CPT code 72255: Myelography, thoracic spine2026 Medicare rate & RVUs in Indiana
Report thoracic spine myelography imaging when intrathecal contrast is used to assess the thoracic spinal canal, cord, or nerve roots.
In Indiana, Medicare pays $97.89 for 72255 in the office.
Check a contract rate as a % of Medicare · 72255 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 72255 covers
This service covers radiologic imaging and interpretation of the thoracic spinal canal after contrast is introduced into the cerebrospinal fluid. A radiologist commonly supervises or performs the imaging and interprets the resulting views, often using fluoroscopy. The study may help evaluate suspected thoracic canal narrowing, cord compression, or another lesion, including when MRI is limited or cannot be performed.
Report 72255 when the myelographic examination is confined to the thoracic region; use the multiple-region code when two or more spinal regions are examined. The record should identify the thoracic region imaged and support the medical reason for the study, with an interpretation and report. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and reporting without either modifier represents the global service.
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 Indiana compares for 72255
Across 109 of 109 payment localities, the office rate for 72255 runs from $93.02 in Arkansas to $138.59 in San Benito County, CA. Indiana pays $97.89. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Indiana · this page$97.89
- Los Angeles, CA · California$118.02+$20.13
- Washington, DC area · District of Columbia$118.94+$21.05
- Miami, FL · Florida$110.25+$12.36
- Chicago, IL · Illinois$107.38+$9.49
- Manhattan, NY · New York$119.03+$21.14
- Alaska · Alaska$122.89+$25.00
Other areas in Indiana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $94.28 | — |
| ArkansasArkansas | $93.02 | — |
| ArizonaArizona | $101.68 | — |
| Bakersfield, CACalifornia | $110.95 | — |
| Chico, CACalifornia | $110.74 | — |
| El Centro, CACalifornia | $110.75 | — |
| Fresno, CACalifornia | $110.74 | — |
| Hanford, CACalifornia | $110.74 | — |
| Madera, CACalifornia | $110.74 | — |
| Merced, CACalifornia | $110.74 | — |
| Modesto, CACalifornia | $110.74 | — |
| Napa, CACalifornia | $128.15 | — |
| Oxnard, CACalifornia | $117.48 | — |
| Redding, CACalifornia | $110.74 | — |
| Rest of CaliforniaCalifornia | $110.74 | — |
| Riverside, CACalifornia | $111.41 | — |
| Sacramento, CACalifornia | $116.17 | — |
| Salinas, CACalifornia | $115.73 | — |
| San Diego, CACalifornia | $118.39 | — |
| Marin County, CACalifornia | $135.67 | — |
| San Francisco, CACalifornia | $135.60 | — |
| San Benito County, CACalifornia | $138.59 | — |
| Santa Clara County, CACalifornia | $138.31 | — |
| San Luis Obispo, CACalifornia | $113.86 | — |
| Santa Cruz, CACalifornia | $119.49 | — |
| Santa Maria, CACalifornia | $116.14 | — |
| Santa Rosa, CACalifornia | $120.70 | — |
| Stockton, CACalifornia | $110.74 | — |
| Vallejo, CACalifornia | $128.05 | — |
| Visalia, CACalifornia | $110.74 | — |
| Yuba City, CACalifornia | $110.74 | — |
| ColoradoColorado | $108.77 | — |
| ConnecticutConnecticut | $110.81 | — |
| DelawareDelaware | $103.29 | — |
| Fort Lauderdale, FLFlorida | $106.77 | — |
| Rest of FloridaFlorida | $102.03 | — |
| Atlanta, GAGeorgia | $105.86 | — |
| Rest of GeorgiaGeorgia | $96.77 | — |
| Hawaii, Guam, HIHawaii | $113.30 | — |
| IowaIowa | $96.84 | — |
| IdahoIdaho | $97.36 | — |
| East St. Louis, ILIllinois | $100.44 | — |
| Rest of IllinoisIllinois | $99.03 | — |
| Suburban Chicago, ILIllinois | $107.92 | — |
| KansasKansas | $96.26 | — |
| KentuckyKentucky | $96.00 | — |
| New Orleans, LALouisiana | $100.21 | — |
| Rest of LouisianaLouisiana | $95.79 | — |
| Metropolitan Boston, MAMassachusetts | $119.27 | — |
| Rest of MassachusettsMassachusetts | $108.12 | — |
| Baltimore area, MDMaryland | $110.45 | — |
| Rest of MarylandMaryland | $105.21 | — |
| Rest of MaineMaine | $97.65 | — |
| Southern Maine, MEMaine | $102.82 | — |
| Detroit, MIMichigan | $103.05 | — |
| Rest of MichiganMichigan | $98.16 | — |
| MinnesotaMinnesota | $104.90 | — |
