No office rate
63055 reports the primary thoracic segment treated through the transpedicular approach. Use 63057 for each additional segment treated in the same operative session.
On this page
CMS RVU26D · Effective 2026-10-01
63057 Spinal decompression Medicare reimbursement rates in Missouri
Reports each additional thoracic or lumbar segment decompressed through a transpedicular approach after the primary segment is treated. Compare 63057 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 63057 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
$278.08–$284.93
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 63057 pays more and less in Missouri
Spine surgery
About 63057: Additional-segment transpedicular spinal decompression
Reports each additional thoracic or lumbar segment decompressed through a transpedicular approach after the primary segment is treated.
This add-on code captures decompression at an additional thoracic or lumbar spinal segment using a transpedicular approach. The operation may relieve spinal cord or nerve-root compression, including compression associated with a herniated disc. Neurosurgeons and orthopedic spine surgeons typically perform the procedure in an operating room, often during an inpatient or hospital outpatient surgical encounter. The operative report should identify the additional segment and describe the approach and decompression performed.
Report 63057 with the applicable primary procedure, 63055 for the thoracic region or 63056 for the lumbar region; it is not reported by itself. Use it for each additional treated segment beyond the segment represented by the primary code, rather than to describe a second procedure at the same segment. CMS classifies it as an add-on code: it is billed only with a primary procedure and paid within that procedure’s global period. Documentation should make the primary and additional segments clear.
CMS billing rules for 63057
- 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 RVU5.12 · 59%
- Practice expense (office) RVU1.73 · 20%
- Malpractice RVU1.76 · 20%
2.4K
Medicare services in 2024 · #2333 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.
63057 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
63056 reports the primary lumbar segment treated through the transpedicular approach. 63057 captures additional segments beyond that primary segment.
No office rate
63066 is the additional-segment code associated with the costovertebral approach; 63057 is for additional segments treated through the transpedicular approach.
No office rate
63047 describes lumbar posterior decompression involving laminectomy, facetectomy, and foraminotomy. It is not the additional-segment transpedicular code.
Compare 63057 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
$282.70
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$284.93
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$278.08
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63057 billing questions
Can 63057 be billed by itself?
No. It is an add-on code and must be reported with the applicable primary procedure, 63055 or 63056.
How do I choose between 63055 or 63056 and 63057?
Use 63055 for the primary thoracic segment or 63056 for the primary lumbar segment. Use 63057 for each additional segment treated through the transpedicular approach.
What should the operative report document?
Document the spinal region, the primary and additional segments, the transpedicular approach, and the decompression performed at the additional segment.
How is 63057 paid under CMS rules?
CMS treats it as an add-on code that is billed only with a primary procedure and paid within that procedure’s global period.
Is 63057 appropriate for every additional thoracic or lumbar decompression?
No. The additional segment must be treated through the transpedicular approach. A different operative approach may require a different code family.
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.
7,01163053,,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
7,01263055,,Decompress spinal cord thrc,A,,22.96,14.98,NA,14.98,,8.56,46.50,46.50,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,01363056,,Decompress spinal cord lmbr,A,,21.31,13.59,NA,13.59,,7.16,42.06,42.06,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,01463057,,Decompress spine cord add-on,A,,5.12,1.73,NA,1.73,,1.76,8.61,8.61,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,01563064,,Decompress spinal cord thrc,A,,25.56,15.66,NA,15.66,,9.25,50.47,50.47,0,090,0.11,0.76,0.13,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,01663066,,Decompress spine cord add-on,A,,3.18,1.11,NA,1.11,,1.33,5.62,5.62,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,01763075,,Neck spine disk surgery,A,,19.11,13.12,NA,13.12,,6.34,38.57,38.57,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00