CPT code 72127: Cervical spine CT, without and with contrast2026 Medicare rate & RVUs in Washington, DC area
Reports a cervical spine CT with image acquisition both before and after contrast, often selected when evaluation requires bone detail and contrast-enhanced findings.
In Washington, DC area, Medicare pays $225.63 for 72127 in the office.
Check a contract rate as a % of Medicare · 72127 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 72127 covers
This study images the cervical vertebrae and surrounding structures using CT, with acquisitions made before and after contrast administration. It may be selected when the clinical question, such as suspected infection or a tumor, calls for both noncontrast bone detail and assessment of contrast-enhanced findings. A radiologic technologist typically performs the scan, and a radiologist interprets the images in a hospital or imaging center.
Report this code when the same cervical spine CT examination includes both noncontrast and post-contrast imaging; the two phases are represented by one code. Use the contrast-only or noncontrast-only cervical CT code when only that acquisition is performed. Documentation should support the cervical anatomy examined, both imaging phases, and the indication. The service has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies the equipment and staff service, and no component modifier represents the global service. CMS diagnostic imaging multiple procedure reduction applies to both the professional and technical components when applicable.
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 Washington, DC area compares for 72127
Across 109 of 109 payment localities, the office rate for 72127 runs from $173.22 in Arkansas to $266.25 in San Benito County, CA. Washington, DC area pays $225.63. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$225.63
- Los Angeles, CA · California$224.50−$1.13
- Miami, FL · Florida$206.88−$18.75
- Chicago, IL · Illinois$201.00−$24.63
- Manhattan, NY · New York$225.04−$0.59
- Alaska · Alaska$225.28−$0.35
- Alabama · Alabama$175.80−$49.83
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $173.22 | — |
| ArizonaArizona | $190.93 | — |
| Bakersfield, CACalifornia | $210.23 | — |
| Chico, CACalifornia | $209.93 | — |
| El Centro, CACalifornia | $209.95 | — |
| Fresno, CACalifornia | $209.93 | — |
| Hanford, CACalifornia | $209.93 | — |
| Madera, CACalifornia | $209.93 | — |
| Merced, CACalifornia | $209.93 | — |
| Modesto, CACalifornia | $209.93 | — |
| Napa, CACalifornia | $245.42 | — |
| Oxnard, CACalifornia | $223.69 | — |
| Redding, CACalifornia | $209.93 | — |
| Rest of CaliforniaCalifornia | $209.93 | — |
| Riverside, CACalifornia | $210.92 | — |
| Sacramento, CACalifornia | $220.88 | — |
| Salinas, CACalifornia | $220.06 | — |
| San Diego, CACalifornia | $225.65 | — |
| Marin County, CACalifornia | $260.54 | — |
| San Francisco, CACalifornia | $260.44 | — |
| San Benito County, CACalifornia | $266.25 | — |
| Santa Clara County, CACalifornia | $265.83 | — |
| San Luis Obispo, CACalifornia | $216.45 | — |
| Santa Cruz, CACalifornia | $228.14 | — |
| Santa Maria, CACalifornia | $221.00 | — |
| Santa Rosa, CACalifornia | $230.48 | — |
| Stockton, CACalifornia | $209.93 | — |
| Vallejo, CACalifornia | $245.27 | — |
| Visalia, CACalifornia | $209.93 | — |
| Yuba City, CACalifornia | $209.93 | — |
| ColoradoColorado | $205.61 | — |
| ConnecticutConnecticut | $209.20 | — |
| DelawareDelaware | $194.15 | — |
| Fort Lauderdale, FLFlorida | $200.46 | — |
| Rest of FloridaFlorida | $190.90 | — |
| Atlanta, GAGeorgia | $199.22 | — |
| Rest of GeorgiaGeorgia | $180.26 | — |
| Hawaii, Guam, HIHawaii | $215.57 | — |
| IowaIowa | $181.36 | — |
| IdahoIdaho | $182.35 | — |
| East St. Louis, ILIllinois | $186.98 | — |
| Rest of IllinoisIllinois | $184.56 | — |
| Suburban Chicago, ILIllinois | $202.77 | — |
| IndianaIndiana | $183.45 | — |
| KansasKansas | $180.01 | — |
| KentuckyKentucky | $178.98 | — |
| New Orleans, LALouisiana | $187.53 | — |
| Rest of LouisianaLouisiana | $178.50 | — |
| Metropolitan Boston, MAMassachusetts | $226.85 | — |
| Rest of MassachusettsMassachusetts | $204.15 | — |
| Baltimore area, MDMaryland | $208.51 | — |
| Rest of MarylandMaryland | $198.05 | — |
| Rest of MaineMaine | $182.80 | — |
| Southern Maine, MEMaine | $193.59 | — |
