No office rate
Use 63001 for one or two cervical vertebral segments. Use 63015 when the cervical decompression spans more than two segments.
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CMS RVU26D · Effective 2026-10-01
63001 Cervical laminectomy Medicare reimbursement rates in Virginia
Reports cervical lamina removal to decompress the spinal cord across one or two vertebral segments, without facet removal, foraminal enlargement, or discectomy. Compare 63001 office and facility rates across CMS payment localities in Virginia.
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 63001 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1123.53–$1321.12
2 of 2 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.
Spine surgery
About 63001: Cervical laminectomy, one or two segments
Reports cervical lamina removal to decompress the spinal cord across one or two vertebral segments, without facet removal, foraminal enlargement, or discectomy.
This operation removes cervical lamina to enlarge the spinal canal and relieve spinal cord compression, commonly from cervical stenosis associated with myelopathy. A neurosurgeon or orthopedic spine surgeon typically performs it in a hospital operating room. The service is limited to one or two vertebral segments and does not include facet removal, enlargement of the neural foramen, or disc removal as part of the coded procedure.
Report the code when the operative report supports cervical decompression at one or two segments and identifies the levels treated. Use the cervical code for more than two segments when that extent is performed; thoracic and lumbar procedures have separate codes. The Medicare global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. An assistant at surgery may be paid, and co-surgeons are permitted; team surgery is not permitted. Modifier 50 is inappropriate for this code.
CMS billing rules for 63001
- 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 RVU17.17 · 48%
- Practice expense (office) RVU12.12 · 34%
- Malpractice RVU6.45 · 18%
2.3K
Medicare services in 2024 · #2376 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.
63001 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
63001 describes cervical lamina removal without facetectomy or foraminotomy. Choose 63045 when cervical decompression includes those additional steps.
No office rate
63020 describes a cervical laminotomy directed at nerve-root decompression at one interspace. 63001 is the broader cervical spinal-canal decompression service for one or two segments.
Compare 63001 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$1321.12
Virginia →
Office / nonfacility
Unavailable
Facility
$1123.53
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63001 billing questions
When is this code used instead of the code for more than two cervical segments?
Use this code when the cervical decompression involves one or two vertebral segments. The more-than-two-segment cervical code applies when the documented extent exceeds two.
How does this differ from cervical laminectomy with facetectomy and foraminotomy?
This code describes cervical lamina removal without those additional bony decompression steps. When the procedure includes facet removal and foraminal enlargement, consider the cervical facetectomy-and-foraminotomy code instead.
Can modifier 50 be reported for bilateral decompression?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
What documentation supports the segment count?
The operative report should identify the cervical levels treated and describe the lamina removal and spinal cord decompression. It should also make clear whether the procedure included facet removal, foraminal enlargement, or disc removal.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid, and co-surgeons are permitted. Team surgery is not permitted.
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.
6,98562369,,Anal sp inf pmp w/reprg&fill,A,,0.65,2.19,,0.17,,0.07,2.91,0.89,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,98662370,,Anl sp inf pmp w/mdreprg&fil,A,,0.88,1.95,,0.22,,0.08,2.91,1.18,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,98762380,,Ndsc dcmprn 1 ntrspc lumbar,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.11,0.76,0.13,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,98863001,,Remove spine lamina 1/2 crvl,A,,17.17,12.12,NA,12.12,,6.45,35.74,35.74,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,98963003,,Remove spine lamina 1/2 thrc,A,,17.30,12.11,NA,12.11,,6.46,35.87,35.87,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,99063005,,Remove spine lamina 1/2 lmbr,A,,16.02,13.56,NA,13.56,,6.12,35.70,35.70,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,99163011,,Remove spine lamina 1/2 scrl,A,,15.51,10.72,NA,10.72,,4.03,30.26,30.26,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00