No office rate
63047 reports the first lumbar segment treated with extensive decompression. Use 63048 for each additional segment in that procedure.
On this page
CMS RVU26D · Effective 2026-10-01
63048 Spinal decompression Medicare reimbursement rates in Rhode Island
Reports each additional vertebral segment decompressed during extensive laminectomy, facetectomy, and foraminotomy for spinal canal or nerve-root compression. Compare 63048 office and facility rates across CMS payment localities in Rhode Island.
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 63048 in Rhode Island?
Rhode Island has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$186.80
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
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 63048: Additional spinal stenosis decompression segment
Reports each additional vertebral segment decompressed during extensive laminectomy, facetectomy, and foraminotomy for spinal canal or nerve-root compression.
Code 63048 captures each additional vertebral segment decompressed after the first during an extensive laminectomy, facetectomy, and foraminotomy for spinal canal or nerve-root compression. The work may include removing lamina and facet bone and enlarging the foramen to free the spinal cord, cauda equina, or nerve roots. Neurosurgeons and orthopedic spine surgeons commonly perform this operation in an operating room for multilevel stenosis. It can accompany cervical, thoracic, or lumbar primary decompression codes.
Report 63048 only with the applicable primary code—63045, 63046, or 63047—and only for segments beyond the first. The operative report should identify the spinal region and each decompressed vertebral segment and support the extent of bony decompression, rather than a limited laminotomy alone. Count additional segments, not sides; bilateral work at one segment does not create another segment. As an add-on, it is paid within the primary procedure's global period.
CMS billing rules for 63048
- 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 RVU3.38 · 60%
- Practice expense (office) RVU1.13 · 20%
- Malpractice RVU1.10 · 20%
151.3K
Medicare services in 2024 · #449 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.
63048 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
63035 covers additional-level laminotomy and nerve-root decompression, a more limited service. Code 63048 is for additional segments treated with laminectomy, facetectomy, and foraminotomy.
No office rate
63053 reports additional lumbar decompression segments when the work is performed during posterior interbody arthrodesis; 63048 accompanies the non-fusion decompression family.
Compare 63048 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.
1 of 1 payment localities
Rhode Island →
Office / nonfacility
Unavailable
Facility
$186.80
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 63048 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
7,007
- Code
- 63048
- Physician work
- 3.38
- Practice expense
- 1.13
- Malpractice
- 1.10
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.38 | × 1.019 | 3.4442 |
| Practice expense | 1.13 | × 1.033 | 1.1673 |
| Malpractice | 1.10 | × 0.892 | 0.9812 |
| Total RVUs | 5.5927 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$186.80
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.38 | 1.019 |
| Practice expense | 1.13 | 1.033 |
| Malpractice | 1.1 | 0.892 |
(3.38 × 1.019 + 1.13 × 1.033 + 1.1 × 0.892) × $33.4009 = $186.80
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
63048 billing questions
Which primary codes can be reported with 63048?
Report it with 63045 for cervical, 63046 for thoracic, or 63047 for lumbar decompression. It represents additional segments beyond the first treated by the primary procedure.
How should units be counted?
Count each additional vertebral segment decompressed after the first. Bilateral decompression at the same segment is still one segment.
Can 63048 be used for a limited laminotomy?
No. This code is for additional segments treated with the extensive laminectomy, facetectomy, and foraminotomy service; a limited laminotomy or nerve-root decompression is a different service.
What should the operative report identify?
Document the spinal region, each vertebral segment treated, and the decompressive work performed. The record should make clear which segment is covered by the primary code and which are additional.
How does a lumbar fusion change code selection?
When the lumbar decompression is performed during posterior interbody arthrodesis, compare the fusion-specific codes 63052 and 63053 with 63047 and 63048. The operative circumstances determine which code family describes the work.
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.
7,00463045,,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
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537