| Detroit, MIMichigan | $192.82 | — |
| Rest of MichiganMichigan | $183.26 | — |
| MinnesotaMinnesota | $198.34 | — |
| Metropolitan Kansas City, MOMissouri | $186.74 | — |
| Metropolitan St. Louis, MOMissouri | $188.79 | — |
| Rest of MissouriMissouri | $175.06 | — |
| MississippiMississippi | $174.20 | — |
| MontanaMontana | $196.06 | — |
| North CarolinaNorth Carolina | $184.82 | — |
| North DakotaNorth Dakota | $194.28 | — |
| NebraskaNebraska | $182.52 | — |
| New HampshireNew Hampshire | $201.90 | — |
| Northern New JerseyNew Jersey | $223.14 | — |
| Rest of New JerseyNew Jersey | $211.96 | — |
| New MexicoNew Mexico | $184.08 | — |
| NevadaNevada | $195.71 | — |
| NYC suburbs and Long Island, NYNew York | $229.95 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $212.96 | — |
| Queens, NYNew York | $227.64 | — |
| Rest of New YorkNew York | $187.59 | — |
| OhioOhio | $182.89 | — |
| OklahomaOklahoma | $179.17 | — |
| Portland, OROregon | $212.79 | — |
| Rest of OregonOregon | $194.56 | — |
| Metropolitan Philadelphia, PAPennsylvania | $203.61 | — |
| Rest of PennsylvaniaPennsylvania | $183.46 | — |
| Puerto RicoPuerto Rico | $197.69 | — |
| Rhode IslandRhode Island | $201.53 | — |
| South CarolinaSouth Carolina | $184.09 | — |
| South DakotaSouth Dakota | $194.07 | — |
| TennesseeTennessee | $180.87 | — |
| Austin, TXTexas | $204.60 | — |
| Beaumont, TXTexas | $182.20 | — |
| Brazoria, TXTexas | $194.37 | — |
| Dallas, TXTexas | $195.40 | — |
| Fort Worth, TXTexas | $193.93 | — |
| Galveston, TXTexas | $194.82 | — |
| Houston, TXTexas | $196.46 | — |
| Rest of TexasTexas | $188.04 | — |
| UtahUtah | $186.66 | — |
| VirginiaVirginia | $192.60 | — |
| Virgin Islands, VIUnited States Virgin Islands | $197.69 | — |
| VermontVermont | $193.06 | — |
| Rest of WashingtonWashington | $203.92 | — |
| King County, WAWashington | $232.01 | — |
| WisconsinWisconsin | $187.61 | — |
| West VirginiaWest Virginia | $177.49 | — |
| WyomingWyoming | $195.28 | — |
72127 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.
$173.22
$238.09
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $225.28 | 1 |
| AL | $175.80 | 1 |
| AR | $173.22 | 1 |
| AZ | $190.93 | 1 |
| CA | $209.93–$266.25 | 29 |
| CO | $205.61 | 1 |
| CT | $209.20 | 1 |
| DC | $225.63 | 1 |
| DE | $194.15 | 1 |
| FL | $190.90–$206.88 | 3 |
| GA | $180.26–$199.22 | 2 |
| GU | $215.57 | 1 |
| HI | $215.57 | 1 |
| IA | $181.36 | 1 |
| ID | $182.35 | 1 |
| IL | $184.56–$202.77 | 4 |
| IN | $183.45 | 1 |
| KS | $180.01 | 1 |
| KY | $178.98 | 1 |
| LA | $178.50–$187.53 | 2 |
| MA | $204.15–$226.85 | 2 |
| MD | $198.05–$225.63 | 3 |
| ME | $182.80–$193.59 | 2 |
| MI | $183.26–$192.82 | 2 |
| MN | $198.34 | 1 |
| MO | $175.06–$188.79 | 3 |
| MS | $174.20 | 1 |
| MT | $196.06 | 1 |
| NC | $184.82 | 1 |
| ND | $194.28 | 1 |
| NE | $182.52 | 1 |
| NH | $201.90 | 1 |
| NJ | $211.96–$223.14 | 2 |
| NM | $184.08 | 1 |
| NV | $195.71 | 1 |
| NY | $187.59–$229.95 | 5 |
| OH | $182.89 | 1 |
| OK | $179.17 | 1 |
| OR | $194.56–$212.79 | 2 |
| PA | $183.46–$203.61 | 2 |
| PR | $197.69 | 1 |
| RI | $201.53 | 1 |
| SC | $184.09 | 1 |
| SD | $194.07 | 1 |
| TN | $180.87 | 1 |
| TX | $182.20–$204.60 | 8 |
| UT | $186.66 | 1 |
| VA | $192.60–$225.63 | 2 |
| VI | $197.69 | 1 |
| VT | $193.06 | 1 |
| WA | $203.92–$232.01 | 2 |
| WI | $187.61 | 1 |
| WV | $177.49 | 1 |
| WY | $195.28 | 1 |
How the 72127 rate is calculated
Each of 72127’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 · 72127
RVUs × geographic indexes × conversion factor
Work1.24
1.24 RVUs× 1.000 GPCI
Practice expense4.54
4.54 RVUs× 1.000 GPCI
Malpractice0.09
0.09 RVUs× 1.000 GPCI
Adjusted RVUs
5.8700
Conversion factor
$33.4009
Medicare rate
$196.06
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,991
- Code
- 72127
- Physician work
- 1.24
- Practice expense
- 4.54
- Malpractice
- 0.09
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.24 | × 1.054 | 1.3070 |
| Practice expense | 4.54 | × 1.178 | 5.3481 |
| Malpractice | 0.09 | × 1.113 | 0.1002 |
| Total RVUs | 6.7553 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Washington, DC area$225.63
Office: (1.24 × 1.054 + 4.54 × 1.178 + 0.09 × 1.113) × $33.4009 = $225.63
Payment rules and modifiers for 72127
The CMS indicators that decide how 72127 is paid alongside other services.
