CPT code 72200: SI joint X-ray, fewer than three views2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $38.99 for 72200 in the office.

Check a contract rate as a % of Medicare · 72200 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 72200 covers

This code describes a focused X-ray examination of the sacroiliac joints using fewer than three views. It is commonly used when pain is localized near the SI joints or imaging is needed to assess suspected sacroiliitis or other joint changes. A technologist acquires the images in an outpatient imaging department, hospital, or office with radiographic equipment; a physician, often a radiologist, interprets the study and documents the findings.

Select this code based on the number of views performed: fewer than three supports this service, while three or more views point to the higher-view sibling code. The imaging report and order should support the SI-joint focus and the views obtained. The global service is billed without a component modifier. Modifier 26 identifies the physician’s interpretation, while modifier TC identifies the technical service, including equipment and staff; CMS separately prices these modifiers.

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 72200

Across 109 of 109 payment localities, the office rate for 72200 runs from $29.55 in Arkansas to $46.16 in San Benito County, CA. Washington, DC area pays $38.99. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

72200 rates by state

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

See 72200 in every payment locality

How the 72200 rate is calculated

Each of 72200’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.

Payment rules and modifiers for 72200

The CMS indicators that decide how 72200 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 72200

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

How 72200 has changed in Washington, DC area

Price 72200 for an earlier date of service

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

Browse all communities in District of Columbia

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

Open CMS sourceHow we calculate rates