| Metropolitan Kansas City, MOMissouri | $99.74 | — |
| Metropolitan St. Louis, MOMissouri | $100.74 | — |
| Rest of MissouriMissouri | $94.16 | — |
| MississippiMississippi | $93.61 | — |
| MontanaMontana | $104.21 | — |
| North CarolinaNorth Carolina | $98.63 | — |
| North DakotaNorth Dakota | $103.02 | — |
| NebraskaNebraska | $97.38 | — |
| New HampshireNew Hampshire | $106.93 | — |
| Northern New JerseyNew Jersey | $117.82 | — |
| Rest of New JerseyNew Jersey | $112.26 | — |
| New MexicoNew Mexico | $98.60 | — |
| NevadaNevada | $103.95 | — |
| NYC suburbs and Long Island, NYNew York | $121.53 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $112.85 | — |
| Queens, NYNew York | $120.19 | — |
| Rest of New YorkNew York | $99.99 | — |
| OhioOhio | $97.92 | — |
| OklahomaOklahoma | $96.01 | — |
| Portland, OROregon | $112.22 | — |
| Rest of OregonOregon | $103.33 | — |
| Metropolitan Philadelphia, PAPennsylvania | $108.10 | — |
| Rest of PennsylvaniaPennsylvania | $98.16 | — |
| Puerto RicoPuerto Rico | $104.98 | — |
| Rhode IslandRhode Island | $106.95 | — |
| South CarolinaSouth Carolina | $98.40 | — |
| South DakotaSouth Dakota | $102.88 | — |
| TennesseeTennessee | $96.69 | — |
| Austin, TXTexas | $108.25 | — |
| Beaumont, TXTexas | $97.55 | — |
| Brazoria, TXTexas | $103.36 | — |
| Dallas, TXTexas | $103.90 | — |
| Fort Worth, TXTexas | $103.21 | — |
| Galveston, TXTexas | $103.60 | — |
| Houston, TXTexas | $104.69 | — |
| Rest of TexasTexas | $100.32 | — |
| UtahUtah | $99.66 | — |
| VirginiaVirginia | $102.39 | — |
| Virgin Islands, VIUnited States Virgin Islands | $104.98 | — |
| VermontVermont | $102.50 | — |
| Rest of WashingtonWashington | $107.96 | — |
| King County, WAWashington | $121.78 | — |
| WisconsinWisconsin | $99.78 | — |
| West VirginiaWest Virginia | $95.58 | — |
| WyomingWyoming | $103.69 | — |
72255 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.
$93.02
$124.66
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 | $122.89 | 1 |
| AL | $94.28 | 1 |
| AR | $93.02 | 1 |
| AZ | $101.68 | 1 |
| CA | $110.74–$138.59 | 29 |
| CO | $108.77 | 1 |
| CT | $110.81 | 1 |
| DC | $118.94 | 1 |
| DE | $103.29 | 1 |
| FL | $102.03–$110.25 | 3 |
| GA | $96.77–$105.86 | 2 |
| GU | $113.30 | 1 |
| HI | $113.30 | 1 |
| IA | $96.84 | 1 |
| ID | $97.36 | 1 |
| IL | $99.03–$107.92 | 4 |
| IN | $97.89 | 1 |
| KS | $96.26 | 1 |
| KY | $96.00 | 1 |
| LA | $95.79–$100.21 | 2 |
| MA | $108.12–$119.27 | 2 |
| MD | $105.21–$118.94 | 3 |
| ME | $97.65–$102.82 | 2 |
| MI | $98.16–$103.05 | 2 |
| MN | $104.90 | 1 |
| MO | $94.16–$100.74 | 3 |
| MS | $93.61 | 1 |
| MT | $104.21 | 1 |
| NC | $98.63 | 1 |
| ND | $103.02 | 1 |
| NE | $97.38 | 1 |
| NH | $106.93 | 1 |
| NJ | $112.26–$117.82 | 2 |
| NM | $98.60 | 1 |
| NV | $103.95 | 1 |
| NY | $99.99–$121.53 | 5 |
| OH | $97.92 | 1 |
| OK | $96.01 | 1 |
| OR | $103.33–$112.22 | 2 |
| PA | $98.16–$108.10 | 2 |
| PR | $104.98 | 1 |
| RI | $106.95 | 1 |
| SC | $98.40 | 1 |
| SD | $102.88 | 1 |
| TN | $96.69 | 1 |
| TX | $97.55–$108.25 | 8 |
| UT | $99.66 | 1 |
| VA | $102.39–$118.94 | 2 |
| VI | $104.98 | 1 |
| VT | $102.50 | 1 |
| WA | $107.96–$121.78 | 2 |
| WI | $99.78 | 1 |
| WV | $95.58 | 1 |
| WY | $103.69 | 1 |
How the 72255 rate is calculated
Each of 72255’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 · 72255
RVUs × geographic indexes × conversion factor
Work0.89
0.89 RVUs× 1.000 GPCI
Practice expense2.17
2.17 RVUs× 1.000 GPCI
Malpractice0.06
0.06 RVUs× 1.000 GPCI
Adjusted RVUs
3.1200
Conversion factor
$33.4009
Medicare rate
$104.21
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Indiana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,084
- Code
- 72255
- Physician work
- 0.89
- Practice expense
- 2.17
- Malpractice
- 0.06
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.89 | × 1.000 | 0.8900 |
| Practice expense | 2.17 | × 0.927 | 2.0116 |
| Malpractice | 0.06 | × 0.486 | 0.0292 |
| Total RVUs | 2.9308 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Indiana$97.89
Office: (0.89 × 1 + 2.17 × 0.927 + 0.06 × 0.486) × $33.4009 = $97.89
Payment rules and modifiers for 72255
The CMS indicators that decide how 72255 is paid alongside other services.
