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

Reports a focused radiographic examination of the sacroiliac joints with fewer than three views, commonly obtained to evaluate localized joint pain or suspected sacroiliitis.

CMS RVU26DEffective Oct 1, 2026One payment locality15K Medicare services in 2024

In Nevada, Medicare pays $33.65 for 72200 in the office.

$33.65Office (non-facility)
Not available in this settingHospital or facility
−0.2%vs the national office rate ($33.73)

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.

We’ll open 72200 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 72200 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 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 Nevada 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. Nevada pays $33.65. The RVUs are the same everywhere; the geographic indexes change the dollars.

72200 in Nevada vs other payment areas
  1. Nevada · this page$33.65
  2. Los Angeles, CA · California$38.76+$5.11
  3. Washington, DC area · District of Columbia$38.99+$5.34
  4. Miami, FL · Florida$35.88+$2.23
  5. Chicago, IL · Illinois$34.78+$1.13
  6. Manhattan, NY · New York$38.93+$5.28
  7. Alaska · Alaska$38.05+$4.40

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

Every other payment area

72200 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$30.02—
ArkansasArkansas$29.55—
ArizonaArizona$32.79—
Bakersfield, CACalifornia$36.21—
Chico, CACalifornia$36.15—
El Centro, CACalifornia$36.15—
Fresno, CACalifornia$36.15—
Hanford, CACalifornia$36.15—

72200 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.

$29.55

$41.16

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

View every state and territory as a table
72200 office rate range by state
State / territoryOffice rate rangeLocalities
AK$38.051
AL$30.021
AR$29.551
AZ$32.791
CA$36.15–$46.1629
CO$35.411
CT$36.101
DC$38.991
DE$33.371
FL$32.87–$35.883
GA$30.91–$34.322
GU$37.211
HI$37.211
IA$31.001
ID$31.191
IL$31.73–$35.034
IN$31.391
KS$30.771
KY$30.641
LA$30.56–$32.212
MA$35.14–$39.212
MD$34.07–$38.993
ME$31.29–$33.242
MI$31.44–$33.232
MN$34.061
MO$29.94–$32.423
MS$29.751
MT$33.731
NC$31.661
ND$33.341
NE$31.211
NH$34.771
NJ$36.55–$38.522
NM$31.601
NV$33.651
NY$32.17–$39.855
OH$31.361
OK$30.661
OR$33.43–$36.692
PA$31.45–$35.092
PR$34.031
RI$34.671
SC$31.551
SD$33.291
TN$30.931
TX$31.22–$35.268
UT$32.021
VA$33.07–$38.992
VI$34.031
VT$33.131
WA$35.10–$40.112
WI$32.121
WV$30.431
WY$33.561

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.

How the rate is built · 72200

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.17

0.17 RVUs× 1.000 GPCI

Practice expense0.82

0.82 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

1.0100

Conversion factor

$33.4009

Medicare rate

$33.73

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

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,072

Code
72200
Physician work
0.17
Practice expense
0.82
Malpractice
0.02

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 72200 in Nevada
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0000.1700
Practice expense0.82× 1.0010.8208
Malpractice0.02× 0.8330.0167
Total RVUs1.0075
Conversion factor× 33.4009

Office rate, Nevada$33.65

Office: (0.17 × 1 + 0.82 × 1.001 + 0.02 × 0.833) × $33.4009 = $33.65

Open 72200 in the RVU calculator

Payment rules and modifiers for 72200

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

CMS payment indicators · 72200

SI joint X-ray, fewer than three 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

72200 without 26 · national office

$33.73

SI joint X-ray, fewer than three views

72200-26 · Professional component

$8.35

Pays only the interpretation and report.

When to use modifier 26

How 72200 has changed in Nevada

72200 · Office / nonfacility

$33.65

Effective 2026-10-01

The base rate is $1.08 higher than on 2025-10-01, moving from $32.57 to $33.65 (3.3%).

