63044
Laminotomy addl lumbar
Code typeAdd-on
Paid with — select a primary to see the real payable total
63042
Laminotomy single lumbar
Code typePrimary
Payment statusActive (A)
Global period90-day
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary63042Laminotomy single lumbar
1
$1,219.80
$1,219.80
Whole procedure · 18.29 wRVU credited
$1,219.80
$1,219.80
How these numbers were computed
- status=BThis code is not separately payable under the Physician Fee Schedule (status B) — amounts shown are $0.
- status=CThis code is not separately payable under the Physician Fee Schedule (status C) — amounts shown are $0.
RVU Breakdown
Component
Office
Facility
Work
18.29
18.29
Practice expense
12.73
12.73
Malpractice
5.50
5.50
Total RVU
36.52
36.52
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $1,829.70 office.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Assistant surgeon -80/81/8216%
Assistant at surgery (mod 80/81/82) is paid at 16% of the fee schedule amount.
Co-surgeons -6262.5% each
Co-surgeons (mod 62) are paid 62.5% of the fee each (125% total, split).
Not applicable to this code
Team surgeon -66Prof / tech split