No office rate
63030 reports the primary lumbar laminotomy and nerve-root decompression, including disc excision when performed. 63032 adds repair of the annular defect at that interspace.
On this page
CMS RVU26D · Effective 2026-10-01
63032 Annular repair Medicare reimbursement rates in Missouri
Report this add-on for repair of a lumbar disc annular defect during an eligible discectomy, including annular closure when performed. Compare 63032 office and facility rates across CMS payment localities in Missouri.
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 63032 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$131.95–$135.06
3 of 3 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.
Where 63032 pays more and less in Missouri
Spine surgery
About 63032: Lumbar annular defect repair
Report this add-on for repair of a lumbar disc annular defect during an eligible discectomy, including annular closure when performed.
This add-on represents repair of an annular defect at one lumbar interspace during surgery for a herniated disc. A spine surgeon typically performs the repair as part of a lumbar discectomy, after addressing the disc pathology. Annular closure may be performed as part of the repair. The operative record should identify the lumbar level and describe the defect repair and any closure performed.
Report 63032 only with an eligible primary lumbar discectomy at the same interspace, such as 63030 or 63042. The primary code describes the discectomy and associated nerve-root decompression; 63032 captures the annular repair. CMS classifies 63032 as an add-on code, so it is not reported by itself, and its payment falls within the primary procedure's global period. Documentation should distinguish repair of the annular defect from routine disc removal or closure of the surgical approach.
CMS billing rules for 63032
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU2.50 · 61%
- Practice expense (office) RVU0.79 · 19%
- Malpractice RVU0.79 · 19%
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.
63032 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
63042 describes lumbar reexploration with nerve-root decompression and disc excision when performed. Use 63032 only for the separate annular defect repair accompanying an eligible primary discectomy.
No office rate
63035 reports decompression at each additional lumbar interspace. It does not describe repair of an annular defect.
Compare 63032 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$134.06
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$135.06
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$131.95
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63032 billing questions
When is 63032 reported with a lumbar discectomy?
Use it when the surgeon repairs an annular defect at the same lumbar interspace as an eligible primary discectomy, such as 63030 or 63042. The operative note should describe the repair, not just disc removal.
Can 63032 be reported by itself?
No. It is an add-on code and must be billed with an eligible primary lumbar discectomy.
How does 63032 differ from 63030?
63030 reports the primary lumbar laminotomy and nerve-root decompression, including disc excision when performed. 63032 reports repair of the annular defect in the same interspace.
What documentation supports 63032?
Document the lumbar interspace, the annular defect, and the repair performed, including annular closure when performed. The record should also support the eligible primary discectomy.
Is 63032 paid outside the primary procedure's global period?
No. CMS identifies it as an add-on code paid within the global period of its primary procedure.
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.
6,99563017,,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
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