No office rate
Choose 63050 for multilevel cervical laminoplasty without posterior-element reconstruction. Choose 63051 when the surgeon reconstructs posterior elements with bone graft and/or prosthetic material.
On this page
CMS RVU26D · Effective 2026-10-01
63050 Laminoplasty Medicare reimbursement rates in Missouri
Report multilevel cervical laminoplasty when a surgeon enlarges the spinal canal and decompresses the cord across at least two cervical vertebral segments. Compare 63050 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 63050 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
$1332.35–$1379.76
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 63050 pays more and less in Missouri
Spine surgery
About 63050: Multilevel cervical laminoplasty
Report multilevel cervical laminoplasty when a surgeon enlarges the spinal canal and decompresses the cord across at least two cervical vertebral segments.
A cervical laminoplasty opens and reshapes the laminae to enlarge the spinal canal and relieve pressure on the spinal cord while preserving the posterior elements. Spine surgeons typically perform it for cervical canal stenosis with cord compression or myelopathy, often across multiple levels. The operation is generally performed in a hospital surgical setting. This code represents treatment across two or more cervical vertebral segments without the posterior-element reconstruction that distinguishes 63051.
Report one service based on the operative work, not one unit for each segment. The operative report should identify the cervical levels treated, the cord decompression performed, and whether graft or prosthetic material was used to reconstruct posterior elements. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. CMS permits assistant-at-surgery and co-surgeon payment, but not team-surgery payment.
CMS billing rules for 63050
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU21.46 · 51%
- Practice expense (office) RVU13.64 · 33%
- Malpractice RVU6.85 · 16%
130
Medicare services in 2024 · #4675 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.
63050 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
63045 describes posterior cervical decompression by laminectomy, facetectomy, and foraminotomy at one segment. 63050 describes laminoplasty with cord decompression across at least two segments.
No office rate
63020 is for cervical laminotomy addressing a nerve root at one interspace; 63050 is multilevel cervical laminoplasty for spinal cord decompression.
Compare 63050 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
$1368.11
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$1379.76
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$1332.35
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63050 billing questions
How does 63050 differ from 63051?
Both describe cervical laminoplasty with spinal cord decompression across two or more segments. Use 63051 when the operation also reconstructs posterior elements with bone graft and/or prosthetic material.
Is the code reported once for each cervical level?
No. The code covers two or more cervical vertebral segments; report one service rather than a unit for every level treated.
What operative documentation supports 63050?
Document the cervical segments treated, the laminoplasty and spinal cord decompression performed, and whether posterior-element reconstruction was done. The reconstruction detail helps distinguish 63050 from 63051.
Can modifier 50 be used?
No. The descriptor and anatomy make bilateral reporting with modifier 50 inappropriate.
How are other same-session procedures and surgical assistants handled?
With multiple procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. CMS permits assistant-at-surgery and co-surgeon payment for this code, but not team-surgery payment.
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.
7,00563046,,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
7,01063052,,Lam facetc/frmt arthrd lum 1,A,,4.14,1.39,NA,1.39,,1.35,6.88,6.88,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,01163053,,Lam factc/frmt arthrd lum ea,A,,3.69,1.23,NA,1.23,,1.21,6.13,6.13,0,ZZZ,0.00,0.00,0.00,0,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00