No office rate
62331 reports an additional lumbar level treated in the same session; 62330 reports the first level.
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CMS RVU26D · Effective 2026-10-01
62330 Lumbar decompression Medicare reimbursement rates in California
Percutaneous lumbar canal decompression removes hypertrophied ligamentum flavum at one level to relieve stenosis-related neural compression, including neurogenic claudication. Compare 62330 office and facility rates across CMS payment localities in California.
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.
What does Medicare pay for 62330 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$490.93–$580.96
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $90.03 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 62330 pays more and less in California
Spine surgery
About 62330: Percutaneous lumbar ligament decompression
Percutaneous lumbar canal decompression removes hypertrophied ligamentum flavum at one level to relieve stenosis-related neural compression, including neurogenic claudication.
62330 represents image-guided percutaneous decompression at one lumbar level, targeting ligamentum flavum that contributes to spinal canal narrowing. Through limited interlaminar access, the operator removes tissue to create more space for neural elements. This is not an epidural medication injection or an implanted-device service. Spine surgeons and appropriately trained interventional pain physicians may perform it in an outpatient procedural or surgical setting for selected patients with lumbar stenosis and related walking-limited symptoms.
Report one unit for the treated lumbar level; the code is priced for bilateral work, so modifier 50 does not increase payment. When another lumbar level is treated in the same session, report add-on code 62331 for that additional level. Documentation should identify each level, the stenosis and ligamentum flavum involvement, the approach, and the work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. With multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 62330
- 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.00 · 56%
- Practice expense (office) RVU5.64 · 39%
- Malpractice RVU0.71 · 5%
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.
62330 compared with similar codes
Office rates for California, from the same CMS release.
No office rate
Use 63047 for conventional surgical decompression of a lumbar segment. Use 62330 for percutaneous decompression targeting ligamentum flavum.
$291.62–$369.32
62323 is an interlaminar epidural injection for medication delivery. It does not describe removal of tissue to enlarge the spinal canal.
Compare 62330 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office Unavailable | Facility $493.19 |
| Chico | Office Unavailable | Facility $490.93 |
| El Centro | Office Unavailable | Facility $491.05 |
| Fresno | Office Unavailable | Facility $490.93 |
| Hanford-Corcoran | Office Unavailable | Facility $490.93 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $516.76 |
| Madera | Office Unavailable | Facility $490.93 |
| Merced | Office Unavailable | Facility $490.93 |
| Modesto | Office Unavailable | Facility $490.93 |
| Napa | Office Unavailable | Facility $544.37 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $512.13 |
| Redding | Office Unavailable | Facility $490.93 |
| Rest Of California | Office Unavailable | Facility $490.93 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $498.71 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $508.62 |
| Salinas | Office Unavailable | Facility $506.54 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $513.38 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $569.09 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $568.29 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $580.96 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $577.66 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $499.03 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $514.41 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $507.05 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $519.27 |
| Stockton | Office Unavailable | Facility $490.93 |
| Vallejo | Office Unavailable | Facility $543.21 |
| Visalia | Office Unavailable | Facility $490.93 |
| Yuba City | Office Unavailable | Facility $490.93 |
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62330 billing questions
When should 62330 be reported instead of 63047?
62330 describes percutaneous decompression focused on ligamentum flavum at one lumbar level. Code 63047 describes a conventional surgical decompression and is selected when that more extensive operative approach is performed.
How is an additional lumbar level reported?
Report 62330 for the first treated level and add-on code 62331 for each additional treated lumbar level in the same session.
Should modifier 50 be appended for bilateral work?
No. CMS prices 62330 as bilateral, and modifier 50 does not increase payment.
What documentation supports reporting 62330?
Document the treated lumbar level or levels, the stenosis and ligamentum flavum involvement, the percutaneous approach, and the decompression performed.
What postoperative care is included in the global period?
The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
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.
6,97162327,,Njx interlaminar lmbr/sac,A,,1.85,6.18,,0.75,,0.19,8.22,2.79,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97262328,,Dx lmbr spi pnxr w/fluor/ct,A,,1.69,4.58,,0.33,,0.18,6.45,2.20,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97362329,,Ther spi pnxr csf fluor/ct,A,,1.98,5.86,,0.45,,0.35,8.19,2.78,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97462330,,Dcmprn prq rmv lig flv 1lmbr,A,,8.00,5.64,NA,5.64,,0.71,14.35,14.35,0,090,0.11,0.76,0.13,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97562331,,Dcmprn prq rmv lig flv addl,A,,4.25,1.03,NA,1.03,,0.38,5.66,5.66,0,ZZZ,0.00,0.00,0.00,0,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97662350,,Implant spinal canal cath,A,,5.90,4.24,NA,4.24,,1.17,11.31,11.31,0,010,0.10,0.80,0.10,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97762351,,Implant spinal canal cath,A,,11.37,11.85,NA,11.85,,4.15,27.37,27.37,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00