{"procedure":{"code_type":"CPT","code":"63042","lay_name":"Repeat disc surgery in the lower back, one level","blurb":"Re-operation at a previously operated lumbar disc space, removing bone and disc material to relieve nerve pressure; covers one disc space.","slug":"cpt-63042-repeat-disc-surgery-in-the-lower-back-one-level","description":"Lamot Prtl Ffd Exc Disc Reexpl 1 Ntrspc Lumbar","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"3","label":"Laminectomy, excision intervertebral disc","surgery_flag":"narrow"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2023-03-09","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":626,"n_usable":566,"n_not_usable":0,"n_labelled":46,"n_no_cash":11,"n_estimated":3,"n_states":48,"cash_p10":1754.06,"cash_p20":2550.0,"cash_p25":3038.8,"cash_p50":6193.26,"cash_p75":12365.69,"cash_p80":14612.78,"cash_p90":21074.68,"cash_mean_trimmed":6882.12,"gross_p50":8122.0,"cash_to_gross_p50":0.6,"medicare_rate":7413.38,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.8354,"by_state":[{"state":"AK","n":4,"p20":null,"p50":null,"p80":null},{"state":"AL","n":11,"p20":3993.0,"p50":6476.0,"p80":14583.57},{"state":"AR","n":8,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":6,"p20":null,"p50":null,"p80":null},{"state":"CA","n":45,"p20":3728.9,"p50":8590.4,"p80":17382.4},{"state":"CO","n":8,"p20":null,"p50":null,"p80":null},{"state":"CT","n":5,"p20":null,"p50":null,"p80":null},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":12,"p20":4877.6,"p50":7170.73,"p80":13614.92},{"state":"GA","n":4,"p20":null,"p50":null,"p80":null},{"state":"HI","n":2,"p20":null,"p50":null,"p80":null},{"state":"IA","n":22,"p20":2631.2,"p50":3128.0,"p80":6723.5},{"state":"ID","n":12,"p20":7008.0,"p50":14738.0,"p80":14738.0},{"state":"IL","n":21,"p20":1263.5,"p50":2527.1,"p80":6029.68},{"state":"IN","n":10,"p20":2221.1,"p50":2221.1,"p80":12483.09},{"state":"KS","n":8,"p20":null,"p50":null,"p80":null},{"state":"KY","n":4,"p20":null,"p50":null,"p80":null},{"state":"LA","n":7,"p20":null,"p50":null,"p80":null},{"state":"MA","n":4,"p20":null,"p50":null,"p80":null},{"state":"MD","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":32,"p20":2219.2,"p50":4125.5,"p80":9977.57},{"state":"MN","n":28,"p20":2713.24,"p50":5077.8,"p80":12517.12},{"state":"MO","n":16,"p20":2014.5,"p50":6103.81,"p80":17381.1},{"state":"MS","n":4,"p20":null,"p50":null,"p80":null},{"state":"MT","n":8,"p20":null,"p50":null,"p80":null},{"state":"NC","n":7,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":12,"p20":1887.05,"p50":3207.75,"p80":11370.0},{"state":"NH","n":6,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":33,"p20":5110.0,"p50":7907.11,"p80":9757.2},{"state":"NM","n":4,"p20":null,"p50":null,"p80":null},{"state":"NV","n":4,"p20":null,"p50":null,"p80":null},{"state":"NY","n":50,"p20":3325.95,"p50":8453.6,"p80":36815.0},{"state":"OH","n":16,"p20":3226.8,"p50":4877.6,"p80":14312.16},{"state":"OK","n":14,"p20":2710.88,"p50":2710.88,"p80":12813.01},{"state":"OR","n":7,"p20":null,"p50":null,"p80":null},{"state":"PA","n":23,"p20":430.33,"p50":7307.0,"p80":13461.22},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SC","n":6,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":7,"p20":null,"p50":null,"p80":null},{"state":"TX","n":26,"p20":6209.81,"p50":9428.33,"p80":10775.23},{"