CPT 63032: Lumbar Annular Closure Device Implantation

Medicare pays $136 on average nationally for this procedure.

CPT code 63032 describes an add-on surgical service performed during a lumbar laminotomy in which the surgeon repairs an annular tear by implanting a bone-anchored annular closure device for one lumbar interspace; service type: surgical implant procedure, typical site of service: inpatient or outpatient hospital or ambulatory surgery center during lumbar spine decompression surgery.

For related coverage guidance, see recent payer policy updates: Lumbar Microdiscectomy, Artificial Cervical Intervertebral Disc, Lumbar Decompression.

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CPT 63032: Lumbar Annular Closure Device Implantation

Medicare pays $136 on average nationally for this procedure.

For related coverage guidance, see recent payer policy updates: Lumbar Microdiscectomy, Artificial Cervical Intervertebral Disc, Lumbar Decompression.

Customize your policy alerts

Sign up for cpt 63032 policy alerts

Get alerted when payer policies referencing 63032 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Clinical & Coding Specifications

Clinical Context

A 56-year-old patient with a history of chronic lumbar radiculopathy presents with persistent leg pain and confirmed unilateral large annular defect at the L4–L5 interspace after preoperative imaging and failed conservative care. The patient undergoes a lumbar laminotomy with discectomy to decompress the affected nerve root. During the procedure, the surgeon identifies a focal annular tear with a high risk of recurrent nucleus extrusion and implants a bone-anchored annular closure device at the single treated interspace to approximate and reinforce the annulus.

Preoperative workflow includes neurosurgical or orthopedic spine consultation, MRI confirmation of a large annular defect and corresponding disc herniation, informed consent discussing annular closure device risks and benefits, and standard preop testing. Intraoperative workflow comprises general anesthesia, fluoroscopic localization, laminotomy and limited discectomy, sizing and placement of the bone-anchored annular closure implant, verification of anchor fixation, hemostasis, and wound closure. Postoperative care includes routine recovery monitoring, wound checks, standardized activity restrictions, and follow-up imaging and clinic visits to assess pain relief and device position. Typical sites of service are the hospital operating room or ambulatory surgery center for one lumbar interspace. Providers performing this service are spine surgeons (neurological surgery or orthopedic spine specialists) working with perioperative nursing and anesthesia teams.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`63030`	Laminectomy, facetectomy and foraminotomy (lumbar) with decompression of nerve root(s), single vertebral segment; includes removal of herniated disc material if performed	Performed as the primary decompressive laminotomy/discectomy procedure to which the annular closure device (`63032`) is an add-on
`63035`	Laminectomy, facetectomy and foraminotomy (lumbar) with decompression of nerve root(s), more extensive or multiple segments	Billed when decompression extends beyond a single segment; `63032` applies only to one interspace as an add-on
`22612`	Arthrodesis, posterior or posterolateral technique, single level; lumbar	May be performed concurrently when fusion is indicated in addition to decompression and annular repair
`22842`	Posterior instrumentation (pedicle fixation) per level	Used when supplemental internal fixation is placed during the same operative episode
`22830`	Exploration of spinal fusion or device removal (if implant revision needed)	Relevant for later revision or removal of annular closure hardware if clinically indicated

Related Modifiers

5 rows

Modifier	Description	When to Use
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
93	Modifier 93 denotes that a billed service was delivered synchronously via audio-only telecommunications (real-time telephone or other audio-only system). The AMA added modifier 93 in CPT Appendix A…	- When to use: Apply modifier -93 when a synchronous, real-time, two-way patient–provider encounter is conducted entirely via audio-only (telephone or other real-time interactive audio-only…
58	Modifier 58 (Staged or related procedure/service by the same physician during the postoperative period) indicates that a subsequent procedure performed by the same provider during the…	- Use modifier 58 when the same physician/QHP performs a procedure during the postoperative/global period of an earlier procedure and the subsequent procedure is either planned or anticipated…
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
23	Modifier -23 (Unusual Anesthesia) is used on anesthesia service CPT codes when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia…	- Use modifier -23 only on anesthesia CPT codes (00100–01999) when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia because of…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207T00000X	Neurological Surgery Physician	A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and reh…
2084P0800X	Psychiatry Physician	A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, …
335E00000X	Prosthetic/Orthotic Supplier	An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design…
207ZC0006X	Clinical Pathology Physician	A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the labora…
146N00000X	Basic Emergency Medical Technician	A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
246W00000X	Cardiology Technician	An individual who has knowledge of specific techniques, instruments, and equipment required in performing specific cardiovascular/peripheral vascular …
364SR0400X	Rehabilitation Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
207QD0401X	Diabetology (Family Medicine) Physician	A family medicine physician who specializes in diagnosis and management of type 1, type 2, gestational, and atypical diabetes; diabetes complications;…