CMS payment indicators · 72255
Myelography, thoracic spine
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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
72255 without 26 · national office
$104.21
Myelography, thoracic spine
72255-26 · Professional component
$42.09
Pays only the interpretation and report.
How 72255 has changed in Indiana
72255 · Office / nonfacility
$97.89
Effective 2026-10-01
The base rate is $1.46 higher than on 2025-10-01, moving from $96.43 to $97.89 (1.5%).
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
$96.43changed to$97.89
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.91 changed to 0.89
- Practice expense RVU 2.22 changed to 2.17
- Malpractice RVU 0.05 changed to 0.06
- Practice expense GPCI 0.922 changed to 0.927
- Malpractice GPCI 0.485 changed to 0.486
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$100.62changed to$96.43
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.26 changed to 2.22
- Malpractice RVU 0.06 changed to 0.05
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$98.98changed to$100.62
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$112.56changed to$98.98
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.59 changed to 2.26
- Malpractice RVU 0.11 changed to 0.06
- Practice expense GPCI 0.911 changed to 0.922
- Malpractice GPCI 0.475 changed to 0.485
January 1, 2023
RVU23A
$112.19changed to$112.56
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.56 changed to 2.59
- Malpractice RVU 0.06 changed to 0.11
- Practice expense GPCI 0.900 changed to 0.911
- Malpractice GPCI 0.465 changed to 0.475
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$109.85changed to$112.19
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.43 changed to 2.56
- Malpractice RVU 0.11 changed to 0.06
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$106.14changed to$109.85
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.19 changed to 2.43
- Malpractice RVU 0.09 changed to 0.11
- Practice expense GPCI 0.910 changed to 0.900
- Malpractice GPCI 0.422 changed to 0.465
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$99.93changed to$106.14
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.99 changed to 2.19
- Practice expense GPCI 0.919 changed to 0.910
- Malpractice GPCI 0.379 changed to 0.422
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$93.27changed to$99.93
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.80 changed to 1.99
- Malpractice RVU 0.07 changed to 0.09
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$93.67changed to$93.27
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.81 changed to 1.80
- Practice expense GPCI 0.920 changed to 0.919
- Malpractice GPCI 0.498 changed to 0.379
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$92.17changed to$93.67
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.76 changed to 1.81
- Practice expense GPCI 0.921 changed to 0.920
- Malpractice GPCI 0.617 changed to 0.498
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$92.61changed to$92.17
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.77 changed to 1.76
- Malpractice RVU 0.06 changed to 0.07
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$92.15changed to$92.61
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$117.59changed to$92.15
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 2.54 changed to 1.77
- Malpractice RVU 0.05 changed to 0.06
- Practice expense GPCI 0.922 changed to 0.921
- Malpractice GPCI 0.615 changed to 0.617
Held through RVU15B.
