No office rate
63047 represents the primary single-segment lumbar decompression. 63048 is an add-on for each qualifying additional segment, not a replacement primary code.
On this page
CMS RVU26D · Effective 2026-10-01
63047 Lumbar decompression Medicare reimbursement rates in Michigan
Reports lumbar decompression involving lamina, facet, and foraminal work to relieve pressure on neural structures at one lumbar segment. Compare 63047 office and facility rates across CMS payment localities in Michigan.
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 63047 in Michigan?
Michigan 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
$1051.56–$1163.24
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.
Spine surgery
About 63047: Lumbar decompression with facetectomy
Reports lumbar decompression involving lamina, facet, and foraminal work to relieve pressure on neural structures at one lumbar segment.
A spine surgeon removes portions of the lamina and facet and enlarges the foramen to decompress the cauda equina or lumbar nerve roots at one segment. The operation is commonly performed for lumbar spinal stenosis causing neurogenic claudication or radicular symptoms, in a hospital operating room or ambulatory surgery setting. The procedure may address one or both sides of the segment.
Report the code for one lumbar segment when the operative report supports the decompression and the associated bone removal. The code is priced as bilateral, so modifier 50 does not increase payment. A 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and other procedures at 50%. Assistant-at-surgery payment may be made, and co-surgeons are permitted; team-surgery payment is not permitted.
CMS billing rules for 63047
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.99 · 47%
- Practice expense (office) RVU12.03 · 38%
- Malpractice RVU4.88 · 15%
129.9K
Medicare services in 2024 · #490 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.
63047 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
Use 63052 when the qualifying lumbar decompression is performed during interbody arthrodesis; 63047 describes decompression outside that specific arthrodesis context.
No office rate
63030 describes a more limited lumbar nerve-root decompression with disc work. Choose 63047 when the documented procedure includes the broader lamina, facet, and foraminal decompression at one segment.
No office rate
63017 is for lumbar decompression across more than two segments. 63047 represents a single lumbar segment.
Compare 63047 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
Detroit →
Office / nonfacility
Unavailable
Facility
$1163.24
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$1051.56
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63047 billing questions
How is this code different from 63030?
This code represents broader bony decompression at a lumbar segment, including facet and foraminal work. 63030 describes a more limited lumbar nerve-root decompression that includes disc work.
Can modifier 50 be used when both sides are decompressed?
The code is already priced as bilateral, and modifier 50 does not increase payment. The operative report should document the sides and structures decompressed.
How are additional lumbar segments reported?
For qualifying decompression at each additional segment, report add-on code 63048 with this primary code. Document the distinct segments treated.
Can this code be reported with lumbar fusion?
When the qualifying decompression is performed during lumbar interbody arthrodesis, compare the service with 63052, which describes decompression in that arthrodesis context.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment and co-surgeons for this code. Team-surgery payment is not permitted.
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.
7,00363044,,Laminotomy addl lumbar,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
7,00463045,,Lam facetec & foramot crv,A,,17.50,13.58,NA,13.58,,6.33,37.41,37.41,0,090,0.11,0.76,0.13,2,2,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,00563046,,Lam facetec & foramot thrc,A,,16.82,12.90,NA,12.90,,5.74,35.46,35.46,0,090,0.11,0.76,0.13,2,2,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,00663047,,Lam facetec & foramot lumbar,A,,14.99,12.03,NA,12.03,,4.88,31.90,31.90,0,090,0.11,0.76,0.13,2,2,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,00763048,,Lam facetec &foramot ea addl,A,,3.38,1.13,NA,1.13,,1.10,5.61,5.61,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,00863050,,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