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See a sample rate comparisonCPT 63020 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Laminotomy (Hemilaminectomy) With Decompression Of Nerve Root(S) Including Partial Facetectomy Foraminotomy And/Or Excision Of Herniated Intervertebral Disk Including Open And Endoscopically- Assisted Approaches; 1 Interspace Cervical
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 63020 |
| Medicaid Fee Schedule | View Medicaid rates for 63020 |
National average reimbursement for CPT 63020 by major payers:
$1,553.31
$1,579.93
$1,730.66
$1,847.57
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CPT 63020
5 of 25 sample ratesHigher to lower in this preview
Alle-Kiski Medical Center
Highmark Health
$18,877.48Published rateSpecialty Surgical Center Of North Brunswick, LLC
Specialty Surgical Center Of N
$7,275.00Published rateQueens Boulevard Asc LLC
$3,247.00Published rateModesto Surgery Center
$2,684.00Published rateGastrointestinal Institute, LLC.
Gastrointestinal Institute LLC
$950.00Published rate
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See a sample payer proposalCPT 63020 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 63020 code is part of the Surgery services used for Surgical Procedures on the Nervous System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 63020 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 63017-CPT | High | Remove Spine Lamina 2 Lmbr, Laminectomy With Exploration And Or Decompression Of Spinal Cord And Or Cauda Equina Without Facetectomy Foraminotomy Or Discectomy Eg Spinal Stenosis More Than 2 Vertebral Segments Lumbar |
| 63020-CPT | High | Laminotomy (Hemilaminectomy) With Decompression Of Nerve Root(S) Including Partial Facetectomy Foraminotomy And/Or Excision Of Herniated Intervertebral Disk Including Open And Endoscopically- Assisted Approaches; 1 Interspace Cervical |
| 63030-CPT | High | Laminotomy (Hemilaminectomy), Laminotomy (Hemilaminectomy) With Decompression Of Nerve Root(S) Including Partial Facetectomy Foraminotomy Andor Excision Of Herniated Intervertebral Disc Including Open And Endoscopically-Assis |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63020. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63020 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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