January 1, 2014
RVU14A
$117.42changed to$117.59
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 2.72 changed to 2.54
- Practice expense GPCI 0.923 changed to 0.922
- Malpractice GPCI 0.613 changed to 0.615
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $117.42
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $97.89 | Not available in this setting | RVU26D |
| 2026-07-01 | $97.89 | Not available in this setting | RVU26C |
| 2026-04-01 | $97.89 | Not available in this setting | RVU26B |
| 2026-01-01 | $97.89 | Not available in this setting | RVU26A |
| 2025-10-01 | $96.43 | Not available in this setting | RVU25D |
| 2025-07-01 | $96.43 | Not available in this setting | RVU25C |
| 2025-04-01 | $96.43 | Not available in this setting | RVU25B |
| 2025-01-01 | $96.43 | Not available in this setting | RVU25A |
| 2024-10-01 | $100.62 | Not available in this setting | RVU24D |
| 2024-07-01 | $100.62 | Not available in this setting | RVU24C |
| 2024-04-01 | $100.62 | Not available in this setting | RVU24B |
| 2024-03-09 | $100.62 | Not available in this setting | RVU24AR |
| 2024-01-01 | $98.98 | Not available in this setting | RVU24A |
| 2023-10-01 | $112.56 | Not available in this setting | RVU23D |
| 2023-07-01 | $112.56 | Not available in this setting | RVU23C |
| 2023-04-01 | $112.56 | Not available in this setting | RVU23B |
| 2023-01-01 | $112.56 | Not available in this setting | RVU23A |
| 2022-10-01 | $112.19 | Not available in this setting | RVU22D |
| 2022-07-01 | $112.19 | Not available in this setting | RVU22C |
| 2022-04-01 | $112.19 | Not available in this setting | RVU22B |
| 2022-01-01 | $112.19 | Not available in this setting | RVU22A |
| 2021-10-01 | $109.85 | Not available in this setting | RVU21D |
| 2021-07-01 | $109.85 | Not available in this setting | RVU21C |
| 2021-04-01 | $109.85 | Not available in this setting | RVU21B |
| 2021-01-01 | $109.85 | Not available in this setting | RVU21A |
| 2020-10-01 | $106.14 | Not available in this setting | RVU20D |
| 2020-07-01 | $106.14 | Not available in this setting | RVU20C |
| 2020-04-01 | $106.14 | Not available in this setting | RVU20B |
| 2020-01-01 | $106.14 | Not available in this setting | RVU20A |
| 2019-10-01 | $99.93 | Not available in this setting | RVU19D |
| 2019-07-01 | $99.93 | Not available in this setting | RVU19C |
| 2019-04-01 | $99.93 | Not available in this setting | RVU19B |
| 2019-01-01 | $99.93 | Not available in this setting | RVU19A |
| 2018-10-01 | $93.27 | Not available in this setting | RVU18D |
| 2018-07-01 | $93.27 | Not available in this setting | RVU18C |
| 2018-04-01 | $93.27 | Not available in this setting | RVU18B |
| 2018-01-01 | $93.27 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $93.67 | Not available in this setting | RVU17D |
| 2017-07-01 | $93.67 | Not available in this setting | RVU17C |
| 2017-04-01 | $93.67 | Not available in this setting | RVU17B |
| 2017-01-01 | $93.67 | Not available in this setting | RVU17A |
| 2016-10-01 | $92.17 | Not available in this setting | RVU16D |
| 2016-07-01 | $92.17 | Not available in this setting | RVU16C |
| 2016-04-01 | $92.17 | Not available in this setting | RVU16B |
| 2016-01-01 | $92.17 | Not available in this setting | RVU16A |
| 2015-10-01 | $92.61 | Not available in this setting | RVU15D |
| 2015-07-01 | $92.61 | Not available in this setting | RVU15C |
| 2015-04-01 | $92.15 | Not available in this setting | RVU15B |
| 2015-01-01 | $92.15 | Not available in this setting | RVU15A |
| 2014-10-01 | $117.59 | Not available in this setting | RVU14D |
| 2014-07-01 | $117.59 | Not available in this setting | RVU14C |
| 2014-04-01 | $117.59 | Not available in this setting | RVU14B |
| 2014-01-01 | $117.59 | Not available in this setting | RVU14A |
| 2013-10-01 | $117.42 | Not available in this setting | RVU13D |
| 2013-07-01 | $117.42 | Not available in this setting | RVU13C |
| 2013-04-01 | $117.42 | Not available in this setting | RVU13B |
| 2013-01-01 | $117.42 | Not available in this setting | RVU13AR |
Where the Indiana rate applies
Indiana is a Medicare payment area, not a city. Our Census mapping connects it to 974 cities and communities in Indiana. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Abington
- Adams
- Adams Lake
- Advance
- Akron
- Alamo
- Albany
72255 billing questions
When should 72255 be chosen instead of 72270?
Use 72255 for a thoracic-only myelographic examination. Use 72270 when the examination covers two or more spinal regions.
Can the contrast injection be reported separately?
The spinal contrast injection for myelography may be separately reported with 62284 when performed and supported by the record. 72255 represents the thoracic imaging and interpretation service.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and report, or TC for the technical service, including equipment and staff. Without either modifier, 72255 represents the global service.
What documentation supports 72255?
Document the thoracic region examined, the clinical reason for myelography, and the imaging findings in the interpretation. The record should make clear whether the service was professional, technical, or global.
How does 72255 differ from 72265?
72255 is for myelographic imaging of the thoracic spine; 72265 is for the lumbosacral region. Select based on the spinal region examined.
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
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