No office rate
Choose 63005 for one or two lumbar vertebral segments; 63017 describes lumbar laminectomy extending across more than two segments.
On this page
CMS RVU26D · Effective 2026-10-01
63005 in Fresno
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1150.14
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Spine surgery
About 63005: Lumbar laminectomy, one or two segments
Reports lumbar lamina removal to decompress neural structures across one or two vertebral segments, without separately described facetectomy, foraminotomy, or discectomy.
A spine surgeon removes lumbar lamina to enlarge the spinal canal and relieve compression of neural structures such as the cauda equina. The service may be performed for lumbar canal stenosis or to remove a spinal extradural lesion. It is an operative decompression, typically performed in a hospital operating room, rather than a limited laminotomy directed at a single nerve root.
Select this code when the documented laminectomy covers one or two lumbar vertebral segments and the work does not include the facetectomy, foraminotomy, or discectomy described by other procedure codes. The operative report should identify the lumbar levels, the decompression performed, and any additional work. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Bilateral adjustment does not apply. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not.
CMS billing rules for 63005
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU16.02 · 45%
- Practice expense (office) RVU13.56 · 38%
- Malpractice RVU6.12 · 17%
2.5K
Medicare services in 2024 · #2294 by national volume
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.
63005 compared with similar codes
Office rates for Fresno, from the same CMS release.
No office rate
63047 describes lumbar decompression with facetectomy and foraminotomy. 63005 is the laminectomy code when those additional procedures are not part of the documented work.
No office rate
63030 describes a lumbar laminotomy for nerve-root decompression. 63005 describes a laminectomy across one or two lumbar vertebral segments.
The same code, a different location
How does Fresno compare?
63005 across payment areas
Same release and payment basis · bars start at $0
Fresno · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 63005
Office
Unavailable
Facility
$1150.14
No comparable office rate is available.
Modesto
California · 63005
Office
Unavailable
Facility
$1150.14
No comparable office rate is available.
Napa
California · 63005
Office
Unavailable
Facility
$1269.58
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 63005
Office
Unavailable
Facility
$1212.76
No comparable office rate is available.
Redding
California · 63005
Office
Unavailable
Facility
$1150.14
No comparable office rate is available.
Rest Of California
California · 63005
Office
Unavailable
Facility
$1150.14
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 63005
Office
Unavailable
Facility
$1215.47
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 63005
Office
Unavailable
Facility
$1190.65
No comparable office rate is available.
Salinas
California · 63005
Office
Unavailable
Facility
$1186.17
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 63005
Office
Unavailable
Facility
$1203.61
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 63005
Office
Unavailable
Facility
$1318.35
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 63005
Office
Unavailable
Facility
$1311.40
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 63005
Office
Unavailable
Facility
$1356.61
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 63005
Office
Unavailable
Facility
$1328.20
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 63005
Office
Unavailable
Facility
$1169.62
No comparable office rate is available.
Santa Cruz-Watsonville
California · 63005
Office
Unavailable
Facility
$1206.18
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 63005
Office
Unavailable
Facility
$1187.73
No comparable office rate is available.
Santa Rosa-Petaluma
California · 63005
Office
Unavailable
Facility
$1216.88
No comparable office rate is available.
Stockton
California · 63005
Office
Unavailable
Facility
$1150.14
No comparable office rate is available.
Vallejo
California · 63005
Office
Unavailable
Facility
$1259.56
No comparable office rate is available.
Visalia
California · 63005
Office
Unavailable
Facility
$1150.14
No comparable office rate is available.
Yuba City
California · 63005
Office
Unavailable
Facility
$1150.14
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 63005
Office
Unavailable
Facility
$1325.02
No comparable office rate is available.
Miami
Florida · 63005
Office
Unavailable
Facility
$1523.53
No comparable office rate is available.
Chicago
Illinois · 63005
Office
Unavailable
Facility
$1463.14
No comparable office rate is available.
Manhattan
New York · 63005
Office
Unavailable
Facility
$1419.82
No comparable office rate is available.
Alaska*
Alaska · 63005
Office
Unavailable
Facility
$1397.61
No comparable office rate is available.
Alabama
Alabama · 63005
Office
Unavailable
Facility
$1047.08
No comparable office rate is available.
Arkansas
Arkansas · 63005
Office
Unavailable
Facility
$1029.41
No comparable office rate is available.
Arizona
Arizona · 63005
Office
Unavailable
Facility
$1148.94
No comparable office rate is available.
Colorado
Colorado · 63005
Office
Unavailable
Facility
$1183.05
No comparable office rate is available.
Connecticut
Connecticut · 63005
Office
Unavailable
Facility
$1280.92
No comparable office rate is available.
Delaware
Delaware · 63005
Office
Unavailable
Facility
$1169.01
No comparable office rate is available.
Fort Lauderdale
Florida · 63005
Office
Unavailable
Facility
$1363.47
No comparable office rate is available.
Rest Of Florida
Florida · 63005
Office
Unavailable
Facility
$1275.30
No comparable office rate is available.
Atlanta
Georgia · 63005
Office
Unavailable
Facility
$1242.35
No comparable office rate is available.