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

    $32.57changed to$33.65

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $33.18changed to$32.57

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.81 changed to 0.82

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $32.64changed to$33.18

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $33.61changed to$32.64

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.80 changed to 0.81
    • Malpractice GPCI 1.098 changed to 0.844
  5. January 1, 2023

    RVU23A

    $34.19changed to$33.61

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.79 changed to 0.80
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $33.77changed to$34.19

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.77 changed to 0.79

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $32.60changed to$33.77

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.71 changed to 0.77
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $31.72changed to$32.60

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.68 changed to 0.71
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $29.12changed to$31.72

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.61 changed to 0.68

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $29.44changed to$29.12

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $29.77changed to$29.44

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $29.50changed to$29.77

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.60 changed to 0.61

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $29.36changed to$29.50

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $31.83changed to$29.36

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.66 changed to 0.60
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $32.18changed to$31.83

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.71 changed to 0.66
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$32.18

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$33.65Not available in this settingRVU26D
2026-07-01$33.65Not available in this settingRVU26C
2026-04-01$33.65Not available in this settingRVU26B
2026-01-01$33.65Not available in this settingRVU26A
2025-10-01$32.57Not available in this settingRVU25D
2025-07-01$32.57Not available in this settingRVU25C
2025-04-01$32.57Not available in this settingRVU25B
2025-01-01$32.57Not available in this settingRVU25A
2024-10-01$33.18Not available in this settingRVU24D
2024-07-01$33.18Not available in this settingRVU24C
2024-04-01$33.18Not available in this settingRVU24B
2024-03-09$33.18Not available in this settingRVU24AR
2024-01-01$32.64Not available in this settingRVU24A
2023-10-01$33.61Not available in this settingRVU23D
2023-07-01$33.61Not available in this settingRVU23C
2023-04-01$33.61Not available in this settingRVU23B
2023-01-01$33.61Not available in this settingRVU23A
2022-10-01$34.19Not available in this settingRVU22D
2022-07-01$34.19Not available in this settingRVU22C
2022-04-01$34.19Not available in this settingRVU22B
2022-01-01$34.19Not available in this settingRVU22A
2021-10-01$33.77Not available in this settingRVU21D
2021-07-01$33.77Not available in this settingRVU21C
2021-04-01$33.77Not available in this settingRVU21B
2021-01-01$33.77Not available in this settingRVU21A
2020-10-01$32.60Not available in this settingRVU20D
2020-07-01$32.60Not available in this settingRVU20C
2020-04-01$32.60Not available in this settingRVU20B
2020-01-01$32.60Not available in this settingRVU20A
2019-10-01$31.72Not available in this settingRVU19D
2019-07-01$31.72Not available in this settingRVU19C
2019-04-01$31.72Not available in this settingRVU19B
2019-01-01$31.72Not available in this settingRVU19A
2018-10-01$29.12Not available in this settingRVU18D
2018-07-01$29.12Not available in this settingRVU18C
2018-04-01$29.12Not available in this settingRVU18B
2018-01-01$29.12Not available in this settingRVU18AR1
2017-10-01$29.44Not available in this settingRVU17D
2017-07-01$29.44Not available in this settingRVU17C
2017-04-01$29.44Not available in this settingRVU17B
2017-01-01$29.44Not available in this settingRVU17A
2016-10-01$29.77Not available in this settingRVU16D
2016-07-01$29.77Not available in this settingRVU16C
2016-04-01$29.77Not available in this settingRVU16B
2016-01-01$29.77Not available in this settingRVU16A
2015-10-01$29.50Not available in this settingRVU15D
2015-07-01$29.50Not available in this settingRVU15C
2015-04-01$29.36Not available in this settingRVU15B
2015-01-01$29.36Not available in this settingRVU15A
2014-10-01$31.83Not available in this settingRVU14D
2014-07-01$31.83Not available in this settingRVU14C
2014-04-01$31.83Not available in this settingRVU14B
2014-01-01$31.83Not available in this settingRVU14A
2013-10-01$32.18Not available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 72200 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

72200 billing questions

When should 72200 be used instead of 72202?

Choose 72200 when the SI-joint examination includes fewer than three views. Three or more views correspond to 72202.

What does the unmodified code represent?

It represents the global service, including both image acquisition and physician interpretation. Use modifier 26 for the professional interpretation or TC for the technical service when billing those portions separately.

What documentation supports 72200?

The order and imaging record should identify the SI joints as the examination focus and document the views performed. The interpretation should include the physician’s findings.

Is an X-ray of the sacrum or tailbone the same service?

No. 72200 focuses on the sacroiliac joints; 72220 describes imaging of the sacrum and coccyx. Select according to the body area examined.

Which modifier identifies the radiologist’s interpretation?

Modifier 26 identifies the professional interpretation. Modifier TC identifies the technical portion, including imaging equipment and staff.

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 72200PPRRVU2026_Oct_nonQPP.csv, line 8,072 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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