# CPT 63042: Laminotomy with decompression, reoperation, lumbar

Medicare CPT 63042 pays $1,219.80 in a non-facility setting and $1,219.80 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,070.75 in Arkansas to $1,470.41 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/63042-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Neurological Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,219.80 |
| National facility | $1,219.80 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,470.41 | $1,470.41 |
| Florida | $1,395.13 | $1,395.13 |
| Illinois | $1,374.94 | $1,374.94 |
| New York | $1,363.97 | $1,363.97 |
| District of Columbia | $1,349.23 | $1,349.23 |
| New Jersey | $1,319.99 | $1,319.99 |
| Connecticut | $1,303.34 | $1,303.34 |
| Michigan | $1,268.72 | $1,268.72 |
| Massachusetts | $1,260.97 | $1,260.97 |
| Maryland | $1,260.05 | $1,260.05 |
| Washington | $1,259.81 | $1,259.81 |
| West Virginia | $1,243.28 | $1,243.28 |
| Georgia | $1,237.26 | $1,237.26 |
| California | $1,235.54 | $1,235.54 |
| Pennsylvania | $1,229.26 | $1,229.26 |
| Rhode Island | $1,225.60 | $1,225.60 |
| Puerto Rico | $1,221.72 | $1,221.72 |
| Virgin Islands | $1,221.72 | $1,221.72 |
| New Mexico | $1,221.43 | $1,221.43 |
| Montana | $1,219.43 | $1,219.43 |
| New Hampshire | $1,214.27 | $1,214.27 |
| Colorado | $1,214.11 | $1,214.11 |
| Texas | $1,203.50 | $1,203.50 |
| Hawaii | $1,200.71 | $1,200.71 |
| Delaware | $1,199.20 | $1,199.20 |
| Oregon | $1,196.64 | $1,196.64 |
| Louisiana | $1,191.45 | $1,191.45 |
| Nevada | $1,189.55 | $1,189.55 |
| Ohio | $1,184.28 | $1,184.28 |
| Missouri | $1,181.92 | $1,181.92 |
| Arizona | $1,180.17 | $1,180.17 |
| Utah | $1,175.55 | $1,175.55 |
| Wyoming | $1,172.04 | $1,172.04 |
| South Carolina | $1,159.93 | $1,159.93 |
| Virginia | $1,158.56 | $1,158.56 |
| Kentucky | $1,156.99 | $1,156.99 |
| Oklahoma | $1,133.34 | $1,133.34 |
| Maine | $1,132.26 | $1,132.26 |
| North Carolina | $1,125.00 | $1,125.00 |
| Vermont | $1,124.80 | $1,124.80 |
| Mississippi | $1,112.75 | $1,112.75 |
| North Dakota | $1,110.68 | $1,110.68 |
| Minnesota | $1,102.80 | $1,102.80 |
| South Dakota | $1,097.82 | $1,097.82 |
| Tennessee | $1,096.05 | $1,096.05 |
| Indiana | $1,094.34 | $1,094.34 |
| Idaho | $1,088.97 | $1,088.97 |
| Kansas | $1,087.86 | $1,087.86 |
| Alabama | $1,086.92 | $1,086.92 |
| Wisconsin | $1,074.82 | $1,074.82 |
| Iowa | $1,072.89 | $1,072.89 |
| Nebraska | $1,072.80 | $1,072.80 |
| Arkansas | $1,070.75 | $1,070.75 |

## Related codes

- 61105: Twist drill hole for subdural/ventricular puncture — https://www.med-reveal.com/rates/61105-cpt-fee-schedule
- 61120: Burr hole(s) for ventricular puncture — https://www.med-reveal.com/rates/61120-cpt-fee-schedule
- 61150: Burr hole(s) with evacuation/drainage of abscess, superficial — https://www.med-reveal.com/rates/61150-cpt-fee-schedule
- 61312: Craniectomy/craniotomy for evacuation of hematoma, supratentorial, extradural/subdural — https://www.med-reveal.com/rates/61312-cpt-fee-schedule
- 61510: Craniectomy for excision of brain tumor, supratentorial — https://www.med-reveal.com/rates/61510-cpt-fee-schedule
- 61520: Craniectomy for excision of brain tumor, infratentorial/posterior fossa — https://www.med-reveal.com/rates/61520-cpt-fee-schedule
- 61533: Craniotomy with subdural implantation of electrodes for seizure focus — https://www.med-reveal.com/rates/61533-cpt-fee-schedule
- 61548: Hypophysectomy, transnasal/transseptal approach — https://www.med-reveal.com/rates/61548-cpt-fee-schedule

Commercial negotiated rates for 63042 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules