No office rate
63030 covers one lumbar interspace; 63035 is the add-on for each additional qualifying interspace in the same session.
On this page
CMS RVU26D · Effective 2026-10-01
63030 Lumbar decompression Medicare reimbursement rates in Iowa
Reports a limited lumbar decompression at one interspace to relieve a nerve root, commonly for radiculopathy from a herniated disk. Compare 63030 office and facility rates across CMS payment localities in Iowa.
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 63030 in Iowa?
Iowa 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
$788.59
1 of 1 localities have a supported rate.
Payment area: Iowa
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 63030: Lumbar nerve root decompression, one interspace
Reports a limited lumbar decompression at one interspace to relieve a nerve root, commonly for radiculopathy from a herniated disk.
A spine surgeon uses a limited opening through part of the lumbar lamina to reach and decompress a nerve root at one interspace. The work may include removing a portion of facet bone, widening the nerve-root exit, and removing herniated disk material when needed. A common clinical setting is surgery for lumbar radiculopathy caused by a disk herniation; the service is typically performed in a hospital or ambulatory surgical facility.
Report one unit for the treated lumbar interspace when the operative note supports nerve-root decompression and identifies the level and approach. Use the additional-interspace code when qualifying decompression is performed at another interspace in the same session; use the re-exploration code for lumbar reoperation instead. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant surgeons and co-surgeons may be paid; team surgery is not permitted.
CMS billing rules for 63030
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU11.70 · 44%
- Practice expense (office) RVU11.35 · 42%
- Malpractice RVU3.84 · 14%
24.8K
Medicare services in 2024 · #1051 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.
63030 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
63042 describes lumbar re-exploration. Choose it for a repeat operation rather than an initial decompression at that interspace.
No office rate
63047 is for a broader lumbar decompression for stenosis. This code describes limited nerve-root decompression at one interspace, often for disk-related radiculopathy.
Compare 63030 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
Iowa →
Office / nonfacility
Unavailable
Facility
$788.59
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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 63030 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
6,997
- Code
- 63030
- Physician work
- 11.70
- Practice expense
- 11.35
- Malpractice
- 3.84
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.70 | × 1.000 | 11.7000 |
| Practice expense | 11.35 | × 0.915 | 10.3852 |
| Malpractice | 3.84 | × 0.397 | 1.5245 |
| Total RVUs | 23.6097 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$788.59
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.7 | 1 |
| Practice expense | 11.35 | 0.915 |
| Malpractice | 3.84 | 0.397 |
(11.7 × 1 + 11.35 × 0.915 + 3.84 × 0.397) × $33.4009 = $788.59
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.
63030 billing questions
When is this code appropriate instead of a lumbar stenosis decompression code?
Use this code for limited nerve-root decompression at one lumbar interspace, often involving a herniated disk. A broader decompression for spinal or lateral recess stenosis may fit 63047 instead, depending on the operative work.
How is a second lumbar interspace reported?
When qualifying nerve-root decompression is performed at another interspace in the same session, report 63035 for the additional interspace. The operative note should identify each treated level.
What code applies to a repeat operation at the same lumbar level?
For lumbar re-exploration, consider 63042 rather than this code. The record should establish that the procedure is a reoperation, not an initial decompression.
What documentation supports reporting this service?
Document the lumbar interspace, the nerve-root compression and clinical indication, and the decompression performed. If disk material, facet bone, or the foramen was addressed, describe that work in the operative report.
How does the 90-day global affect postoperative visits?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. Those included services are not separately reported as routine follow-up.
How are bilateral and multiple procedures handled?
Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%.
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.
6,99463016,,Remove spine lamina >2 thrc,A,,21.48,14.39,NA,14.39,,7.94,43.81,43.81,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,99563017,,Remove spine lamina >2 lmbr,A,,16.90,13.89,NA,13.89,,6.49,37.28,37.28,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,99663020,,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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136