CMS payment indicators · 72127
Cervical spine CT, without and with contrast
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 4 | Diagnostic imaging reduction applies to the technical component (and professional component) of additional services. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
72127 without 26 · national office
$196.06
Cervical spine CT, without and with contrast
72127-26 · Professional component
$58.12
Pays only the interpretation and report.
How 72127 has changed in Washington, DC area
72127 · Office / nonfacility
$225.63
Effective 2026-10-01
The base rate is $0.67 higher than on 2025-10-01, moving from $224.96 to $225.63 (0.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$224.96changed to$225.63
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.27 changed to 1.24
- Practice expense RVU 4.63 changed to 4.54
- Malpractice RVU 0.08 changed to 0.09
- Work GPCI 1.057 changed to 1.054
- Practice expense GPCI 1.192 changed to 1.178
- Malpractice GPCI 1.168 changed to 1.113
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$235.47changed to$224.96
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 4.72 changed to 4.63
- Malpractice RVU 0.09 changed to 0.08
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$231.62changed to$235.47
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$245.85changed to$231.62
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 4.78 changed to 4.72
- Work GPCI 1.056 changed to 1.057
- Practice expense GPCI 1.214 changed to 1.192
- Malpractice GPCI 1.231 changed to 1.168
January 1, 2023
RVU23A
$256.54changed to$245.85
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 4.81 changed to 4.78
- Malpractice RVU 0.10 changed to 0.09
- Work GPCI 1.054 changed to 1.056
- Practice expense GPCI 1.236 changed to 1.214
- Malpractice GPCI 1.294 changed to 1.231
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$262.47changed to$256.54
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 4.94 changed to 4.81
- Malpractice RVU 0.06 changed to 0.10
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$277.80changed to$262.47
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 5.14 changed to 4.94
- Malpractice RVU 0.07 changed to 0.06
- Work GPCI 1.049 changed to 1.054
- Practice expense GPCI 1.221 changed to 1.236
- Malpractice GPCI 1.277 changed to 1.294
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
No ratechanged to$277.80
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$324.27changed toNo rate
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$322.57changed to$324.27
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 6.27 changed to 6.29
- Work GPCI 1.048 changed to 1.045
- Malpractice GPCI 1.271 changed to 1.261
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$321.97changed to$322.57
- Conversion factor 35.8043 changed to 35.8887
- Work GPCI 1.051 changed to 1.048
- Malpractice GPCI 1.280 changed to 1.271
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$320.94changed to$321.97
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 6.23 changed to 6.27
- Malpractice RVU 0.07 changed to 0.08
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$319.34changed to$320.94
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$338.86changed to$319.34
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 6.68 changed to 6.23
- Malpractice RVU 0.08 changed to 0.07
- Work GPCI 1.050 changed to 1.051
- Practice expense GPCI 1.202 changed to 1.205
- Malpractice GPCI 1.205 changed to 1.280
Held through RVU15B.
