Common surgery & pain management

63030 - RVUs & Medicare payment (2026)

Lumbar discectomy, single level.

Component	Non-facility	Facility
Work RVU	11.70	11.70
Practice expense RVU	11.35	11.35
Malpractice RVU	3.84	3.84
Total RVUs	26.89	26.89
National payment (CF $33.4009)	$898.15	$898.15
Qualifying APM payment (CF $33.5675)	$902.63	$902.63

How 63030 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 63030 ranges from $782.49 in Arkansas (AR) to $1,109.80 in Miami (FL); calculate 63030 for your locality.

Miami (FL) $1,109.80 NYC Suburbs/Long Island (NY) $1,104.73 Chicago (IL) $1,068.88 Alaska (AK) $1,060.60 Manhattan (NY) $1,059.74 San Jose-Sunnyvale-Santa Clara (CA) $1,049.19 Queens (NY) $1,048.85 San Jose-Sunnyvale-Santa Clara (CA) $1,031.36 National average $898.15 … 97 more localities between … Wisconsin (WI) $793.47 Nebraska (NE) $789.18 Iowa (IA) $788.59 Arkansas (AR) $782.49

Non-facility payment for 63030 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: 090

90-day global period: routine pre- and post-operative care within 90 days is included in the payment.

Related codes - common surgery & pain management

29881 · knee arthroscopy with meniscectomy
27447 · total knee arthroplasty (knee replacement)
27130 · total hip arthroplasty (hip replacement)
47562 · laparoscopic cholecystectomy (gallbladder removal)
49505 · open repair of inguinal hernia, initial
19120 · excision of breast lesion
62323 · lumbar/caudal epidural injection with imaging guidance
64483 · transforaminal epidural injection, lumbar/sacral, first level
64493 · facet joint injection, lumbar/sacral, first level
59400 · vaginal delivery with antepartum and postpartum care

Frequently asked questions

How much does Medicare pay for 63030 in 2026?

The national non-facility payment is $898.15 and the facility payment is $898.15, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for 63030?

The 2026 work RVU for 63030 is 11.70. Total RVUs are 26.89 in the non-facility setting and 26.89 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.