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CPT code 72255: Myelography, thoracic spine2026 Medicare rate & RVUs in Brazoria, TX

Report thoracic spine myelography imaging when intrathecal contrast is used to assess the thoracic spinal canal, cord, or nerve roots.

CMS RVU26DEffective Oct 1, 2026One payment locality83 Medicare services in 2024

In Brazoria, TX, Medicare pays $103.36 for 72255 in the office.

$103.36Office (non-facility)
Not available in this settingHospital or facility
−0.8%vs the national office rate ($104.21)

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.

We’ll open 72255 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Brazoria, TX
  2. What 72255 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 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 Brazoria, TX 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. Brazoria, TX pays $103.36. The RVUs are the same everywhere; the geographic indexes change the dollars.

72255 in Brazoria, TX vs other payment areas
  1. Brazoria, TX · this page$103.36
  2. Austin, TX · Texas$108.25+$4.89
  3. Beaumont, TX · Texas$97.55−$5.81
  4. Dallas, TX · Texas$103.90+$0.54
  5. Fort Worth, TX · Texas$103.21−$0.15
  6. Galveston, TX · Texas$103.60+$0.24
  7. Houston, TX · Texas$104.69+$1.33

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

Every other payment area

72255 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$100.32—
Los Angeles, CACalifornia$118.02—
Washington, DC areaDistrict of Columbia$118.94—
Miami, FLFlorida$110.25—
Chicago, ILIllinois$107.38—
Manhattan, NYNew York$119.03—
AlaskaAlaska$122.89—
AlabamaAlabama$94.28—

72255 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
72255 office rate range by state
State / territoryOffice rate rangeLocalities
AK$122.891
AL$94.281
AR$93.021
AZ$101.681
CA$110.74–$138.5929
CO$108.771
CT$110.811
DC$118.941
DE$103.291
FL$102.03–$110.253
GA$96.77–$105.862
GU$113.301
HI$113.301
IA$96.841
ID$97.361
IL$99.03–$107.924
IN$97.891
KS$96.261
KY$96.001
LA$95.79–$100.212
MA$108.12–$119.272
MD$105.21–$118.943
ME$97.65–$102.822
MI$98.16–$103.052
MN$104.901
MO$94.16–$100.743
MS$93.611
MT$104.211
NC$98.631
ND$103.021
NE$97.381
NH$106.931
NJ$112.26–$117.822
NM$98.601
NV$103.951
NY$99.99–$121.535
OH$97.921
OK$96.011
OR$103.33–$112.222
PA$98.16–$108.102
PR$104.981
RI$106.951
SC$98.401
SD$102.881
TN$96.691
TX$97.55–$108.258
UT$99.661
VA$102.39–$118.942
VI$104.981
VT$102.501
WA$107.96–$121.782
WI$99.781
WV$95.581
WY$103.691

See 72255 in every payment locality

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

Office or facility?

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 Brazoria, TX 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

98

Locality
Brazoria, TX
Physician work
1.008
Practice expense
0.991
Malpractice
0.780
Office calculation for 72255 in Brazoria, TX
ComponentRVULocality factorAdjusted
Physician work0.89× 1.0080.8971
Practice expense2.17× 0.9912.1505
Malpractice0.06× 0.7800.0468
Total RVUs3.0944
Conversion factor× 33.4009

Office rate, Brazoria, TX$103.36

Office: (0.89 × 1.008 + 2.17 × 0.991 + 0.06 × 0.78) × $33.4009 = $103.36

Open 72255 in the RVU calculator

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

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

72255 without 26 · national office

$104.21

Myelography, thoracic spine

72255-26 · Professional component

$42.09

Pays only the interpretation and report.

When to use modifier 26

Codes related to 72255

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

Codes related to 72255
CodeHow it relatesOffice range, Brazoria, TX
Often billed with
62284Myelogram injection, spinal, excluding C1-C2Reports spinal contrast injection for myelography when separately performed and documented.$178.13
Same family
72240Myelography, cervical spineMyelographic imaging code for the cervical spine.$110.90
72265Myelography, lumbar or lumbosacral regionMyelographic imaging code for the lumbosacral region.$109.27
72270Myelography, two or more spine regionsUsed for myelographic imaging covering two or more spinal regions.$132.58

How 72255 has changed in Brazoria, TX

72255 · Office / nonfacility

$103.36

Effective 2026-10-01

The base rate is $0.01 lower than on 2025-10-01, moving from $103.37 to $103.36 (0.0%).

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

    $103.37changed to$103.36

    • 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
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.006 changed to 0.991
    • Malpractice GPCI 0.795 changed to 0.780

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $107.98changed to$103.37

    • 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.

  3. March 9, 2024

    RVU24AR

    $106.22changed to$107.98

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $123.05changed to$106.22

    • 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
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.014 changed to 1.006
    • Malpractice GPCI 0.673 changed to 0.795

  5. January 1, 2023

    RVU23A

    $124.27changed to$123.05

    • 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
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.023 changed to 1.014
    • Malpractice GPCI 0.550 changed to 0.673

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $121.62changed to$124.27

    • 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.

