansasArkansas—$1,224.85
ArizonaArizona—$1,356.33
Bakersfield, CACalifornia—$1,368.43
Chico, CACalifornia—$1,349.55
El Centro, CACalifornia—$1,350.75
Fresno, CACalifornia—$1,349.55
Hanford, CACalifornia—$1,349.55

63056 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
63056 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 63056 in every payment locality

How the 63056 rate is calculated

Each of 63056’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 · 63056

RVUs × geographic indexes × conversion factor

Office or facility?

Work21.31

21.31 RVUs× 1.000 GPCI

Practice expense13.59

13.59 RVUs× 1.000 GPCI

Malpractice7.16

7.16 RVUs× 1.000 GPCI

Adjusted RVUs

42.0600

Conversion factor

$33.4009

Medicare rate

$1,404.84

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

7,013

Code
63056
Physician work
21.31
Practice expense
13.59
Malpractice
7.16

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Facility calculation for 63056 in Mississippi
ComponentRVULocality factorAdjusted
Physician work21.31× 1.00021.3100
Practice expense13.59× 0.86111.7010
Malpractice7.16× 0.7395.2912
Total RVUs38.3022
Conversion factor× 33.4009

Facility rate, Mississippi$1279.33

Facility: (21.31 × 1 + 13.59 × 0.861 + 7.16 × 0.739) × $33.4009 = $1279.33

Open 63056 in the RVU calculator

Payment rules and modifiers for 63056

63056 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 63056

Spinal decompression, lumbar, single segment

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 63056

Spinal decompression, lumbar, single 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

63056 without 51 · national facility

$1,404.84

Spinal decompression, lumbar, single segment

63056-51 · Second procedure: 50%

$702.42

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%).

When to use modifier 51

How 63056 has changed in Mississippi

63056 · 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$1,279.33RVU26D
2026-07-01Not available in this setting$1,279.33RVU26C
2026-04-01Not available in this setting$1,279.33RVU26B
2026-01-01Not available in this setting$1,279.33RVU26A
2025-10-01Not available in this setting$1,334.62RVU25D
2025-07-01Not available in this setting$1,334.62RVU25C
2025-04-01Not available in this setting$1,334.62RVU25B
2025-01-01Not available in this setting$1,334.62RVU25A
2024-10-01Not available in this setting$1,368.71RVU24D
2024-07-01Not available in this setting$1,368.71RVU24C
2024-04-01Not available in this setting$1,368.71RVU24B
2024-03-09Not available in this setting$1,368.71RVU24AR
2024-01-01Not available in this setting$1,346.37RVU24A
2023-10-01Not available in this setting$1,371.52RVU23D
2023-07-01Not available in this setting$1,371.52RVU23C
2023-04-01Not available in this setting$1,371.52RVU23B
2023-01-01Not available in this setting$1,371.52RVU23A
2022-10-01Not available in this setting$1,370.35RVU22D
2022-07-01Not available in this setting$1,370.35RVU22C
2022-04-01Not available in this setting$1,370.35RVU22B
2022-01-01Not available in this setting$1,370.35RVU22A
2021-10-01Not available in this setting$1,373.97RVU21D
2021-07-01Not available in this setting$1,373.97RVU21C
2021-04-01Not available in this setting$1,373.97RVU21B
2021-01-01Not available in this setting$1,373.97RVU21A
2020-10-01Not available in this setting$1,365.76RVU20D
2020-07-01Not available in this setting$1,365.76RVU20C
2020-04-01Not available in this setting$1,365.76RVU20B
2020-01-01Not available in this setting$1,365.76RVU20A
2019-10-01Not available in this setting$1,336.66RVU19D
2019-07-01Not available in this setting$1,336.66RVU19C
2019-04-01Not available in this setting$1,336.66RVU19B
2019-01-01Not available in this setting$1,336.66RVU19A
2018-10-01Not available in this setting$1,335.11RVU18D
2018-07-01Not available in this setting$1,335.11RVU18C
2018-04-01Not available in this setting$1,335.11RVU18B
2018-01-01Not available in this setting$1,335.11RVU18AR1
2017-10-01Not available in this setting$1,358.40RVU17D
2017-07-01Not available in this setting$1,358.40RVU17C
2017-04-01Not available in this setting$1,358.40RVU17B
2017-01-01Not available in this setting$1,358.40RVU17A
2016-10-01Not available in this setting$1,383.41RVU16D
2016-07-01Not available in this setting$1,383.41RVU16C
2016-04-01Not available in this setting$1,383.41RVU16B
2016-01-01Not available in this setting$1,383.41RVU16A
2015-10-01Not available in this setting$1,392.64RVU15D
2015-07-01Not available in this setting$1,392.64RVU15C
2015-04-01Not available in this setting$1,385.71RVU15B
2015-01-01Not available in this setting$1,385.71RVU15A
2014-10-01Not available in this setting$1,383.66RVU14D
2014-07-01Not available in this setting$1,383.66RVU14C
2014-04-01Not available in this setting$1,383.66RVU14B
2014-01-01Not available in this setting$1,383.66RVU14A
2013-10-01Not available in this setting$1,374.84RVU13D
2013-07-01Not available in this setting$1,374.84RVU13C
2013-04-01Not available in this setting$1,374.84RVU13B
2013-01-01Not available in this setting$1,374.84RVU13AR

Price 63056 for an earlier date of service

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

Browse all communities in Mississippi

63056 billing questions

How does this differ from lumbar code 63030?

This code is for decompression through a transpedicular approach. Code 63030 describes lumbar nerve-root decompression through a laminotomy approach, often for a disc herniation.

When is code 63057 reported with this service?

Code 63057 describes decompression at each additional segment and may be reported when the surgeon performs the qualifying work at another segment. Document the additional level and work separately.

Can modifier 50 be used for this code?

No. The single-segment lumbar service is not reported as a bilateral procedure, so modifier 50 is inappropriate.

What documentation supports code 63056?

The operative report should identify the lumbar level, the transpedicular route, the compressive lesion, and the neural decompression performed.

Are the related postoperative visits separately reported?

Related postoperative care during the 90-day global period is included. The day-before preoperative visit is also included.

Can an assistant surgeon or co-surgeon be paid?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery 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
RVUs for 63056PPRRVU2026_Oct_nonQPP.csv, line 7,013 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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