CPT code 72040: Cervical spine X-ray, two to three views2026 Medicare rate & RVUs in Fort Worth, TX

Reports a plain radiographic examination of the cervical spine with two or three views, commonly ordered to evaluate neck pain, stiffness, or injury.

CMS RVU26DEffective Oct 1, 2026One payment locality627.9K Medicare services in 2024

In Fort Worth, TX, Medicare pays $39.28 for 72040 in the office.

$39.28Office (non-facility)
Not available in this settingHospital or facility
−1.2%vs the national office rate ($39.75)

Check a contract rate as a % of Medicare · 72040 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 72040 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Fort Worth, TX
  2. What 72040 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 72040 covers

This service is a plain X-ray examination of the cervical spine, capturing two or three views to assess the neck vertebrae and alignment. It is commonly ordered for symptoms such as neck pain or stiffness and for evaluation after an injury. A radiologic technologist typically acquires the images in an imaging department, hospital, or physician office; a radiologist or other qualified physician interprets them and documents findings.

Select this code when the completed cervical spine examination contains two or three views; use the documented views obtained rather than the number requested. The record should identify the cervical spine, the images acquired, and the clinical reason for the study, with an interpretation supporting the professional service. CMS recognizes professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or neither modifier when billing the global service. The professional and technical components are separately priced when billed with their respective modifiers.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Fort Worth, TX compares for 72040

Across 109 of 109 payment localities, the office rate for 72040 runs from $34.90 in Arkansas to $54.38 in San Benito County, CA. Fort Worth, TX pays $39.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

72040 in Fort Worth, TX vs other payment areas
  1. Fort Worth, TX · this page$39.28
  2. Austin, TX · Texas$41.54+$2.26
  3. Beaumont, TX · Texas$36.81−$2.47
  4. Brazoria, TX · Texas$39.37+$0.09
  5. Dallas, TX · Texas$39.59+$0.31
  6. Galveston, TX · Texas$39.46+$0.18
  7. Houston, TX · Texas$39.83+$0.55

Other areas in Texas first, then benchmark localities. Bars start at $0.

Every other payment area

72040 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$38.05—
Los Angeles, CACalifornia$45.68—
Washington, DC areaDistrict of Columbia$45.91—
Miami, FLFlorida$42.08—
Chicago, ILIllinois$40.82—
Manhattan, NYNew York$45.78—
AlaskaAlaska$45.04—
AlabamaAlabama$35.45—

72040 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$34.90

$48.51

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
72040 office rate range by state
State / territoryOffice rate rangeLocalities
AK$45.041
AL$35.451
AR$34.901
AZ$38.661
CA$42.63–$54.3829
CO$41.741
CT$42.501
DC$45.911
DE$39.331
FL$38.67–$42.083
GA$36.41–$40.422
GU$43.861
HI$43.861
IA$36.621
ID$36.831
IL$37.33–$41.184
IN$37.061
KS$36.341
KY$36.131
LA$36.03–$37.952
MA$41.42–$46.182
MD$40.15–$45.913
ME$36.93–$39.212
MI$37.04–$39.082
MN$40.211
MO$35.30–$38.213
MS$35.121
MT$39.751
NC$37.361
ND$39.351
NE$36.861
NH$40.981
NJ$43.04–$45.362
NM$37.221
NV$39.671
NY$37.95–$46.835
OH$36.961
OK$36.171
OR$39.42–$43.252
PA$37.08–$41.322
PR$40.091
RI$40.871
SC$37.211
SD$39.301
TN$36.521
TX$36.81–$41.548
UT$37.761
VA$39.01–$45.912
VI$40.091
VT$39.101
WA$41.38–$47.252
WI$37.941
WV$35.831
WY$39.571

See 72040 in every payment locality

How the 72040 rate is calculated

Each of 72040’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 72040

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.21

0.21 RVUs× 1.000 GPCI

Practice expense0.96

0.96 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

1.1900

Conversion factor

$33.4009

Medicare rate

$39.75

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Fort Worth, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,940

