CPT code 63057: Spinal decompression, each additional thoracic or lumbar segment2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $313.74 for 63057 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 63057 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 63057 covers

This add-on code captures decompression at an additional thoracic or lumbar spinal segment using a transpedicular approach. The operation may relieve spinal cord or nerve-root compression, including compression associated with a herniated disc. Neurosurgeons and orthopedic spine surgeons typically perform the procedure in an operating room, often during an inpatient or hospital outpatient surgical encounter. The operative report should identify the additional segment and describe the approach and decompression performed.

Report 63057 with the applicable primary procedure, 63055 for the thoracic region or 63056 for the lumbar region; it is not reported by itself. Use it for each additional treated segment beyond the segment represented by the primary code, rather than to describe a second procedure at the same segment. CMS classifies it as an add-on code: it is billed only with a primary procedure and paid within that procedure’s global period. Documentation should make the primary and additional segments clear.

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 Washington, DC area compares for 63057

Across 109 of 109 payment localities, the facility rate for 63057 runs from $244.48 in Wisconsin to $379.83 in Miami, FL. Washington, DC area pays $313.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

63057 rates by state

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

See 63057 in every payment locality

How the 63057 rate is calculated

Each of 63057’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 63057

The CMS indicators that decide how 63057 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

Codes related to 63057

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

How 63057 has changed in Washington, DC area

Price 63057 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

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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