Billing code 63295: Laminectomy repairMedicare rate & RVUs in Minnesota
Add-on repair of a spinal laminectomy defect, reported with a qualifying primary operation when repair follows spinal lesion surgery.
CMS doesn’t publish an office rate for 63295 in Minnesota.
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 63295 covers
This add-on describes repair of a defect created by a spinal laminectomy, such as when repair is performed after removal of an intradural spinal lesion. Neurosurgeons and other spine surgeons typically perform it in an operating room as part of the primary spinal operation. The repair is distinct from simply documenting that the primary procedure included a laminectomy.
Report 63295 only with an eligible primary procedure; it is not a standalone service. The operative report should identify the primary operation and the laminectomy defect repair performed. CMS pays this add-on within the primary procedure’s global period. The code is priced as bilateral, so modifier 50 does not increase payment. It is not automatically reported whenever a laminectomy is performed; the record must support the additional repair service.
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.
63295 in Minnesota
| Payment locality | Office | Facility |
|---|---|---|
| Minnesota | Unavailable | $253.79 |
How the 63295 rate is calculated
Each of 63295’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 · 63295
RVUs × geographic indexes × conversion factor
Work5.12
5.12 RVUs× 1.000 GPCI
Practice expense1.79
1.79 RVUs× 1.000 GPCI
Malpractice2.15
2.15 RVUs× 1.000 GPCI
Adjusted RVUs
9.0600
Conversion factor
$33.4009
Medicare rate
$302.61
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 63295
The CMS indicators that decide how 63295 is paid alongside other services.
CMS payment indicators · 63295
Laminectomy repair
| 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) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| 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
63295 without 80 · national facility
$302.61
Laminectomy repair
63295-80 · Assistant: 16%
$48.42
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
63295 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 63267Spinal lesion excision
- 63267 reports the primary excision of an extradural lumbar spinal lesion. Add 63295 only when the laminectomy defect is also repaired.
- 63272Spinal lesion surgery
- 63272 reports primary excision of an intradural, extramedullary lumbar lesion. It describes lesion surgery, while 63295 is the additional defect repair.
- 63282Spinal lesion surgery
- 63282 reports primary excision of an intradural, intramedullary lumbar lesion. 63295 may accompany the qualifying primary operation when defect repair is performed.
63295 billing questions
Can 63295 be billed by itself?
No. It is an add-on code and must be reported with a qualifying primary procedure, such as an eligible spinal lesion operation.
Does every laminectomy for lesion removal qualify for 63295?
No. The record must support repair of the laminectomy defect in addition to the primary operation; the laminectomy alone is not enough.
Should modifier 50 be appended for a bilateral repair?
No. CMS prices 63295 as bilateral, and modifier 50 does not increase its payment.
How does the global period affect payment?
The add-on is paid within the global period of its primary procedure, not as a separate standalone service.
What documentation supports reporting 63295?
The operative report should identify the primary spinal procedure and describe the repair performed on the resulting laminectomy defect.
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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