CPT code 72110: Lumbar spine X-ray, minimum of four views2026 Medicare rate & RVUs

Report a lumbosacral spine X-ray when at least four views are obtained to assess low back pain, trauma, or suspected spondylolysis.

CMS RVU26DEffective Oct 1, 2026109 payment localities782.4K Medicare services in 2024

Medicare pays $53.44 for 72110 nationally in the office. Local office rates run $46.74–$73.38.

Medicare rate · 72110

Lumbar spine X-ray, minimum of four views

Office or facility?

Work RVUs
0.25
Total RVUs
1.60
Global days
XXX

National rate · 2026

$53.44

Office setting, before claim adjustments.

See every locality for 72110 →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 72110 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 72110 covers

This study images the lumbosacral spine in at least four projections. A typical series adds right and left oblique views, which show the pars interarticularis, to frontal and lateral views, sometimes with a focused lateral view of the L5-S1 junction. Radiologic technologists acquire the images in orthopedic and spine practices, urgent care, imaging centers, and hospital outpatient departments. A radiologist or interpreting specialist reviews them and documents the findings.

Select the code by the views performed and documented. Two or three views fall to 72100. A complete study with bending views and at least six views falls to 72114; bending views alone fall to 72120. Documentation should identify the views, findings, and interpretation. Under the Medicare physician fee schedule, modifier 26 identifies the professional interpretation, and modifier TC identifies the equipment-and-staff portion. A practice providing both portions bills the global service without a modifier. For hospital outpatient images, the interpreting physician bills with modifier 26, while the hospital bills its facility imaging 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 72110 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

$46.74 to $73.38

$46.74$60.06$73.38
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

72110 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$47.50Unavailable
Alaska$60.03Unavailable
Arizona$51.93Unavailable
Arkansas$46.74Unavailable
Atlanta, GA$54.37Unavailable
Austin, TX$55.90Unavailable
Bakersfield, CA$57.44Unavailable
Baltimore area, MD$57.03Unavailable
Beaumont, TX$49.40Unavailable
Brazoria, TX$52.89Unavailable

72110 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.

$46.74

$65.37

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

View every state and territory as a table
72110 office rate range by state
State / territoryOffice rate rangeLocalities
AK$60.031
AL$47.501
AR$46.741
AZ$51.931
CA$57.35–$73.3829
CO$56.141
CT$57.211
DC$61.851
DE$52.851
FL$52.01–$56.783
GA$48.87–$54.372
GU$59.061
HI$59.061
IA$49.091
ID$49.391
IL$50.17–$55.464
IN$49.711
KS$48.711
KY$48.461
LA$48.33–$50.982
MA$55.71–$62.232
MD$53.97–$61.853
ME$49.54–$52.672
MI$49.73–$52.592
MN$54.011
MO$47.33–$51.333
MS$47.051
MT$53.441
NC$50.131
ND$52.851
NE$49.421
NH$55.121
NJ$57.93–$61.092
NM$49.981
NV$53.321
NY$50.94–$63.175
OH$49.611
OK$48.501
OR$52.97–$58.212
PA$49.77–$55.592
PR$53.911
RI$54.951
SC$49.941
SD$52.781
TN$48.971
TX$49.40–$55.908
UT$50.691
VA$52.40–$61.852
VI$53.911
VT$52.511
WA$55.65–$63.682
WI$50.901
WV$48.101
WY$53.181

How the 72110 rate is calculated

Each of 72110’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 · 72110

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.25

0.25 RVUs× 1.000 GPCI

Practice expense1.32

1.32 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

1.6000

Conversion factor

$33.4009

Medicare rate

$53.44

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

Payment rules and modifiers for 72110

The CMS indicators that decide how 72110 is paid alongside other services.

CMS payment indicators · 72110

Lumbar spine X-ray, minimum of four 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

72110 without 26 · national office

$53.44

Lumbar spine X-ray, minimum of four views

72110-26 · Professional component

$12.69

Pays only the interpretation and report.

When to use modifier 26

72110 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 72110

    Lumbar spine X-ray, minimum of four views0.25 wRVU

    $53.44

  • 72100

    Lumbar spine X-ray, two or three views0.21 wRVU

    $40.42−$13.02

  • 72114

    Spine X-ray, six or more views0.29 wRVU

    $61.79+$8.35

  • 72120

    Lumbar X-ray, bending views only0.21 wRVU

    $42.09−$11.35

  • 72148

    Lumbar spine MRI, without contrast1.44 wRVU

    $191.72+$138.28

How to choose

72100Lumbar spine X-rayTwo or three views
72100 covers two or three lumbosacral views. 72110 requires at least four, often including both obliques. The documented view count decides between them.
72114Spine X-raySix or more views
72114 is a complete series that includes bending views and totals at least six views. 72110 requires at least four views but has no bending requirement.
72120Lumbar X-rayBending views only
72120 covers two or three bending views alone, without the standard static series. 72110 covers a lumbosacral study with at least four views; a complete bending study with at least six views is 72114.
72148Lumbar spine MRIWithout contrast
72148 is a lumbar MRI without contrast for disc and nerve root evaluation. 72110 is plain radiography showing alignment, bone, and disc space height.

72110 billing questions

When should 72110 be chosen over 72100?

Count the views actually obtained and documented. Two or three views, such as frontal and lateral with or without a focused view, support 72100. Four or more views, often including obliques, support 72110.

What if flexion and extension views are taken along with the standard views?

Report a complete study with bending views and at least six views using 72114. If only two or three bending views are obtained, use 72120.

Which modifier does a radiologist reading hospital films use?

The radiologist appends modifier 26 for the interpretation and report. The hospital bills its facility imaging service.

Can an orthopedic office bill the global service?

Yes. When the practice provides both image acquisition and a documented physician interpretation, it bills the code without a modifier for the global service.

Does a brief note in the visit record count as the interpretation?

The professional component needs an identifiable, signed interpretation with findings and an impression. A passing mention of the images in the E/M note does not establish that service.

Are pelvis or sacroiliac joint films included in 72110?

Dedicated pelvis or sacroiliac joint films are distinct studies, not additional lumbosacral views. Report them separately only when the separate examination is performed and documented.

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 72110PPRRVU2026_Oct_nonQPP.csv, line 7,976 (RVU26D)

Open CMS sourceHow we calculate rates

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