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

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, 2026One payment locality782.4K Medicare services in 2024

In Delaware, Medicare pays $52.85 for 72110 in the office.

$52.85Office (non-facility)
Not available in this settingHospital or facility
−1.1%vs the national office rate ($53.44)

Check a contract rate as a % of Medicare · 72110 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 72110 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 72110 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 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.

How Delaware compares for 72110

Across 109 of 109 payment localities, the office rate for 72110 runs from $46.74 in Arkansas to $73.38 in San Benito County, CA. Delaware pays $52.85. The RVUs are the same everywhere; the geographic indexes change the dollars.

72110 in Delaware vs other payment areas
  1. Delaware · this page$52.85
  2. Los Angeles, CA · California$61.52+$8.67
  3. Washington, DC area · District of Columbia$61.85+$9.00
  4. Miami, FL · Florida$56.78+$3.93
  5. Chicago, IL · Illinois$55.02+$2.17
  6. Manhattan, NY · New York$61.71+$8.86
  7. Alaska · Alaska$60.03+$7.18

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

Every other payment area

72110 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$47.50—
ArkansasArkansas$46.74—
ArizonaArizona$51.93—
Bakersfield, CACalifornia$57.44—
Chico, CACalifornia$57.35—
El Centro, CACalifornia$57.36—
Fresno, CACalifornia$57.35—
Hanford, CACalifornia$57.35—

72110 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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

See 72110 in every payment locality

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.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,976

Code
72110
Physician work
0.25
Practice expense
1.32
Malpractice
0.03

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 72110 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.25× 1.0050.2512
Practice expense1.32× 0.9881.3042
Malpractice0.03× 0.8990.0270
Total RVUs1.5824
Conversion factor× 33.4009

Office rate, Delaware$52.85

Office: (0.25 × 1.005 + 1.32 × 0.988 + 0.03 × 0.899) × $33.4009 = $52.85

Open 72110 in the RVU calculator

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

Codes related to 72110

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 72110
CodeHow it relatesOffice range, Delaware
Same family
72100Lumbar spine X-ray, two or three viewsLumbosacral spine series with two or three views.$39.99
72114Spine X-ray, six or more viewsComplete lumbosacral series including bending views, at least six views.$61.13
72120Lumbar X-ray, bending views onlyLumbosacral bending views only, two or three views.$41.64
Used instead
72148Lumbar spine MRI, without contrastNoncontrast lumbar MRI, used when disc or nerve detail is needed.$189.94
72131Lumbar CT, without contrastNoncontrast lumbar CT, used for detailed bony evaluation such as fractures.$128.72

How 72110 has changed in Delaware

72110 · Office / nonfacility

$52.85

Effective 2026-10-01

The base rate is $2.68 higher than on 2025-10-01, moving from $50.17 to $52.85 (5.3%).

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

    $50.17changed to$52.85

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.26 changed to 0.25
    • Practice expense RVU 1.28 changed to 1.32
    • Malpractice RVU 0.02 changed to 0.03
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $51.63changed to$50.17

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $50.79changed to$51.63

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $52.50changed to$50.79

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.26 changed to 1.28
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $53.89changed to$52.50

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.25 changed to 1.26
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $52.56changed to$53.89

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.20 changed to 1.25

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $49.97changed to$52.56

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.08 changed to 1.20
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $52.86changed to$49.97

    • Conversion factor 36.0391 changed to 36.0896
    • Work RVU 0.31 changed to 0.26
    • Practice expense RVU 1.10 changed to 1.08
    • Malpractice RVU 0.03 changed to 0.02
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $50.60changed to$52.86

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.04 changed to 1.10

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $50.68changed to$50.60

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $50.42changed to$50.68

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.03 changed to 1.04
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $50.62changed to$50.42

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.02 changed to 1.03
    • Malpractice RVU 0.04 changed to 0.03

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $50.37changed to$50.62

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $51.91changed to$50.37

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.06 changed to 1.02
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $51.73changed to$51.91

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.13 changed to 1.06
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $51.73

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$52.85Not available in this settingRVU26D
2026-07-01$52.85Not available in this settingRVU26C
2026-04-01$52.85Not available in this settingRVU26B
2026-01-01$52.85Not available in this settingRVU26A
2025-10-01$50.17Not available in this settingRVU25D
2025-07-01$50.17Not available in this settingRVU25C
2025-04-01$50.17Not available in this settingRVU25B
2025-01-01$50.17Not available in this settingRVU25A
2024-10-01$51.63Not available in this settingRVU24D
2024-07-01$51.63Not available in this settingRVU24C
2024-04-01$51.63Not available in this settingRVU24B
2024-03-09$51.63Not available in this settingRVU24AR
2024-01-01$50.79Not available in this settingRVU24A
2023-10-01$52.50Not available in this settingRVU23D
2023-07-01$52.50Not available in this settingRVU23C
2023-04-01$52.50Not available in this settingRVU23B
2023-01-01$52.50Not available in this settingRVU23A
2022-10-01$53.89Not available in this settingRVU22D
2022-07-01$53.89Not available in this settingRVU22C
2022-04-01$53.89Not available in this settingRVU22B
2022-01-01$53.89Not available in this settingRVU22A
2021-10-01$52.56Not available in this settingRVU21D
2021-07-01$52.56Not available in this settingRVU21C
2021-04-01$52.56Not available in this settingRVU21B
2021-01-01$52.56Not available in this settingRVU21A
2020-10-01$49.97Not available in this settingRVU20D
2020-07-01$49.97Not available in this settingRVU20C
2020-04-01$49.97Not available in this settingRVU20B
2020-01-01$49.97Not available in this settingRVU20A
2019-10-01$52.86Not available in this settingRVU19D
2019-07-01$52.86Not available in this settingRVU19C
2019-04-01$52.86Not available in this settingRVU19B
2019-01-01$52.86Not available in this settingRVU19A
2018-10-01$50.60Not available in this settingRVU18D
2018-07-01$50.60Not available in this settingRVU18C
2018-04-01$50.60Not available in this settingRVU18B
2018-01-01$50.60Not available in this settingRVU18AR1
2017-10-01$50.68Not available in this settingRVU17D
2017-07-01$50.68Not available in this settingRVU17C
2017-04-01$50.68Not available in this settingRVU17B
2017-01-01$50.68Not available in this settingRVU17A
2016-10-01$50.42Not available in this settingRVU16D
2016-07-01$50.42Not available in this settingRVU16C
2016-04-01$50.42Not available in this settingRVU16B
2016-01-01$50.42Not available in this settingRVU16A
2015-10-01$50.62Not available in this settingRVU15D
2015-07-01$50.62Not available in this settingRVU15C
2015-04-01$50.37Not available in this settingRVU15B
2015-01-01$50.37Not available in this settingRVU15A
2014-10-01$51.91Not available in this settingRVU14D
2014-07-01$51.91Not available in this settingRVU14C
2014-04-01$51.91Not available in this settingRVU14B
2014-01-01$51.91Not available in this settingRVU14A
2013-10-01$51.73Not available in this settingRVU13D
2013-07-01$51.73Not available in this settingRVU13C
2013-04-01$51.73Not available in this settingRVU13B
2013-01-01$51.73Not available in this settingRVU13AR

Price 72110 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

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)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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