Rest Of Georgia
Georgia · 63005
Office
Unavailable
Facility
$1182.74
No comparable office rate is available.
Hawaii, Guam
Hawaii · 63005
Office
Unavailable
Facility
$1168.40
No comparable office rate is available.
Iowa
Iowa · 63005
Office
Unavailable
Facility
$1030.65
No comparable office rate is available.
Idaho
Idaho · 63005
Office
Unavailable
Facility
$1048.45
No comparable office rate is available.
East St. Louis
Illinois · 63005
Office
Unavailable
Facility
$1363.45
No comparable office rate is available.
Rest Of Illinois
Illinois · 63005
Office
Unavailable
Facility
$1268.09
No comparable office rate is available.
Suburban Chicago
Illinois · 63005
Office
Unavailable
Facility
$1366.19
No comparable office rate is available.
Indiana
Indiana · 63005
Office
Unavailable
Facility
$1054.28
No comparable office rate is available.
Kansas
Kansas · 63005
Office
Unavailable
Facility
$1047.54
No comparable office rate is available.
Kentucky
Kentucky · 63005
Office
Unavailable
Facility
$1124.76
No comparable office rate is available.
New Orleans
Louisiana · 63005
Office
Unavailable
Facility
$1193.49
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 63005
Office
Unavailable
Facility
$1131.74
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 63005
Office
Unavailable
Facility
$1279.73
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 63005
Office
Unavailable
Facility
$1183.48
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 63005
Office
Unavailable
Facility
$1282.48
No comparable office rate is available.
Rest Of Maryland
Maryland · 63005
Office
Unavailable
Facility
$1186.44
No comparable office rate is available.
Rest Of Maine
Maine · 63005
Office
Unavailable
Facility
$1078.91
No comparable office rate is available.
Southern Maine
Maine · 63005
Office
Unavailable
Facility
$1112.91
No comparable office rate is available.
Detroit
Michigan · 63005
Office
Unavailable
Facility
$1316.79
No comparable office rate is available.
Rest Of Michigan
Michigan · 63005
Office
Unavailable
Facility
$1179.38
No comparable office rate is available.
Minnesota
Minnesota · 63005
Office
Unavailable
Facility
$1061.64
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 63005
Office
Unavailable
Facility
$1160.08
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 63005
Office
Unavailable
Facility
$1171.08
No comparable office rate is available.
Rest Of Missouri
Missouri · 63005
Office
Unavailable
Facility
$1124.59
No comparable office rate is available.
Mississippi
Mississippi · 63005
Office
Unavailable
Facility
$1076.10
No comparable office rate is available.
Montana**
Montana · 63005
Office
Unavailable
Facility
$1192.00
No comparable office rate is available.
North Carolina
North Carolina · 63005
Office
Unavailable
Facility
$1088.27
No comparable office rate is available.
North Dakota**
North Dakota · 63005
Office
Unavailable
Facility
$1070.99
No comparable office rate is available.
Nebraska
Nebraska · 63005
Office
Unavailable
Facility
$1030.39
No comparable office rate is available.
New Hampshire
New Hampshire · 63005
Office
Unavailable
Facility
$1185.43
No comparable office rate is available.
Northern Nj
New Jersey · 63005
Office
Unavailable
Facility
$1312.49
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 63005
Office
Unavailable
Facility
$1275.31
No comparable office rate is available.
New Mexico
New Mexico · 63005
Office
Unavailable
Facility
$1195.91
No comparable office rate is available.
Nevada**
Nevada · 63005
Office
Unavailable
Facility
$1158.73
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 63005
Office
Unavailable
Facility
$1487.44
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 63005
Office
Unavailable
Facility
$1302.44
No comparable office rate is available.
Queens
New York · 63005
Office
Unavailable
Facility
$1399.44
No comparable office rate is available.
Rest Of New York
New York · 63005
Office
Unavailable
Facility
$1109.06
No comparable office rate is available.
Ohio
Ohio · 63005
Office
Unavailable
Facility
$1154.64
No comparable office rate is available.
Oklahoma
Oklahoma · 63005
Office
Unavailable
Facility
$1098.37
No comparable office rate is available.
Portland
Oregon · 63005
Office
Unavailable
Facility
$1198.92
No comparable office rate is available.
Rest Of Oregon
Oregon · 63005
Office
Unavailable
Facility
$1129.89
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 63005
Office
Unavailable
Facility
$1260.06
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 63005
Office
Unavailable
Facility
$1144.03
No comparable office rate is available.
Puerto Rico
Puerto Rico · 63005
Office
Unavailable
Facility
$1194.33
No comparable office rate is available.
Rhode Island
Rhode Island · 63005
Office
Unavailable
Facility
$1195.45
No comparable office rate is available.
South Carolina
South Carolina · 63005
Office
Unavailable
Facility
$1127.33
No comparable office rate is available.
South Dakota**
South Dakota · 63005
Office
Unavailable
Facility
$1056.68
No comparable office rate is available.
Tennessee
Tennessee · 63005
Office
Unavailable
Facility
$1056.55
No comparable office rate is available.
Austin
Texas · 63005
Office
Unavailable
Facility
$1196.45
No comparable office rate is available.
Beaumont
Texas · 63005
Office
Unavailable
Facility
$1137.14
No comparable office rate is available.
Brazoria
Texas · 63005
Office
Unavailable
Facility
$1147.65
No comparable office rate is available.
Dallas
Texas · 63005
Office
Unavailable
Facility
$1166.39
No comparable office rate is available.
Fort Worth
Texas · 63005
Office
Unavailable
Facility
$1164.52
No comparable office rate is available.
Galveston
Texas · 63005
Office
Unavailable
Facility
$1158.36
No comparable office rate is available.
Houston
Texas · 63005
Office
Unavailable
Facility
$1270.38
No comparable office rate is available.
Rest Of Texas
Texas · 63005
Office
Unavailable
Facility
$1149.49
No comparable office rate is available.
Utah
Utah · 63005
Office
Unavailable
Facility
$1144.39
No comparable office rate is available.
Virginia
Virginia · 63005
Office
Unavailable
Facility
$1124.61
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 63005
Office
Unavailable
Facility
$1194.33
No comparable office rate is available.
Vermont
Vermont · 63005
Office
Unavailable
Facility
$1086.90
No comparable office rate is available.
Rest Of Washington
Washington · 63005
Office
Unavailable
Facility
$1174.52
No comparable office rate is available.
Seattle (King Cnty)
Washington · 63005
Office
Unavailable
Facility
$1284.57
No comparable office rate is available.
Wisconsin
Wisconsin · 63005
Office
Unavailable
Facility
$1031.94
No comparable office rate is available.
West Virginia
West Virginia · 63005
Office
Unavailable
Facility
$1221.18
No comparable office rate is available.
Wyoming**
Wyoming · 63005
Office
Unavailable
Facility
$1139.26
No comparable office rate is available.
See how rates vary across the country
63005 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Fresno is a Medicare payment area. Our Census mapping connects it to 45 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 63005 in Fresno. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1265.15
$1150.14 × 110% = $1265.15
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 63005 in Fresno.
PPRRVU2026_Oct_nonQPP.csv
6,990
- Code
- 63005
- Physician work
- 16.02
- Practice expense
- 13.56
- Malpractice
- 6.12
GPCI2026.csv
11
- Locality
- Fresno
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.02 | × 1.017 | 16.2923 |
| Practice expense | 13.56 | × 1.096 | 14.8618 |
| Malpractice | 6.12 | × 0.536 | 3.2803 |
| Total RVUs | 34.4344 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Fresno$1150.14
Open 63005 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.02 | 1.017 |
| Practice expense | 13.56 | 1.096 |
| Malpractice | 6.12 | 0.536 |
(16.02 × 1.017 + 13.56 × 1.096 + 6.12 × 0.536) × $33.4009 = $1150.14
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
63005 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1150.14 | RVU26D |
| 2026-07-01 | Not available in this setting | $1150.14 | RVU26C |
| 2026-04-01 | Not available in this setting | $1150.14 | RVU26B |
| 2026-01-01 | Not available in this setting | $1150.14 | RVU26A |
| 2025-10-01 | Not available in this setting | $1160.42 | RVU25D |
| 2025-07-01 | Not available in this setting | $1160.42 | RVU25C |
| 2025-04-01 | Not available in this setting | $1160.42 | RVU25B |
| 2025-01-01 | Not available in this setting | $1160.42 | RVU25A |
63005 billing questions
How does this differ from 63017?
63005 covers one or two lumbar vertebral segments. 63017 is the lumbar laminectomy code for more than two segments.
When is 63047 a better choice?
Use 63047 when the documented lumbar decompression includes the facetectomy and foraminotomy described by that code. 63005 is for laminectomy without those additional procedures.
Can modifier 50 be used for bilateral work?
The CMS bilateral adjustment does not apply to 63005, and modifier 50 is inappropriate for this code.
What documentation supports reporting 63005?
The operative report should identify the lumbar vertebral level or levels and describe the lamina removal and neural decompression. It should also clarify whether additional procedures, such as facetectomy, foraminotomy, or discectomy, were performed.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment and co-surgeons for this code. 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,98762380,,Ndsc dcmprn 1 ntrspc lumbar,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.11,0.76,0.13,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,98863001,,Remove spine lamina 1/2 crvl,A,,17.17,12.12,NA,12.12,,6.45,35.74,35.74,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,98963003,,Remove spine lamina 1/2 thrc,A,,17.30,12.11,NA,12.11,,6.46,35.87,35.87,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,99063005,,Remove spine lamina 1/2 lmbr,A,,16.02,13.56,NA,13.56,,6.12,35.70,35.70,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,99163011,,Remove spine lamina 1/2 scrl,A,,15.51,10.72,NA,10.72,,4.03,30.26,30.26,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,99263012,,Remove lamina/facets lumbar,A,,16.43,12.37,NA,12.37,,5.62,34.42,34.42,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,99363015,,Remove spine lamina >2 crvcl,A,,20.33,15.08,NA,15.08,,7.84,43.25,43.25,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536