# CPT 63045: Laminectomy with decompression, cervical, single segment

Medicare CPT 63045 pays $1,249.53 in a non-facility setting and $1,249.53 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,083.03 in Arkansas to $1,476.34 in Alaska, a 36% spread.

Web page: https://www.med-reveal.com/rates/63045-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Neurological Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,249.53 |
| National facility | $1,249.53 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,476.34 | $1,476.34 |
| Florida | $1,451.19 | $1,451.19 |
| Illinois | $1,428.88 | $1,428.88 |
| New York | $1,405.70 | $1,405.70 |
| District of Columbia | $1,385.72 | $1,385.72 |
| New Jersey | $1,354.23 | $1,354.23 |
| Connecticut | $1,340.54 | $1,340.54 |
| Michigan | $1,308.01 | $1,308.01 |
| Maryland | $1,292.79 | $1,292.79 |
| Massachusetts | $1,289.12 | $1,289.12 |
| Washington | $1,286.84 | $1,286.84 |
| West Virginia | $1,281.23 | $1,281.23 |
| Georgia | $1,271.09 | $1,271.09 |
| Pennsylvania | $1,260.08 | $1,260.08 |
| California | $1,256.84 | $1,256.84 |
| New Mexico | $1,254.38 | $1,254.38 |
| Rhode Island | $1,252.77 | $1,252.77 |
| Puerto Rico | $1,251.35 | $1,251.35 |
| Virgin Islands | $1,251.35 | $1,251.35 |
| Montana | $1,249.10 | $1,249.10 |
| New Hampshire | $1,241.70 | $1,241.70 |
| Colorado | $1,239.27 | $1,239.27 |
| Texas | $1,230.67 | $1,230.67 |
| Delaware | $1,225.65 | $1,225.65 |
| Hawaii | $1,222.66 | $1,222.66 |
| Louisiana | $1,220.01 | $1,220.01 |
| Oregon | $1,220.01 | $1,220.01 |
| Nevada | $1,214.67 | $1,214.67 |
| Ohio | $1,211.76 | $1,211.76 |
| Missouri | $1,208.87 | $1,208.87 |
| Arizona | $1,205.02 | $1,205.02 |
| Utah | $1,200.75 | $1,200.75 |
| Wyoming | $1,194.56 | $1,194.56 |
| South Carolina | $1,183.34 | $1,183.34 |
| Kentucky | $1,181.21 | $1,181.21 |
| Virginia | $1,179.66 | $1,179.66 |
| Oklahoma | $1,153.85 | $1,153.85 |
| Maine | $1,150.38 | $1,150.38 |
| North Carolina | $1,142.81 | $1,142.81 |
| Vermont | $1,140.55 | $1,140.55 |
| Mississippi | $1,131.30 | $1,131.30 |
| North Dakota | $1,123.94 | $1,123.94 |
| Minnesota | $1,113.84 | $1,113.84 |
| Tennessee | $1,110.36 | $1,110.36 |
| South Dakota | $1,109.14 | $1,109.14 |
| Indiana | $1,107.74 | $1,107.74 |
| Idaho | $1,101.82 | $1,101.82 |
| Kansas | $1,101.12 | $1,101.12 |
| Alabama | $1,101.07 | $1,101.07 |
| Wisconsin | $1,084.17 | $1,084.17 |
| Iowa | $1,083.48 | $1,083.48 |
| Nebraska | $1,083.09 | $1,083.09 |
| Arkansas | $1,083.03 | $1,083.03 |

## 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 63045 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