January 1, 2014
RVU14A
$374.89changed to$338.86
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 8.01 changed to 6.68
- Work GPCI 1.049 changed to 1.050
- Practice expense GPCI 1.198 changed to 1.202
- Malpractice GPCI 1.130 changed to 1.205
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $374.89
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $225.63 | Not available in this setting | RVU26D |
| 2026-07-01 | $225.63 | Not available in this setting | RVU26C |
| 2026-04-01 | $225.63 | Not available in this setting | RVU26B |
| 2026-01-01 | $225.63 | Not available in this setting | RVU26A |
| 2025-10-01 | $224.96 | Not available in this setting | RVU25D |
| 2025-07-01 | $224.96 | Not available in this setting | RVU25C |
| 2025-04-01 | $224.96 | Not available in this setting | RVU25B |
| 2025-01-01 | $224.96 | Not available in this setting | RVU25A |
| 2024-10-01 | $235.47 | Not available in this setting | RVU24D |
| 2024-07-01 | $235.47 | Not available in this setting | RVU24C |
| 2024-04-01 | $235.47 | Not available in this setting | RVU24B |
| 2024-03-09 | $235.47 | Not available in this setting | RVU24AR |
| 2024-01-01 | $231.62 | Not available in this setting | RVU24A |
| 2023-10-01 | $245.85 | Not available in this setting | RVU23D |
| 2023-07-01 | $245.85 | Not available in this setting | RVU23C |
| 2023-04-01 | $245.85 | Not available in this setting | RVU23B |
| 2023-01-01 | $245.85 | Not available in this setting | RVU23A |
| 2022-10-01 | $256.54 | Not available in this setting | RVU22D |
| 2022-07-01 | $256.54 | Not available in this setting | RVU22C |
| 2022-04-01 | $256.54 | Not available in this setting | RVU22B |
| 2022-01-01 | $256.54 | Not available in this setting | RVU22A |
| 2021-10-01 | $262.47 | Not available in this setting | RVU21D |
| 2021-07-01 | $262.47 | Not available in this setting | RVU21C |
| 2021-04-01 | $262.47 | Not available in this setting | RVU21B |
| 2021-01-01 | $262.47 | Not available in this setting | RVU21A |
| 2020-10-01 | $277.80 | Not available in this setting | RVU20D |
| 2020-07-01 | $277.80 | Not available in this setting | RVU20C |
| 2020-04-01 | $277.80 | Not available in this setting | RVU20B |
| 2020-01-01 | $277.80 | Not available in this setting | RVU20A |
| 2019-10-01 | Additional calculation required | Not available in this setting | RVU19D |
| 2019-07-01 | Additional calculation required | Not available in this setting | RVU19C |
| 2019-04-01 | Additional calculation required | Not available in this setting | RVU19B |
| 2019-01-01 | Additional calculation required | Not available in this setting | RVU19A |
| 2018-10-01 | $324.27 | Not available in this setting | RVU18D |
| 2018-07-01 | $324.27 | Not available in this setting | RVU18C |
| 2018-04-01 | $324.27 | Not available in this setting | RVU18B |
| 2018-01-01 | $324.27 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $322.57 | Not available in this setting | RVU17D |
| 2017-07-01 | $322.57 | Not available in this setting | RVU17C |
| 2017-04-01 | $322.57 | Not available in this setting | RVU17B |
| 2017-01-01 | $322.57 | Not available in this setting | RVU17A |
| 2016-10-01 | $321.97 | Not available in this setting | RVU16D |
| 2016-07-01 | $321.97 | Not available in this setting | RVU16C |
| 2016-04-01 | $321.97 | Not available in this setting | RVU16B |
| 2016-01-01 | $321.97 | Not available in this setting | RVU16A |
| 2015-10-01 | $320.94 | Not available in this setting | RVU15D |
| 2015-07-01 | $320.94 | Not available in this setting | RVU15C |
| 2015-04-01 | $319.34 | Not available in this setting | RVU15B |
| 2015-01-01 | $319.34 | Not available in this setting | RVU15A |
| 2014-10-01 | $338.86 | Not available in this setting | RVU14D |
| 2014-07-01 | $338.86 | Not available in this setting | RVU14C |
| 2014-04-01 | $338.86 | Not available in this setting | RVU14B |
| 2014-01-01 | $338.86 | Not available in this setting | RVU14A |
| 2013-10-01 | $374.89 | Not available in this setting | RVU13D |
| 2013-07-01 | $374.89 | Not available in this setting | RVU13C |
| 2013-04-01 | $374.89 | Not available in this setting | RVU13B |
| 2013-01-01 | $374.89 | Not available in this setting | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
72127 billing questions
When should this code be selected instead of 72125 or 72126?
The combined examination is reported with this code when both phases are performed as one cervical spine CT study; do not separately report the two phases as 72125 and 72126 for that same study.
How are the professional and technical services billed?
Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Billing without either modifier represents the global service.
Does a multiple procedure reduction affect this code?
CMS diagnostic imaging multiple procedure reduction applies to both the professional and technical components when applicable.
What documentation supports reporting the combined examination?
Document the cervical spine study, the clinical indication, and that imaging was performed both before and after contrast. The record should support why both phases were obtained.
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
Fee sheets · Coming soon
Put 72127 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist