CPT code 72070: Thoracic spine X-ray, two views2026 Medicare rate & RVUs

Reports a two-view X-ray examination of the thoracic spine, commonly obtained to assess pain, injury, vertebral alignment, or suspected fracture.

CMS RVU26DEffective Oct 1, 2026109 payment localities296.3K Medicare services in 2024

Medicare pays $33.07 for 72070 nationally in the office. Local office rates run $29.12–$44.86.

Medicare rate · 72070

Thoracic spine X-ray, two views

Office or facility?

Work RVUs
0.2
Total RVUs
0.99
Global days
XXX

National rate · 2026

$33.07

Office setting, before claim adjustments.

See every locality for 72070 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 72070 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 72070 covers

This service is a plain-film examination of the thoracic vertebrae using two radiographic views, typically an anteroposterior and a lateral projection. It is commonly ordered for thoracic back pain, suspected vertebral compression fracture, trauma, or assessment of spinal alignment. A radiologic technologist acquires the images; a radiologist or other qualified physician interprets them. The study may be performed in a hospital, imaging center, or physician office with radiography equipment.

Report 72070 when the documented examination covers the thoracic spine and includes two views. Select a different code when the actual study includes a different number of views or covers a different spinal region. The imaging order and report should support the body region examined, views obtained, and diagnostic interpretation. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff portion, and an unmodified claim represents the global service.

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.

Where 72070 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$29.12 to $44.86

$29.12$36.99$44.86
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

72070 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$29.56Unavailable
Alaska$37.78Unavailable
Arizona$32.17Unavailable
Arkansas$29.12Unavailable
Atlanta, GA$33.63Unavailable
Austin, TX$34.50Unavailable
Bakersfield, CA$35.40Unavailable
Baltimore area, MD$35.21Unavailable
Beaumont, TX$30.70Unavailable
Brazoria, TX$32.74Unavailable

72070 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.

$29.12

$40.10

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

View every state and territory as a table
72070 office rate range by state
State / territoryOffice rate rangeLocalities
AK$37.781
AL$29.561
AR$29.121
AZ$32.171
CA$35.34–$44.8629
CO$34.651
CT$35.321
DC$38.081
DE$32.721
FL$32.27–$35.143
GA$30.42–$33.632
GU$36.311
HI$36.311
IA$30.481
ID$30.661
IL$31.21–$34.324
IN$30.851
KS$30.271
KY$30.161
LA$30.08–$31.642
MA$34.40–$38.262
MD$33.39–$38.083
ME$30.76–$32.592
MI$30.92–$32.622
MN$33.341
MO$29.50–$31.833
MS$29.321
MT$33.071
NC$31.101
ND$32.671
NE$30.671
NH$34.041
NJ$35.77–$37.652
NM$31.071
NV$32.981
NY$31.58–$38.935
OH$30.831
OK$30.171
OR$32.77–$35.862
PA$30.92–$34.372
PR$33.341
RI$33.971
SC$31.011
SD$32.621
TN$30.421
TX$30.70–$34.508
UT$31.461
VA$32.43–$38.082
VI$33.341
VT$32.481
WA$34.36–$39.122
WI$31.521
WV$29.991
WY$32.891

How the 72070 rate is calculated

Each of 72070’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 · 72070

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.20

0.20 RVUs× 1.000 GPCI

Practice expense0.77

0.77 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

0.9900

Conversion factor

$33.4009

Medicare rate

$33.07

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

Payment rules and modifiers for 72070

The CMS indicators that decide how 72070 is paid alongside other services.

CMS payment indicators · 72070

Thoracic spine X-ray, two 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

72070 without 26 · national office

$33.07

Thoracic spine X-ray, two views

72070-26 · Professional component

$9.69

Pays only the interpretation and report.

When to use modifier 26

72070 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 72070

    Thoracic spine X-ray, two views0.2 wRVU

    $33.07

  • 72020

    Spine X-ray, single view0.16 wRVU

    $23.71−$9.36

  • 72072

    Spine X-ray, thoracic, three views0.22 wRVU

    $38.75+$5.68

  • 72074

    Thoracic spine X-ray, four or more views0.24 wRVU

    $44.09+$11.02

  • 72080

    Spine X-ray, thoracolumbar, 2 or 3 views0.2 wRVU

    $35.07+$2.00

How to choose

72020Spine X-raySingle view
72020 is for a one-view spine radiograph. Report 72070 when two views of the thoracic spine are obtained.
72072Spine X-rayThoracic, three views
72072 represents three thoracic spine views; 72070 represents two.
72074Thoracic spine X-rayFour or more views
72074 is for four or more thoracic spine views, rather than the two-view study represented by 72070.
72080Spine X-rayThoracolumbar, 2 or 3 views
72080 applies to imaging of the thoracolumbar region, while 72070 is for the thoracic spine examination.

72070 billing questions

How is 72070 distinguished from 72072?

Use 72070 for a two-view thoracic spine examination and 72072 when three views are obtained. Base selection on the views documented for the completed study.

When should 72074 be used instead?

72074 describes a thoracic spine study with four or more views. It is not selected just because additional detail is discussed in the interpretation; the performed views must support it.

How are the professional and technical portions billed?

Report modifier 26 for the physician's interpretation and modifier TC for the equipment and staff portion when those portions are billed separately. An unmodified claim represents the global service.

What documentation supports reporting two views?

The imaging record should identify the thoracic spine examination and document the two views acquired. The report should support the interpretation of that study.

Is a one-view thoracic study reported with 72070?

No. Code 72020 is the one-view spine radiograph code; 72070 is for two thoracic spine views.

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 72070PPRRVU2026_Oct_nonQPP.csv, line 7,949 (RVU26D)

Open CMS sourceHow we calculate rates

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