63056
Decompress spinal cord lmbr
Code typePrimary
Payment statusActive (A)
Global period90-day
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary63056Decompress spinal cord lmbr
1
$1,404.84
$1,404.84
Whole procedure · 21.31 wRVU credited
$1,404.84
$1,404.84
How these numbers were computed
- status=BThis code is not separately payable under the Physician Fee Schedule (status B) — amounts shown are $0.
RVU Breakdown
Component
Office
Facility
Work
21.31
21.31
Practice expense
13.59
13.59
Malpractice
7.16
7.16
Total RVU
42.06
42.06
Payment Policy & Modifiers
Allowed adjustments
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 paid (62.5% each) if medical necessity is documented.
Not applicable to this code
Bilateral -50Team surgeon -66Prof / tech split