Code
72040
Physician work
0.21
Practice expense
0.96
Malpractice
0.02

GPCI2026.csv

100

Locality
Fort Worth, TX
Physician work
1.009
Practice expense
0.986
Malpractice
0.871
Office calculation for 72040 in Fort Worth, TX
ComponentRVULocality factorAdjusted
Physician work0.21× 1.0090.2119
Practice expense0.96× 0.9860.9466
Malpractice0.02× 0.8710.0174
Total RVUs1.1759
Conversion factor× 33.4009

Office rate, Fort Worth, TX$39.28

Office: (0.21 × 1.009 + 0.96 × 0.986 + 0.02 × 0.871) × $33.4009 = $39.28

Open 72040 in the RVU calculator

Payment rules and modifiers for 72040

The CMS indicators that decide how 72040 is paid alongside other services.

CMS payment indicators · 72040

Cervical spine X-ray, two to three views

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

72040 without 26 · national office

$39.75

Cervical spine X-ray, two to three views

72040-26 · Professional component

$10.35

Pays only the interpretation and report.

When to use modifier 26

How 72040 has changed in Fort Worth, TX

72040 · Office / nonfacility

$39.28

Effective 2026-10-01

The base rate is $0.83 higher than on 2025-10-01, moving from $38.45 to $39.28 (2.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $38.45changed to$39.28

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.22 changed to 0.21
    • Practice expense RVU 0.95 changed to 0.96
    • Work GPCI 1.011 changed to 1.009
    • Practice expense GPCI 0.998 changed to 0.986
    • Malpractice GPCI 0.902 changed to 0.871

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $39.56changed to$38.45

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $38.92changed to$39.56

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $40.10changed to$38.92

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.013 changed to 1.011
    • Practice expense GPCI 0.996 changed to 0.998
    • Malpractice GPCI 0.721 changed to 0.902
  5. January 1, 2023

    RVU23A

    $40.48changed to$40.10

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.94 changed to 0.95
    • Work GPCI 1.016 changed to 1.013
    • Practice expense GPCI 0.995 changed to 0.996
    • Malpractice GPCI 0.539 changed to 0.721

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $39.77changed to$40.48

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.91 changed to 0.94

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $38.18changed to$39.77

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.83 changed to 0.91
    • Work GPCI 1.011 changed to 1.016
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $36.59changed to$38.18

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.79 changed to 0.83
    • Work GPCI 1.007 changed to 1.011
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $33.36changed to$36.59

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.70 changed to 0.79

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $33.03changed to$33.36

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.69 changed to 0.70
    • Work GPCI 1.006 changed to 1.007
    • Practice expense GPCI 0.991 changed to 0.986
    • Malpractice GPCI 0.760 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $33.05changed to$33.03

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.005 changed to 1.006
    • Practice expense GPCI 0.995 changed to 0.991
    • Malpractice GPCI 0.772 changed to 0.760

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $33.09changed to$33.05

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.68 changed to 0.69
    • Malpractice RVU 0.03 changed to 0.02

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $32.93changed to$33.09

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $36.27changed to$32.93

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.77 changed to 0.68
    • Malpractice RVU 0.04 changed to 0.03
    • Work GPCI 1.002 changed to 1.005
    • Practice expense GPCI 0.987 changed to 0.995
    • Malpractice GPCI 0.799 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $35.92changed to$36.27

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.82 changed to 0.77
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.979 changed to 0.987
    • Malpractice GPCI 0.826 changed to 0.799

