{"procedure":{"code_type":"CPT","code":"63043","lay_name":"Each extra neck level in repeat disc decompression surgery","blurb":"Add-on charge for one additional cervical disc space treated during repeat neck decompression surgery; billed once per extra level.","slug":"cpt-63043-each-extra-neck-level-in-repeat-disc-decompression-surgery","description":"Lamot Prtl Ffd Exc Disc Reexpl 1 Ntrspc Ea Crv","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"3","label":"Laminectomy, excision intervertebral disc","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T17:10:10.717090Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T03:02:19.797869Z","checked_through":"2026-09-23T21:34:27.277317Z","n_priced_setters":3956,"n_filed":190,"n_usable":163,"n_not_usable":1,"n_labelled":21,"n_no_cash":5,"n_estimated":0,"n_states":36,"cash_p10":379.6,"cash_p20":447.1,"cash_p25":510.0,"cash_p50":1159.0,"cash_p75":3343.0,"cash_p80":5110.0,"cash_p90":7579.98,"cash_mean_trimmed":1469.98,"gross_p50":1550.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":23,"p20":1506.4,"p50":1506.4,"p80":1506.4},{"state":"CO","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":3,"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":3,"p20":null,"p50":null,"p80":null},{"state":"ID","n":1,"p20":null,"p50":null,"p80":null},{"state":"IL","n":7,"p20":null,"p50":null,"p80":null},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":7,"p20":null,"p50":null,"p80":null},{"state":"MN","n":1,"p20":null,"p50":null,"p80":null},{"state":"MO","n":4,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":2,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":13,"p20":4350.0,"p50":5339.0,"p80":6311.0},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":11,"p20":321.25,"p50":805.0,"p80":1159.0},{"state":"OH","n":5,"p20":null,"p50":null,"p80":null},{"state":"OK","n":11,"p20":835.8,"p50":835.8,"p80":835.8},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":14,"p20":394.47,"p50":430.33,"p80":526.32},{"state":"TN","n":5,"p20":null,"p50":null,"p80":null},{"state":"TX","n":17,"p20":7579.98,"p50":7579.98,"p80":7958.98},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":2,"p20":null,"p50":null,"p80":null},{"state":"WI","n":1,"p20":null,"p50":null,"p80":null},{"state":"WV","n":1,"p20":null,"p50":null,"p80":null},{"state":"WY","n":3,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":146,"p20":466.19,"p50":1159.0,"p80":4881.0},{"key":"childrens","n":2,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":14,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":17,"p20":null,"p50":null,"p80":null},{"key":"government","n":17,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":128,"p20":447.1,"p50":1159.0,"p80":4627.0}],"affiliation":[{"key":"affiliated","n":134,"p20":447.1,"p50":1506.4,"p80":5419.0},{"key":"independent","n":29,"p20":391.59,"p50":786.99,"p80":3722.0}]},"histogram":[{"lo":321.25,"hi":442.84,"n":21},{"lo":442.84,"hi":610.44,"n":20},{"lo":610.44,"hi":841.49,"n":23},{"lo":841.49,"hi":1159.98,"n":10},{"lo":1159.98,"hi":1599.01,"n":21},{"lo":1599.01,"hi":2204.2,"n":11},{"lo":2204.2,"hi":3038.46,"n":8},{"lo":3038.46,"hi":4188.46,"n":4},{"lo":4188.46,"hi":5773.72,"n":8},{"lo":5773.72,"hi":7958.98,"n":23}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T17:10:10.717090Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-16","checked_from":"2026-09-05T11:18:47.736875Z","checked_through":"2026-09-23T21:34:27.277317Z","n_priced_setters":3956,"n_filed":138,"n_usable":124,"n_not_usable":0,"n_labelled":7,"n_no_cash":7,"n_estimated":0,"n_states":28,"cash_p10":379.6,"cash_p20":420.5,"cash_p25":466.19,"cash_p50":940.4,"cash_p75":1748.28,"cash_p80":2115.0,"cash_p90":7579.98,"cash_mean_trimmed":1051.18,"gross_p50":1736.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":20,"p20":1506.4,"p50":1506.4,"p80":1506.4},{"state":"CO","n":2,"p20":null,"p50":null,"p80":null},{"state":"FL","n":1,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":4,"p20":null,"p50":null,"p80":null},{"state":"ID","n":1,"p20":null,"p50":null,"p80":null},{"state":"IL","n":5,"p20":null,"p50":null,"p80":null},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":7,"p20":null,"p50":null,"p80":null},{"state":"MO","n":3,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":2,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":9,"p20":null,"p50":null,"p80":null},{"state":"OH","n":2,"p20":null,"p50":null,"p80":null},{"state":"OK","n":11,"p20":835.8,"p50":835.8,"p80":835.8},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":14,"p20":394.47,"p50":430.33,"p80":526.32},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":17,"p20":7579.98,"p50":7579.98,"p80":7958.98},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":1,"p20":null,"p50":null,"p80":null},{"state":"WI","n":1,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":111,"p20":420.5,"p50":835.8,"p80":1803.9},{"key":"childrens","n":1,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":11,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":9,"p20":null,"p50":null,"p80":null},{"key":"government","n":11,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":103,"p20":420.5,"p50":940.4,"p80":1797.6}],"affiliation":[{"key":"affiliated","n":104,"p20":430.33,"p50":985.2,"p80":2115.0},{"key":"independent","n":20,"p20":334.16,"p50":554.5,"p80":1803.9}]},"histogram":[{"lo":298.71,"hi":414.77,"n":16},{"lo":414.77,"hi":575.93,"n":22},{"lo":575.93,"hi":799.71,"n":6},{"lo":799.71,"hi":1110.43,"n":16},{"lo":1110.43,"hi":1541.89,"n":24},{"lo":1541.89,"hi":2140.99,"n":10},{"lo":2140.99,"hi":2972.86,"n":3},{"lo":2972.86,"hi":4127.96,"n":0},{"lo":4127.96,"hi":5731.87,"n":1},{"lo":5731.87,"hi":7958.98,"n":17}],"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":"63042","lay_name":"Repeat disc surgery in the lower back, one level","slug":"cpt-63042-repeat-disc-surgery-in-the-lower-back-one-level"},{"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"}]}