No office rate
63052 reports the initial lumbar segment decompressed during posterior interbody arthrodesis; 63053 reports each additional segment in that same setting.
On this page
CMS RVU26D · Effective 2026-10-01
63053 Lumbar decompression Medicare reimbursement rates in Colorado
Reports an additional lumbar segment decompressed for neural stenosis during posterior interbody arthrodesis, beyond the initial segment reported with 63052. Compare 63053 office and facility rates across CMS payment localities in Colorado.
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 63053 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$200.00
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
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.
Spine surgery
About 63053: Additional lumbar decompression during fusion
Reports an additional lumbar segment decompressed for neural stenosis during posterior interbody arthrodesis, beyond the initial segment reported with 63052.
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.
CMS billing rules for 63053
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU3.69 · 60%
- Practice expense (office) RVU1.23 · 20%
- Malpractice RVU1.21 · 20%
23.7K
Medicare services in 2024 · #1069 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.
63053 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
63047 covers lumbar decompression for stenosis outside the posterior interbody arthrodesis context. Use 63053 for an additional decompressed segment during that arthrodesis.
No office rate
63048 is an additional-level code for the decompression represented by 63047. It is not the add-on for decompression performed during posterior interbody arthrodesis.
Compare 63053 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.
1 of 1 payment localities
Colorado →
Office / nonfacility
Unavailable
Facility
$200.00
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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 63053 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
7,011
- Code
- 63053
- Physician work
- 3.69
- Practice expense
- 1.23
- Malpractice
- 1.21
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.69 | × 1.012 | 3.7343 |
| Practice expense | 1.23 | × 1.064 | 1.3087 |
| Malpractice | 1.21 | × 0.781 | 0.9450 |
| Total RVUs | 5.9880 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$200.00
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.69 | 1.012 |
| Practice expense | 1.23 | 1.064 |
| Malpractice | 1.21 | 0.781 |
(3.69 × 1.012 + 1.23 × 1.064 + 1.21 × 0.781) × $33.4009 = $200.00
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.
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 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.
7,00863050,,Cervical laminoplsty 2/> seg,A,,21.46,13.64,NA,13.64,,6.85,41.95,41.95,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,00963051,,C-laminoplasty w/graft/plate,A,,24.87,14.73,NA,14.73,,7.55,47.15,47.15,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,01063052,,Lam facetc/frmt arthrd lum 1,A,,4.14,1.39,NA,1.39,,1.35,6.88,6.88,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,01163053,,Lam factc/frmt arthrd lum ea,A,,3.69,1.23,NA,1.23,,1.21,6.13,6.13,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,01263055,,Decompress spinal cord thrc,A,,22.96,14.98,NA,14.98,,8.56,46.50,46.50,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,01363056,,Decompress spinal cord lmbr,A,,21.31,13.59,NA,13.59,,7.16,42.06,42.06,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,01463057,,Decompress spine cord add-on,A,,5.12,1.73,NA,1.73,,1.76,8.61,8.61,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899