Related Payer Policy Updates

Specialty: Neurology/Neurosurgery1 / 2

10 rows

Policy	Payer	Effective Date
Lumbar Microdiscectomy	univerahealthcare	2026-10-15
Artificial Cervical Intervertebral Disc	univerahealthcare	2026-10-15
Lumbar Decompression	univerahealthcare	2026-10-15
Nerve Fiber Density Testing (IENFD/ENFD) Coverage Criteria	Oscar Health	2026-10-01
Biomarker Testing for Multiple Sclerosis and Related Neurologic Diseases	Oscar Health	2026-10-01
Biochemical Markers of Alzheimer Disease and Dementia	Oscar Health	2026-10-01
Serum Testing For Evidence of Mild Traumatic Brain Injury	Oscar Health	2026-10-01
Evaluation of Cerebrospinal Fluid, Urine and Plasma for Alzheimer Disease	Bluecross Idaho	2026-09-01
Prior Authorization of Spinal Procedures	Blue Cross Blue Shield - Rhode Island	2026-09-01
Alzheimer's Disease - Amyloid Beta- Directed Antibodies - Kisunla	Cigna	2026-08-15

CPT 63001: Cervical Laminectomy, 1–2 Vertebral Segments

CPT-63003-THORACIC-LAMINECTOMY-SPINAL-DECOMPRESSION-1-2-LEVELS

CPT 63003: Thoracic Laminectomy with Spinal Cord/Cauda Equina Decompression

CPT-63005-LUMBAR-LAMINECTOMY-DECOMPRESSION-ONE-TWO-LEVELS

CPT 63005: Laminectomy, Lumbar, 1–2 Segments

CPT-63011-LAMINECTOMY-1-2-SACRAL-SEGMENTS-SPINAL-DECOMPRESSION

CPT 63011: Laminectomy of One or Two Sacral Segments

CPT-63012-LUMBAR-LAMINECTOMY-SPONDYLOLISTHESIS-DECOMPRESSION

CPT 63012: Lumbar Laminectomy with Decompression for Spondylolisthesis

CPT-63015-MULTILEVEL-CERVICAL-LAMINECTOMY-SPINAL-DECOMPRESSION

CPT 63015: Cervical Laminectomy, More Than Two Segments

CPT-63016-THORACIC-LAMINECTOMY-MULTI-SEGMENT-DECOMPRESSION

CPT 63016: Thoracic Laminectomy, Multilevel Decompression

CPT-63017-MULTILEVEL-LUMBAR-LAMINECTOMY-DECOMPRESSION

CPT 63017: Multilevel Lumbar Laminectomy and Decompression

CPT-63020-CERVICAL-LAMINOTOMY-NERVE-ROOT-DECOMPRESSION

CPT 63020: Cervical Laminotomy with Nerve-Root Decompression

CPT-63030-LUMBAR-LAMINOTOMY-DECOMPRESSION-NERVE-ROOT

CPT 63030: Lumbar Laminotomy with Nerve Root Decompression

Showing 1–10 of 23

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`63030`	Laminectomy, facetectomy and foraminotomy (lumbar) with decompression of nerve root(s), single vertebral segment; includes removal of herniated disc material if performed	Performed as the primary decompressive laminotomy/discectomy procedure to which the annular closure device (`63032`) is an add-on
`63035`	Laminectomy, facetectomy and foraminotomy (lumbar) with decompression of nerve root(s), more extensive or multiple segments	Billed when decompression extends beyond a single segment; `63032` applies only to one interspace as an add-on
`22612`	Arthrodesis, posterior or posterolateral technique, single level; lumbar	May be performed concurrently when fusion is indicated in addition to decompression and annular repair
`22842`	Posterior instrumentation (pedicle fixation) per level	Used when supplemental internal fixation is placed during the same operative episode
`22830`	Exploration of spinal fusion or device removal (if implant revision needed)	Relevant for later revision or removal of annular closure hardware if clinically indicated

