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See a sample rate comparisonCPT 63045 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.
Lam Facetec Foramot Crv, Laminectomy Facetectomy And Foraminotomy Unilateral Or Bilateral With Decompression Of Spinal Cord Cauda Equina And Or Nerve Root S Eg Spinal Or Lateral Recess Stenosis Single Vertebral Segment Cervical
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 63045 |
| Medicaid Fee Schedule | View Medicaid rates for 63045 |
National average reimbursement for CPT 63045 by major payers:
$1,643.17
$1,754.34
$1,922.67
$2,088.88
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CPT 63045
5 of 25 sample ratesHigher to lower in this preview
Central Virginia Surgi-Center Lp, Surgi-Center Of Central Virginia
Central Virginia Surgicenter Lp
$6,365.00Published rateAtlanta Hand Specialist Surgery Center LLC
$3,458.00Published rateMidwest Surgery Center, L.C.
Midwest Surgery Center, LLC
$2,800.00Published rateGraystone Eye Surgery Center Of Hickory, Lp, Graystone Eye Surgery Center
$1,425.00Published rateTri-State Gastroenterology Associates, Psc, Tri-State Digestive Disorder Center
Tri-State Gastroenterology Associates, Psc
$810.00Published rate
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See a sample payer proposalCPT 63045 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 63045 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 63045 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 |
|---|---|---|
| 63044-CPT | Moderate | Laminotomy Addl Lumbar, Laminotomy Hemilaminectomy With Decompression Of Nerve Root S Including Partial Facetectomy Foraminotomy And Or Excision Of Herniated Intervertebral Disc Reexploration Single Interspace Each Additional Lumbar Interspace List Separately In Addition To Code For Primary Procedure |
| 63045-CPT | High | Lam Facetec Foramot Crv, Laminectomy Facetectomy And Foraminotomy Unilateral Or Bilateral With Decompression Of Spinal Cord Cauda Equina And Or Nerve Root S Eg Spinal Or Lateral Recess Stenosis Single Vertebral Segment Cervical |
| 63046-CPT | High | Lam Facetec Foramot Thrc, Laminectomy Facetectomy And Foraminotomy Unilateral Or Bilateral With Decompression Of Spinal Cord Cauda Equina And Or Nerve Root S Eg Spinal Or Lateral Recess Stenosis Single Vertebral Segment Thoracic |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63045. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63045 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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