CPT code 72120: Lumbar X-ray, bending views only2026 Medicare rate & RVUs

Reports lumbar spine radiographs limited to bending views, typically obtained to assess motion when spinal instability is suspected.

CMS RVU26DEffective Oct 1, 2026109 payment localities42.5K Medicare services in 2024

Medicare pays $42.09 for 72120 nationally in the office. Local office rates run $36.91–$57.75.

Medicare rate · 72120

Lumbar X-ray, bending views only

Office or facility?

Work RVUs
0.21
Total RVUs
1.26
Global days
XXX

National rate · 2026

$42.09

Office setting, before claim adjustments.

See every locality for 72120 →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 72120 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 72120 covers

This service covers lumbar and lumbosacral X-rays taken in bending positions, commonly flexion and extension, without a routine complete series. A clinician may order these views when symptoms or examination raise concern for abnormal movement, such as possible lumbar instability. A radiologic technologist obtains the images, and a qualified practitioner interprets them. The service may be performed in an imaging center, hospital, or office with radiography equipment.

Report 72120 when the study consists of bending views only; use the documented examination and images to distinguish it from a complete lumbar series that also includes bending views. The record should support the reason for dynamic imaging and include the interpretation. CMS recognizes separately priced professional and technical components: modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff portion. Billing without either modifier represents the global service, including both components.

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 72120 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

$36.91 to $57.75

$36.91$47.33$57.75
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

72120 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$37.49Unavailable
Alaska$47.53Unavailable
Arizona$40.92Unavailable
Arkansas$36.91Unavailable
Atlanta, GA$42.79Unavailable
Austin, TX$44.02Unavailable
Bakersfield, CA$45.26Unavailable
Baltimore area, MD$44.87Unavailable
Beaumont, TX$38.94Unavailable
Brazoria, TX$41.68Unavailable

72120 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.

$36.91

$51.48

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

View every state and territory as a table
72120 office rate range by state
State / territoryOffice rate rangeLocalities
AK$47.531
AL$37.491
AR$36.911
AZ$40.921
CA$45.20–$57.7529
CO$44.221
CT$45.011
DC$48.661
DE$41.641
FL$40.91–$44.523
GA$38.50–$42.792
GU$46.521
HI$46.521
IA$38.761
ID$38.981
IL$39.47–$43.584
IN$39.231
KS$38.451
KY$38.211
LA$38.10–$40.152
MA$43.89–$48.972
MD$42.51–$48.663
ME$39.08–$41.532
MI$39.18–$41.342
MN$42.611
MO$37.32–$40.443
MS$37.131
MT$42.081
NC$39.541
ND$41.691
NE$39.021
NH$43.411
NJ$45.60–$48.082
NM$39.361
NV$42.011
NY$40.17–$49.615
OH$39.101
OK$38.261
OR$41.75–$45.852
PA$39.23–$43.752
PR$42.451
RI$43.281
SC$39.371
SD$41.641
TN$38.651
TX$38.94–$44.028
UT$39.951
VA$41.30–$48.662
VI$42.451
VT$41.411
WA$43.84–$50.122
WI$40.181
WV$37.871
WY$41.911

How the 72120 rate is calculated

Each of 72120’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 · 72120

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.21

0.21 RVUs× 1.000 GPCI

Practice expense1.03

1.03 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

1.2600

Conversion factor

$33.4009

Medicare rate

$42.09

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

Payment rules and modifiers for 72120

The CMS indicators that decide how 72120 is paid alongside other services.

CMS payment indicators · 72120

Lumbar X-ray, bending views only

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

72120 without 26 · national office

$42.09

Lumbar X-ray, bending views only

72120-26 · Professional component

$10.69

Pays only the interpretation and report.

When to use modifier 26

72120 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 72120

    Lumbar X-ray, bending views only0.21 wRVU

    $42.09

  • 72114

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

    $61.79+$19.70

  • 72110

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

    $53.44+$11.35

  • 72100

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

    $40.42−$1.67

How to choose

72114Spine X-raySix or more views
72120 covers bending views only. Choose 72114 when the documented study includes a complete lumbar series along with bending views.
72110Lumbar spine X-rayMinimum of four views
72110 is for a broader routine lumbar radiographic series. It is not the bending-views-only service reported with 72120.
72100Lumbar spine X-rayTwo or three views
72100 describes a limited routine lumbar series, while 72120 is selected for bending views only.

72120 billing questions

When should 72120 be reported instead of 72114?

Use 72120 for bending views only. Use 72114 when the examination includes a complete lumbar series with bending views.

Can the interpretation and imaging service be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion, including equipment and staff. Without either modifier, the claim represents the global service.

What documentation supports 72120?

The record should support the clinical reason for dynamic imaging and show that the study consisted of bending views only. The interpreting practitioner’s report should document the findings.

Is 72120 for routine lumbar views?

No. It is for bending views only; routine views as part of a broader lumbar examination point to a different radiography code based on the study performed.

Who typically performs and interprets this study?

A radiologic technologist generally obtains the images, while a qualified practitioner interprets them. The service may be performed in an imaging center, hospital, or properly equipped office.

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 72120PPRRVU2026_Oct_nonQPP.csv, line 7,982 (RVU26D)

Open CMS sourceHow we calculate rates

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