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CPT 63051 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.

C Laminoplasty W Graft Plate, Laminoplasty Cervical With Decompression Of The Spinal Cord 2 Or More Vertebral Segments With Reconstruction Of The Posterior Bony Elements Including The Application Of Bridging Bone Graft And Non Segmental Fixation Devices Eg Wire Suture Mini Plates When Performed
Key FactDetail
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

82 - Assistant surgeon - no qualified resident

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 63051
Medicaid Fee ScheduleView Medicaid rates for 63051

National average reimbursement for CPT 63051 by major payers:

bcbs

$2,161.90

uhc

$2,331.63

aetna

$2,454.29

cigna

$2,770.50

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CPT 63051
5 of 25 sample ratesHigher to lower in this preview
  1. Arapahoe Surgicenter, LLC

    COAmbulatory Surgical Clinic/CenterNPI 1518359181Tax ID 47-2388780

    $2,785.00Published rate
  2. Capital City Surgery Center Of Florida LLC

    FLAmbulatory Surgical Clinic/CenterNPI 1326453325Tax ID 47-1211202

    $1,064.00Published rate
  3. Eastern Orange Ambulatory Surgery Center, LLC

    Eastern Orange Asc LLC

    NYAmbulatory Surgical Clinic/CenterNPI 1568583896Tax ID 20-5350007

    $997.00Published rate
  4. Northwest Endo Center LLC

    ILAmbulatory Surgical Clinic/CenterNPI 1003260498Tax ID 81-2338623

    $625.00Published rate
  5. Georgia Eye Surgicenter, LLC, Georgia Eye Institute Surgery Center

    GAAmbulatory Surgical Clinic/CenterNPI 1063007573Tax ID 86-1925762

    $76.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 63051 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 63051 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 63051 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.

CodeComplexityDescription
63050-CPTHighLaminoplasty Cervcal W/Dcompress Of The Spinal Cord 2, Laminoplasty Cervical With Decompression Of The Spinal Cord 2 Or Mo
63051-CPTHighC Laminoplasty W Graft Plate, Laminoplasty Cervical With Decompression Of The Spinal Cord 2 Or More Vertebral Segments With Reconstruction Of The Posterior Bony Elements Including The Application Of Bridging Bone Graft And Non Segmental Fixation Devices Eg Wire Suture Mini Plates When Performed
63052-CPTModerateLam Facetc Frmt Arthrd Lum 1, Laminectomy Facetectomy Or Foraminotomy Unilateral Or Bilateral With Decompression Of Spinal Cord Cauda Equina And Or Nerve Root S Eg Spinal Or Lateral Recess Stenosis During Posterior Interbody Arthrodesis Lumbar Single Vertebral Segment List Separately In Addition To Code For Primary Procedure

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63051. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 63051 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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