Related Modifiers

5 rows

Modifier	Description	When to Use
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
93	Modifier 93 denotes that a billed service was delivered synchronously via audio-only telecommunications (real-time telephone or other audio-only system). The AMA added modifier 93 in CPT Appendix A…	- When to use: Apply modifier -93 when a synchronous, real-time, two-way patient–provider encounter is conducted entirely via audio-only (telephone or other real-time interactive audio-only…
58	Modifier 58 (Staged or related procedure/service by the same physician during the postoperative period) indicates that a subsequent procedure performed by the same provider during the…	- Use modifier 58 when the same physician/QHP performs a procedure during the postoperative/global period of an earlier procedure and the subsequent procedure is either planned or anticipated…
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
23	Modifier -23 (Unusual Anesthesia) is used on anesthesia service CPT codes when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia…	- Use modifier -23 only on anesthesia CPT codes (00100–01999) when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia because of…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207T00000X	Neurological Surgery Physician	A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and reh…
2084P0800X	Psychiatry Physician	A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, …
335E00000X	Prosthetic/Orthotic Supplier	An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design…
207ZC0006X	Clinical Pathology Physician	A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the labora…
146N00000X	Basic Emergency Medical Technician	A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
246W00000X	Cardiology Technician	An individual who has knowledge of specific techniques, instruments, and equipment required in performing specific cardiovascular/peripheral vascular …
364SR0400X	Rehabilitation Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
207QD0401X	Diabetology (Family Medicine) Physician	A family medicine physician who specializes in diagnosis and management of type 1, type 2, gestational, and atypical diabetes; diabetes complications;…

Related Payer Policy Updates

Specialty: Neurology/Neurosurgery1 / 2

10 rows

Policy	Payer	Effective Date
Lumbar Microdiscectomy	univerahealthcare	2026-10-15
Artificial Cervical Intervertebral Disc	univerahealthcare	2026-10-15
Lumbar Decompression	univerahealthcare	2026-10-15
Nerve Fiber Density Testing (IENFD/ENFD) Coverage Criteria	Oscar Health	2026-10-01
Biomarker Testing for Multiple Sclerosis and Related Neurologic Diseases	Oscar Health	2026-10-01
Biochemical Markers of Alzheimer Disease and Dementia	Oscar Health	2026-10-01
Serum Testing For Evidence of Mild Traumatic Brain Injury	Oscar Health	2026-10-01
Evaluation of Cerebrospinal Fluid, Urine and Plasma for Alzheimer Disease	Bluecross Idaho	2026-09-01
Prior Authorization of Spinal Procedures	Blue Cross Blue Shield - Rhode Island	2026-09-01
Alzheimer's Disease - Amyloid Beta- Directed Antibodies - Kisunla	Cigna	2026-08-15

CPT 63001: Cervical Laminectomy, 1–2 Vertebral Segments

CPT-63003-THORACIC-LAMINECTOMY-SPINAL-DECOMPRESSION-1-2-LEVELS

CPT 63003: Thoracic Laminectomy with Spinal Cord/Cauda Equina Decompression

CPT-63005-LUMBAR-LAMINECTOMY-DECOMPRESSION-ONE-TWO-LEVELS

CPT 63005: Laminectomy, Lumbar, 1–2 Segments

CPT-63011-LAMINECTOMY-1-2-SACRAL-SEGMENTS-SPINAL-DECOMPRESSION

CPT 63011: Laminectomy of One or Two Sacral Segments

CPT-63012-LUMBAR-LAMINECTOMY-SPONDYLOLISTHESIS-DECOMPRESSION

CPT 63012: Lumbar Laminectomy with Decompression for Spondylolisthesis

CPT-63015-MULTILEVEL-CERVICAL-LAMINECTOMY-SPINAL-DECOMPRESSION

CPT 63015: Cervical Laminectomy, More Than Two Segments

CPT-63016-THORACIC-LAMINECTOMY-MULTI-SEGMENT-DECOMPRESSION

CPT 63016: Thoracic Laminectomy, Multilevel Decompression

CPT-63017-MULTILEVEL-LUMBAR-LAMINECTOMY-DECOMPRESSION

CPT 63017: Multilevel Lumbar Laminectomy and Decompression

CPT-63020-CERVICAL-LAMINOTOMY-NERVE-ROOT-DECOMPRESSION

CPT 63020: Cervical Laminotomy with Nerve-Root Decompression

CPT-63030-LUMBAR-LAMINOTOMY-DECOMPRESSION-NERVE-ROOT

CPT 63030: Lumbar Laminotomy with Nerve Root Decompression

Showing 1–10 of 23

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

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CPT 63032: Lumbar Annular Closure Device Implantation

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CPT 63032: Lumbar Annular Closure Device Implantation

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

References

CPT 63032: Lumbar Annular Closure Device Implantation

Sign up for cpt 63032 policy alerts

CPT 63032: Lumbar Annular Closure Device Implantation

Sign up for cpt 63032 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

What clinical service does CPT 63032 describe?

Can CPT 63032 be billed by itself or how is it reported?

Where is this procedure typically performed and who performs it?

Which other CPT codes are commonly associated with billing when 63032 is performed?

What modifiers, specialties, and payers are noted as relevant for coding and reimbursement of CPT 63032?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

What clinical service does CPT 63032 describe?

Can CPT 63032 be billed by itself or how is it reported?

Where is this procedure typically performed and who performs it?

Which other CPT codes are commonly associated with billing when 63032 is performed?

What modifiers, specialties, and payers are noted as relevant for coding and reimbursement of CPT 63032?

References