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

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

CMS RVU26DEffective Oct 1, 2026One payment locality42.5K Medicare services in 2024

In Delaware, Medicare pays $41.64 for 72120 in the office.

$41.64Office (non-facility)
Not available in this settingHospital or facility
−1.1%vs the national office rate ($42.09)

Check a contract rate as a % of Medicare · 72120 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 72120 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 72120 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 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.

How Delaware compares for 72120

Across 109 of 109 payment localities, the office rate for 72120 runs from $36.91 in Arkansas to $57.75 in San Benito County, CA. Delaware pays $41.64. The RVUs are the same everywhere; the geographic indexes change the dollars.

72120 in Delaware vs other payment areas
  1. Delaware · this page$41.64
  2. Los Angeles, CA · California$48.44+$6.80
  3. Washington, DC area · District of Columbia$48.66+$7.02
  4. Miami, FL · Florida$44.52+$2.88
  5. Chicago, IL · Illinois$43.17+$1.53
  6. Manhattan, NY · New York$48.50+$6.86
  7. Alaska · Alaska$47.53+$5.89

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

Every other payment area

72120 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$37.49—
ArkansasArkansas$36.91—
ArizonaArizona$40.92—
Bakersfield, CACalifornia$45.26—
Chico, CACalifornia$45.20—
El Centro, CACalifornia$45.20—
Fresno, CACalifornia$45.20—
Hanford, CACalifornia$45.20—

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

See 72120 in every payment locality

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.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,982

Code
72120
Physician work
0.21
Practice expense
1.03
Malpractice
0.02

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 72120 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.21× 1.0050.2110
Practice expense1.03× 0.9881.0176
Malpractice0.02× 0.8990.0180
Total RVUs1.2467
Conversion factor× 33.4009

Office rate, Delaware$41.64

Office: (0.21 × 1.005 + 1.03 × 0.988 + 0.02 × 0.899) × $33.4009 = $41.64

Open 72120 in the RVU calculator

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

How 72120 has changed in Delaware

72120 · Office / nonfacility

$41.64

Effective 2026-10-01

The base rate is $2.40 higher than on 2025-10-01, moving from $39.24 to $41.64 (6.1%).

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

    $39.24changed to$41.64

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.22 changed to 0.21
    • Practice expense RVU 0.98 changed to 1.03
    • 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

    $40.38changed to$39.24

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $39.72changed to$40.38

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $41.59changed to$39.72

    • Conversion factor 33.8872 changed to 32.7442
    • 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

    $42.95changed to$41.59

    • Conversion factor 34.6062 changed to 33.8872
    • 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

    $42.24changed to$42.95

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.95 changed to 0.98

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $40.78changed to$42.24

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.87 changed to 0.95
    • 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

    $44.41changed to$40.78

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.97 changed to 0.87
    • 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

    $42.16changed to$44.41

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.91 changed to 0.97

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $41.87changed to$42.16

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.90 changed to 0.91
    • 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

    $41.60changed to$41.87

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.89 changed to 0.90
    • 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

    $41.79changed to$41.60

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.87 changed to 0.89
    • Malpractice RVU 0.04 changed to 0.02

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $41.58changed to$41.79

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $42.70changed to$41.58

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.90 changed to 0.87
    • 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

    $45.08changed to$42.70

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.03 changed to 0.90
    • 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: $45.08

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$41.64Not available in this settingRVU26D
2026-07-01$41.64Not available in this settingRVU26C
2026-04-01$41.64Not available in this settingRVU26B
2026-01-01$41.64Not available in this settingRVU26A
2025-10-01$39.24Not available in this settingRVU25D
2025-07-01$39.24Not available in this settingRVU25C
2025-04-01$39.24Not available in this settingRVU25B
2025-01-01$39.24Not available in this settingRVU25A
2024-10-01$40.38Not available in this settingRVU24D
2024-07-01$40.38Not available in this settingRVU24C
2024-04-01$40.38Not available in this settingRVU24B
2024-03-09$40.38Not available in this settingRVU24AR
2024-01-01$39.72Not available in this settingRVU24A
2023-10-01$41.59Not available in this settingRVU23D
2023-07-01$41.59Not available in this settingRVU23C
2023-04-01$41.59Not available in this settingRVU23B
2023-01-01$41.59Not available in this settingRVU23A
2022-10-01$42.95Not available in this settingRVU22D
2022-07-01$42.95Not available in this settingRVU22C
2022-04-01$42.95Not available in this settingRVU22B
2022-01-01$42.95Not available in this settingRVU22A
2021-10-01$42.24Not available in this settingRVU21D
2021-07-01$42.24Not available in this settingRVU21C
2021-04-01$42.24Not available in this settingRVU21B
2021-01-01$42.24Not available in this settingRVU21A
2020-10-01$40.78Not available in this settingRVU20D
2020-07-01$40.78Not available in this settingRVU20C
2020-04-01$40.78Not available in this settingRVU20B
2020-01-01$40.78Not available in this settingRVU20A
2019-10-01$44.41Not available in this settingRVU19D
2019-07-01$44.41Not available in this settingRVU19C
2019-04-01$44.41Not available in this settingRVU19B
2019-01-01$44.41Not available in this settingRVU19A
2018-10-01$42.16Not available in this settingRVU18D
2018-07-01$42.16Not available in this settingRVU18C
2018-04-01$42.16Not available in this settingRVU18B
2018-01-01$42.16Not available in this settingRVU18AR1
2017-10-01$41.87Not available in this settingRVU17D
2017-07-01$41.87Not available in this settingRVU17C
2017-04-01$41.87Not available in this settingRVU17B
2017-01-01$41.87Not available in this settingRVU17A
2016-10-01$41.60Not available in this settingRVU16D
2016-07-01$41.60Not available in this settingRVU16C
2016-04-01$41.60Not available in this settingRVU16B
2016-01-01$41.60Not available in this settingRVU16A
2015-10-01$41.79Not available in this settingRVU15D
2015-07-01$41.79Not available in this settingRVU15C
2015-04-01$41.58Not available in this settingRVU15B
2015-01-01$41.58Not available in this settingRVU15A
2014-10-01$42.70Not available in this settingRVU14D
2014-07-01$42.70Not available in this settingRVU14C
2014-04-01$42.70Not available in this settingRVU14B
2014-01-01$42.70Not available in this settingRVU14A
2013-10-01$45.08Not available in this settingRVU13D
2013-07-01$45.08Not available in this settingRVU13C
2013-04-01$45.08Not available in this settingRVU13B
2013-01-01$45.08Not available in this settingRVU13AR

Price 72120 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

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

Open CMS sourceHow we calculate rates

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