  7. January 1, 2021

    RVU21A

    $115.78changed to$121.62

    • 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
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.010 changed to 1.023
    • Malpractice GPCI 0.695 changed to 0.550

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $107.68changed to$115.78

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.99 changed to 2.19
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 0.997 changed to 1.010
    • Malpractice GPCI 0.839 changed to 0.695

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $100.13changed to$107.68

    • 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.

  10. January 1, 2018

    RVU18AR1

    $100.13changed to$100.13

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.81 changed to 1.80
    • Practice expense GPCI 0.994 changed to 0.997
    • Malpractice GPCI 0.897 changed to 0.839

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $97.98changed to$100.13

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.76 changed to 1.81
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 0.990 changed to 0.994
    • Malpractice GPCI 0.955 changed to 0.897

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $98.35changed to$97.98

    • 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.

  13. July 1, 2015

    RVU15C

    $97.86changed to$98.35

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $124.73changed to$97.86

    • 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
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 0.989 changed to 0.990
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $124.15changed to$124.73

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.72 changed to 2.54
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 0.987 changed to 0.989
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $124.15

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$103.36Not available in this settingRVU26D
2026-07-01$103.36Not available in this settingRVU26C
2026-04-01$103.36Not available in this settingRVU26B
2026-01-01$103.36Not available in this settingRVU26A
2025-10-01$103.37Not available in this settingRVU25D
2025-07-01$103.37Not available in this settingRVU25C
2025-04-01$103.37Not available in this settingRVU25B
2025-01-01$103.37Not available in this settingRVU25A
2024-10-01$107.98Not available in this settingRVU24D
2024-07-01$107.98Not available in this settingRVU24C
2024-04-01$107.98Not available in this settingRVU24B
2024-03-09$107.98Not available in this settingRVU24AR
2024-01-01$106.22Not available in this settingRVU24A
2023-10-01$123.05Not available in this settingRVU23D
2023-07-01$123.05Not available in this settingRVU23C
2023-04-01$123.05Not available in this settingRVU23B
2023-01-01$123.05Not available in this settingRVU23A
2022-10-01$124.27Not available in this settingRVU22D
2022-07-01$124.27Not available in this settingRVU22C
2022-04-01$124.27Not available in this settingRVU22B
2022-01-01$124.27Not available in this settingRVU22A
2021-10-01$121.62Not available in this settingRVU21D
2021-07-01$121.62Not available in this settingRVU21C
2021-04-01$121.62Not available in this settingRVU21B
2021-01-01$121.62Not available in this settingRVU21A
2020-10-01$115.78Not available in this settingRVU20D
2020-07-01$115.78Not available in this settingRVU20C
2020-04-01$115.78Not available in this settingRVU20B
2020-01-01$115.78Not available in this settingRVU20A
2019-10-01$107.68Not available in this settingRVU19D
2019-07-01$107.68Not available in this settingRVU19C
2019-04-01$107.68Not available in this settingRVU19B
2019-01-01$107.68Not available in this settingRVU19A
2018-10-01$100.13Not available in this settingRVU18D
2018-07-01$100.13Not available in this settingRVU18C
2018-04-01$100.13Not available in this settingRVU18B
2018-01-01$100.13Not available in this settingRVU18AR1
2017-10-01$100.13Not available in this settingRVU17D
2017-07-01$100.13Not available in this settingRVU17C
2017-04-01$100.13Not available in this settingRVU17B
2017-01-01$100.13Not available in this settingRVU17A
2016-10-01$97.98Not available in this settingRVU16D
2016-07-01$97.98Not available in this settingRVU16C
2016-04-01$97.98Not available in this settingRVU16B
2016-01-01$97.98Not available in this settingRVU16A
2015-10-01$98.35Not available in this settingRVU15D
2015-07-01$98.35Not available in this settingRVU15C
2015-04-01$97.86Not available in this settingRVU15B
2015-01-01$97.86Not available in this settingRVU15A
2014-10-01$124.73Not available in this settingRVU14D
2014-07-01$124.73Not available in this settingRVU14C
2014-04-01$124.73Not available in this settingRVU14B
2014-01-01$124.73Not available in this settingRVU14A
2013-10-01$124.15Not available in this settingRVU13D
2013-07-01$124.15Not available in this settingRVU13C
2013-04-01$124.15Not available in this settingRVU13B
2013-01-01$124.15Not available in this settingRVU13AR

Price 72255 for an earlier date of service

Where the Brazoria, TX rate applies

Brazoria, TX is a Medicare payment area, not a city. Our Census mapping connects it to 28 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

  • Brazoria
  • Alvin
  • Angleton
  • Bailey's Prairie
  • Bonney
  • Brookside Village
  • Clute
  • Damon

Browse all communities in Texas

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
RVUs for 72255PPRRVU2026_Oct_nonQPP.csv, line 8,084 (RVU26D)
Geographic factors for Brazoria, TXGPCI2026.csv, line 98 (RVU26D)

Open CMS sourceHow we calculate rates

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