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See a sample rate comparisonCPT 63057 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Decompress Spine Cord Add On, Transpedicular Approach With Decompression Of Spinal Cord Equina And Or Nerve Root S Eg Herniated Intervertebral Disc Single Segment Each Additional Segment Thoracic Or Lumbar List Separately In Addition To Code For Primary Procedure
| 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 59 - Distinct Procedural Service AS - PA/NP/CNS assistant at surgery |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 63057 |
| Medicaid Fee Schedule | View Medicaid rates for 63057 |
National average reimbursement for CPT 63057 by major payers:
$404.00
$447.39
$481.11
$523.62
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CPT 63057
5 of 25 sample ratesHigher to lower in this preview
Advocate Condell Ambulatory Surgery Center, LLC
Advocate Condell Ambulatory Surgery Center LLC
$7,900.00Published rateMidwest Digestive Health Center LLC
$566.00Published rateMelissa Mckinney
Deaconess Hospital Inc
$249.25Published rateCabrillo Surgery Center
$124.00Published rateSeidenberg Protzko Surgery Center LLC, Mid Atlantic Surgery Pavilion
Seidenberg Protzko Surgery Center LLC
$70.00Published rate
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See a sample payer proposalCPT 63057 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 63057 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 63057 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 |
|---|---|---|
| 63056-CPT | High | Decompress Spinal Cord Lmbr, Transpedicular Approach With Decompression Of Spinal Cord Equina And Or Nerve Root S Eg Herniated Intervertebral Disc Single Segment Lumbar Including Transfacet Or Lateral Extraforaminal Approach Eg Far Lateral Herniated Intervertebral Disc |
| 63057-CPT | Moderate | Decompress Spine Cord Add On, Transpedicular Approach With Decompression Of Spinal Cord Equina And Or Nerve Root S Eg Herniated Intervertebral Disc Single Segment Each Additional Segment Thoracic Or Lumbar List Separately In Addition To Code For Primary Procedure |
| 63064-CPT | High | Decompress Spinal Cord Thrc, Costovertebral Approach With Decompression Of Spinal Cord Or Nerve Root S Eg Herniated Intervertebral Disc Thoracic Single Segment |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 63057. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 63057 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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