No office rate
63020 is the primary cervical procedure for the first interspace. Use 63035 only for additional interspaces treated in that operation.
On this page
CMS RVU26D · Effective 2026-10-01
63035 Nerve-root decompression Medicare reimbursement rates in Georgia
Reports nerve-root decompression at each additional cervical or lumbar interspace treated during a laminotomy procedure beyond the first interspace. Compare 63035 office and facility rates across CMS payment localities in Georgia.
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 63035 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$209.41–$215.32
2 of 2 localities have a supported rate.
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.
Spinal surgery
About 63035: Additional interspace nerve-root decompression
Reports nerve-root decompression at each additional cervical or lumbar interspace treated during a laminotomy procedure beyond the first interspace.
This add-on represents decompression of nerve roots at another cervical or lumbar interspace during a laminotomy operation. The surgeon may remove bone or disc material and perform partial facetectomy or foraminotomy as needed to relieve root compression. Spine surgeons typically perform the work in an operating room, often for disc herniation or foraminal narrowing affecting more than one interspace.
Report 63035 with the applicable primary code, 63020 for cervical surgery or 63030 for lumbar surgery; it is not a standalone service. Count additional interspaces treated, rather than the number of nerve roots, and document the spinal region, interspaces, and decompression performed. CMS treats this as an add-on paid within the primary procedure’s global period. When the procedure is bilateral and modifier 50 is reported, CMS pays 150% of the applicable amount.
CMS billing rules for 63035
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
Where the value comes from
- Work RVU3.76 · 61%
- Practice expense (office) RVU1.25 · 20%
- Malpractice RVU1.17 · 19%
4.1K
Medicare services in 2024 · #1985 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.
63035 compared with similar codes
Office rates for Georgia, from the same CMS release.
No office rate
63030 is the primary lumbar procedure for the first interspace. Use 63035 for each additional interspace treated in the same procedure.
63043
No office rateLaminotomy addl cervical
63043 is for additional cervical interspaces in a reexploration operation; 63035 is used with the 63020 or 63030 procedure family.
63044
No office rateLaminotomy addl lumbar
63044 is for additional lumbar interspaces in a reexploration operation; 63035 is used with the 63020 or 63030 procedure family.
Compare 63035 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
Unavailable
Facility
$215.32
Rest Of Georgia →
Office / nonfacility
Unavailable
Facility
$209.41
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63035 billing questions
Can 63035 be reported by itself?
No. It is an add-on for an additional cervical or lumbar interspace and must be reported with the applicable primary procedure, 63020 or 63030.
How is the number of units determined?
Count each additional interspace decompressed beyond the first interspace covered by the primary procedure. The number of nerve roots treated does not determine the unit count.
What documentation supports 63035?
Document the cervical or lumbar region, each interspace treated, and the decompression work performed at the additional interspace.
When is modifier 50 relevant?
For a bilateral procedure, CMS pays 150% when modifier 50 is reported. The record should support decompression on both sides.
Does 63035 have its own global period?
No separate global period is assigned in the CMS facts for this add-on; payment is within the primary procedure’s global period.
How does 63035 differ from 63043 or 63044?
63035 represents an additional interspace in the 63020 or 63030 procedure family. Codes 63043 and 63044 describe additional interspaces in the cervical or lumbar reexploration 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 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.
6,99663020,,Lamot dcmprn nrv rt 1 cerv,A,,14.54,12.56,NA,12.56,,4.76,31.86,31.86,0,090,0.11,0.76,0.13,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,99763030,,Lamot dcmprn nrv rt 1 lmbr,A,,11.70,11.35,NA,11.35,,3.84,26.89,26.89,0,090,0.11,0.76,0.13,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,99863032,,Lamot rpr anulr dfct 1 lmbr,A,,2.50,0.79,NA,0.79,,0.79,4.08,4.08,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,99963035,,Lamot dcmprn nrv rt ea addl,A,,3.76,1.25,NA,1.25,,1.17,6.18,6.18,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,00063040,,Laminotomy single cervical,A,,19.80,12.61,NA,12.61,,6.15,38.56,38.56,0,090,0.11,0.76,0.13,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,00163042,,Laminotomy single lumbar,A,,18.29,12.73,NA,12.73,,5.50,36.52,36.52,0,090,0.11,0.76,0.13,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,00263043,,Laminotomy addl cervical,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00