{
    "code": "63047",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/63047/2024/A",
    "release_specific_url": "https://localishealth.com/cpt/63047/2024/C",
    "description": "Open surgery on the lower back to take pressure off pinched spinal nerves. The surgeon removes part of the lamina, the bony roof over the spinal canal, and trims away the overgrown facet joint bone, thickened ligament, or bone spurs crowding the nerve, widening both the canal and the side channels where nerves exit. This entry covers one vertebral level in the lumbar spine; neighbouring codes cover the neck and mid-back, and further levels are reported alongside it.",
    "answer": {
        "question": "How much did Medicare pay for CPT 63047 in Q3 2024?",
        "text": "Medicare paid $1,118.79 for CPT 63047 in the office (non-facility) setting and $1,118.79 in a facility under the Q3 2024 Physician Fee Schedule, effective July 2024. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2024, when it decreased 0.9%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2024,
        "quarter": "C",
        "label": "Q3 2024",
        "effective": "July 1 – September 30, 2024",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 1118.79,
        "facility": 1118.79,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 15.37,
        "practice_expense_non_facility": 13.32,
        "practice_expense_facility": 13.32,
        "malpractice": 4.92
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.2875,
    "source": {
        "label": "Physician relative value file (Q3 2024)",
        "cms_url": "https://www.cms.gov/files/zip/rvu24c-updated-09/09/2024.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2024/C",
        "file": "PPRRVU24_JUL.csv",
        "row": 12590,
        "sha256": "63e2b9617ccd91e8ad68d5f23a0ae26a106d0cdfdf6390631fbac7b7e0513df1"
    },
    "modified_at": "2026-08-04T03:14:09+00:00"
}