state":"VA","n":11,"p20":858.33,"p50":24382.66,"p80":36356.79},{"state":"VT","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":7,"p20":null,"p50":null,"p80":null},{"state":"WI","n":30,"p20":5987.8,"p50":6193.26,"p80":13724.1},{"state":"WV","n":7,"p20":null,"p50":null,"p80":null},{"state":"WY","n":5,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":469,"p20":2710.88,"p50":7626.53,"p80":16490.81},{"key":"childrens","n":9,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":87,"p20":1866.56,"p50":3945.0,"p80":10668.0}],"ownership":[{"key":"for_profit","n":73,"p20":3423.5,"p50":10346.1,"p80":20319.59},{"key":"government","n":73,"p20":2219.2,"p50":3423.5,"p80":8594.0},{"key":"nonprofit","n":419,"p20":2710.88,"p50":6193.26,"p80":14612.78}],"affiliation":[{"key":"affiliated","n":445,"p20":2710.88,"p50":7242.0,"p80":14738.0},{"key":"independent","n":121,"p20":2369.5,"p50":3985.6,"p80":10988.58}]},"histogram":[{"lo":858.33,"hi":1248.38,"n":9},{"lo":1248.38,"hi":1815.68,"n":24},{"lo":1815.68,"hi":2640.77,"n":59},{"lo":2640.77,"hi":3840.81,"n":73},{"lo":3840.81,"hi":5586.18,"n":56},{"lo":5586.18,"hi":8124.7,"n":80},{"lo":8124.7,"hi":11816.79,"n":92},{"lo":11816.79,"hi":17186.67,"n":55},{"lo":17186.67,"hi":24996.77,"n":49},{"lo":24996.77,"hi":36356.0,"n":14}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-16","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":321,"n_usable":290,"n_not_usable":0,"n_labelled":17,"n_no_cash":14,"n_estimated":0,"n_states":44,"cash_p10":700.0,"cash_p20":1806.84,"cash_p25":2219.2,"cash_p50":3231.9,"cash_p75":8590.4,"cash_p80":9428.33,"cash_p90":14738.0,"cash_mean_trimmed":4432.04,"gross_p50":4969.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":5,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":39,"p20":8590.4,"p50":8590.4,"p80":17382.4},{"state":"CO","n":3,"p20":null,"p50":null,"p80":null},{"state":"CT","n":5,"p20":null,"p50":null,"p80":null},{"state":"FL","n":4,"p20":null,"p50":null,"p80":null},{"state":"GA","n":1,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":18,"p20":3033.0,"p50":3128.0,"p80":3128.0},{"state":"ID","n":8,"p20":null,"p50":null,"p80":null},{"state":"IL","n":15,"p20":431.55,"p50":2527.1,"p80":3128.0},{"state":"IN","n":10,"p20":1477.8,"p50":1806.84,"p80":2221.1},{"state":"KS","n":3,"p20":null,"p50":null,"p80":null},{"state":"KY","n":3,"p20":null,"p50":null,"p80":null},{"state":"LA","n":2,"p20":null,"p50":null,"p80":null},{"state":"MA","n":3,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":17,"p20":459.36,"p50":2268.0,"p80":5987.8},{"state":"MN","n":16,"p20":1754.06,"p50":3115.57,"p80":5077.8},{"state":"MO","n":5,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":3,"p20":null,"p50":null,"p80":null},{"state":"NC","n":4,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":3,"p20":null,"p50":null,"p80":null},{"state":"NH","n":5,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":16,"p20":1919.12,"p50":3325.95,"p80":16487.0},{"state":"OH","n":6,"p20":null,"p50":null,"p80":null},{"state":"OK","n":11,"p20":2710.88,"p50":2710.88,"p80":2710.88},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":15,"p20":394.47,"p50":526.32,"p80":12077.48},{"state":"SC","n":1,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":5,"p20":null,"p50":null,"p80":null},{"state":"TX","n":20,"p20":3771.75,"p50":9428.33