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63042 Laminotomy single lumbar

Surgery Global 90d

Also known as: single lumbar laminotomy, lumbar level decompression, laminotomy re-exploration

Laminotomy with or without discectomy in lumbar spine for single segment. Includes nerve root decompression.

In Plain Language

lumbar bone removal for decompression; single lumbar spine surgery

Clinical Context

Used for lumbar spinal decompression with laminotomy and/or discectomy at single segment.

RVU Breakdown

Work RVU18.29
Total RVU18.29

Est. Medicare Payment

$610.89

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 18.29, this code ranks in the 79th percentile among Surgery codes — 2.3x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Spine SurgeryNeurosurgery

Frequently Asked Questions

What is CPT code 63042?

CPT 63042 (Laminotomy single lumbar) is a Surgery code. Laminotomy with or without discectomy in lumbar spine for single segment. Includes nerve root decompression.

What is the wRVU value for CPT 63042?

The work RVU for CPT 63042 is 18.29. This code is primarily used by Spine Surgery, Neurosurgery. It has a 90-day global period.

When is CPT 63042 used?

Used for lumbar spinal decompression with laminotomy and/or discectomy at single segment.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.