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $35.92

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$39.28Not available in this settingRVU26D
2026-07-01$39.28Not available in this settingRVU26C
2026-04-01$39.28Not available in this settingRVU26B
2026-01-01$39.28Not available in this settingRVU26A
2025-10-01$38.45Not available in this settingRVU25D
2025-07-01$38.45Not available in this settingRVU25C
2025-04-01$38.45Not available in this settingRVU25B
2025-01-01$38.45Not available in this settingRVU25A
2024-10-01$39.56Not available in this settingRVU24D
2024-07-01$39.56Not available in this settingRVU24C
2024-04-01$39.56Not available in this settingRVU24B
2024-03-09$39.56Not available in this settingRVU24AR
2024-01-01$38.92Not available in this settingRVU24A
2023-10-01$40.10Not available in this settingRVU23D
2023-07-01$40.10Not available in this settingRVU23C
2023-04-01$40.10Not available in this settingRVU23B
2023-01-01$40.10Not available in this settingRVU23A
2022-10-01$40.48Not available in this settingRVU22D
2022-07-01$40.48Not available in this settingRVU22C
2022-04-01$40.48Not available in this settingRVU22B
2022-01-01$40.48Not available in this settingRVU22A
2021-10-01$39.77Not available in this settingRVU21D
2021-07-01$39.77Not available in this settingRVU21C
2021-04-01$39.77Not available in this settingRVU21B
2021-01-01$39.77Not available in this settingRVU21A
2020-10-01$38.18Not available in this settingRVU20D
2020-07-01$38.18Not available in this settingRVU20C
2020-04-01$38.18Not available in this settingRVU20B
2020-01-01$38.18Not available in this settingRVU20A
2019-10-01$36.59Not available in this settingRVU19D
2019-07-01$36.59Not available in this settingRVU19C
2019-04-01$36.59Not available in this settingRVU19B
2019-01-01$36.59Not available in this settingRVU19A
2018-10-01$33.36Not available in this settingRVU18D
2018-07-01$33.36Not available in this settingRVU18C
2018-04-01$33.36Not available in this settingRVU18B
2018-01-01$33.36Not available in this settingRVU18AR1
2017-10-01$33.03Not available in this settingRVU17D
2017-07-01$33.03Not available in this settingRVU17C
2017-04-01$33.03Not available in this settingRVU17B
2017-01-01$33.03Not available in this settingRVU17A
2016-10-01$33.05Not available in this settingRVU16D
2016-07-01$33.05Not available in this settingRVU16C
2016-04-01$33.05Not available in this settingRVU16B
2016-01-01$33.05Not available in this settingRVU16A
2015-10-01$33.09Not available in this settingRVU15D
2015-07-01$33.09Not available in this settingRVU15C
2015-04-01$32.93Not available in this settingRVU15B
2015-01-01$32.93Not available in this settingRVU15A
2014-10-01$36.27Not available in this settingRVU14D
2014-07-01$36.27Not available in this settingRVU14C
2014-04-01$36.27Not available in this settingRVU14B
2014-01-01$36.27Not available in this settingRVU14A
2013-10-01$35.92Not available in this settingRVU13D
2013-07-01$35.92Not available in this settingRVU13C
2013-04-01$35.92Not available in this settingRVU13B
2013-01-01$35.92Not available in this settingRVU13AR

Price 72040 for an earlier date of service

Where the Fort Worth, TX rate applies

Fort Worth, TX is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

72040 billing questions

How is this code distinguished from the four- or five-view cervical spine code?

Use 72040 for a cervical spine examination with two or three views. When the completed study has four or five views, compare with 72050.

Does 72040 include the radiologist's interpretation?

The global service includes both image acquisition and interpretation. A professional-only claim uses modifier 26; a technical-only claim uses modifier TC.

What documentation supports the view count?

Document the cervical spine study and the views actually acquired. The report should also identify the clinical reason and include the interpretation when the professional service is billed.

Can 72040 be reported for a one-view cervical spine study?

No. The one-view spine code, 72020, is the relevant comparison when only one view is performed; 72040 describes two or three cervical spine views.

Is this code appropriate for thoracic spine imaging?

No. 72040 is specific to the cervical spine. Thoracic spine studies use codes for that region, with selection based on the views performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 72040PPRRVU2026_Oct_nonQPP.csv, line 7,940 (RVU26D)
Geographic factors for Fort Worth, TXGPCI2026.csv, line 100 (RVU26D)

Open CMS sourceHow we calculate rates

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