Billing code 63057: Spinal decompressionMedicare rate & RVUs in Florida
Reports each additional thoracic or lumbar segment decompressed through a transpedicular approach after the primary segment is treated.
CMS doesn’t publish an office rate for 63057 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
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.
Where 63057 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $335.83 |
| Miami | Unavailable | $379.83 |
| Rest Of Florida | Unavailable | $314.61 |
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.
How the rate is built · 63057
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.12Practice expense 1.73Malpractice 1.76
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 63057
The CMS indicators that decide how 63057 is paid alongside other services.
CMS payment indicators · 63057
Spinal decompression
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
63057 without 80 · national facility
$287.58
Spinal decompression
63057-80 · Assistant: 16%
$46.01
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
63057 compared with similar codes
Compare codes
63057 vs 63055 vs 63056 vs 63066 vs 63047: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 63055Spinal decompression
- 63055 reports the primary thoracic segment treated through the transpedicular approach. Use 63057 for each additional segment treated in the same operative session.
- 63056Spinal decompression
- 63056 reports the primary lumbar segment treated through the transpedicular approach. 63057 captures additional segments beyond that primary segment.
- 63066Spinal decompression
- 63066 is the additional-segment code associated with the costovertebral approach; 63057 is for additional segments treated through the transpedicular approach.
- 63047Lumbar decompression
- 63047 describes lumbar posterior decompression involving laminectomy, facetectomy, and foraminotomy. It is not the additional-segment transpedicular code.
63057 billing questions
Can 63057 be billed by itself?
No. It is an add-on code and must be reported with the applicable primary procedure, 63055 or 63056.
How do I choose between 63055 or 63056 and 63057?
Use 63055 for the primary thoracic segment or 63056 for the primary lumbar segment. Use 63057 for each additional segment treated through the transpedicular approach.
What should the operative report document?
Document the spinal region, the primary and additional segments, the transpedicular approach, and the decompression performed at the additional segment.
How is 63057 paid under CMS rules?
CMS treats it as an add-on code that is billed only with a primary procedure and paid within that procedure’s global period.
Is 63057 appropriate for every additional thoracic or lumbar decompression?
No. The additional segment must be treated through the transpedicular approach. A different operative approach may require a different code family.
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
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