,"p80":10775.23},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":3,"p20":null,"p50":null,"p80":null},{"state":"WA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WI","n":14,"p20":5987.8,"p50":5987.8,"p80":5987.8},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":236,"p20":1806.2,"p50":3128.0,"p80":9428.33},{"key":"childrens","n":5,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":48,"p20":2014.5,"p50":3728.9,"p80":6836.0}],"ownership":[{"key":"for_profit","n":31,"p20":1675.8,"p50":3423.5,"p80":10468.22},{"key":"government","n":31,"p20":2219.2,"p50":3196.2,"p80":6540.05},{"key":"nonprofit","n":227,"p20":1919.12,"p50":3297.71,"p80":9428.33}],"affiliation":[{"key":"affiliated","n":232,"p20":1735.65,"p50":3325.95,"p80":10403.35},{"key":"independent","n":58,"p20":2193.39,"p50":2903.0,"p80":6264.96}]},"histogram":[{"lo":459.36,"hi":660.62,"n":18},{"lo":660.62,"hi":950.05,"n":5},{"lo":950.05,"hi":1366.28,"n":7},{"lo":1366.28,"hi":1964.88,"n":23},{"lo":1964.88,"hi":2825.74,"n":53},{"lo":2825.74,"hi":4063.75,"n":52},{"lo":4063.75,"hi":5844.17,"n":15},{"lo":5844.17,"hi":8404.63,"n":25},{"lo":8404.63,"hi":12086.88,"n":44},{"lo":12086.88,"hi":17382.4,"n":33}],"previous":null}},"related":[{"code_type":"CPT","code":"63030","lay_name":"Lower back disc removal with nerve decompression, one level","slug":"cpt-63030-lower-back-disc-removal-with-nerve-decompression-one-level"},{"code_type":"CPT","code":"62287","lay_name":"Needle decompression of lumbar disc, one or more levels","slug":"cpt-62287-needle-decompression-of-lumbar-disc-one-or-more-levels"},{"code_type":"CPT","code":"63047","lay_name":"Open nerve decompression in the lower back, one level","slug":"cpt-63047-open-nerve-decompression-in-the-lower-back-one-level"},{"code_type":"CPT","code":"63048","lay_name":"Each additional segment of spinal nerve decompression","slug":"cpt-63048-each-additional-segment-of-spinal-nerve-decompression"},{"code_type":"CPT","code":"63045","lay_name":"Neck spinal decompression removing bony arch, one level","slug":"cpt-63045-neck-spinal-decompression-removing-bony-arch-one-level"},{"code_type":"CPT","code":"63655","lay_name":"Open placement of spinal stimulator paddle electrode","slug":"cpt-63655-open-placement-of-spinal-stimulator-paddle-electrode"},{"code_type":"CPT","code":"63035","lay_name":"Each additional disc level in spine decompression surgery","slug":"cpt-63035-each-additional-disc-level-in-spine-decompression-surgery"},{"code_type":"CPT","code":"22856","lay_name":"Artificial disc replacement in the neck, one level","slug":"cpt-22856-artificial-disc-replacement-in-the-neck-one-level"},{"code_type":"CPT","code":"63046","lay_name":"Mid-back spinal decompression removing bony arch, one level","slug":"cpt-63046-mid-back-spinal-decompression-removing-bony-arch-one-level"},{"code_type":"CPT","code":"63052","lay_name":"Nerve decompression added to lumbar fusion, one level","slug":"cpt-63052-nerve-decompression-added-to-lumbar-fusion-one-level"},{"code_type":"CPT","code":"63020","lay_name":"Neck disc surgery to free a nerve root at one level","slug":"cpt-63020-neck-disc-surgery-to-free-a-nerve-root-at-one-level"},{"code_type":"CPT","code":"63056","lay_name":"Lower back spinal decompression through the vertebra","slug":"cpt-63056-lower-back-spinal-decompression-through-the-vertebra"}]}