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CPT code 72270: Myelography, two or more spine regions2026 Medicare rate & RVUs in Puerto Rico

Report this radiology service for a contrast myelographic examination that evaluates two or more spinal regions, such as cervical and thoracic levels.

CMS RVU26DEffective Oct 1, 2026One payment locality177 Medicare services in 2024

In Puerto Rico, Medicare pays $134.53 for 72270 in the office.

$134.53Office (non-facility)
Not available in this settingHospital or facility
+0.7%vs the national office rate ($133.60)

Check a contract rate as a % of Medicare · 72270 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 72270 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 72270 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 72270 covers

A multi-region myelogram uses contrast introduced into the spinal canal to outline the thecal sac and nerve-root structures, with imaging of at least two spinal regions. A radiologist commonly supervises the examination and interprets the images in a hospital or imaging center; the study may help evaluate suspected canal narrowing, nerve-root compression, or other spinal abnormalities when myelography is indicated. For example, imaging may cover cervical and thoracic regions during the same examination.

Select this code when the documented myelographic study covers two or more spinal regions, rather than choosing a single-region myelography code for each region. The report should identify the regions examined and support the medical reason for the study. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for the equipment and staff portion, or neither modifier when billing the global service. The lumbar contrast-injection service may be separately reported when performed and supported by the record.

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 Puerto Rico compares for 72270

Across 109 of 109 payment localities, the office rate for 72270 runs from $119.97 in Arkansas to $175.82 in San Benito County, CA. Puerto Rico pays $134.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

72270 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$134.53
  2. Los Angeles, CA · California$150.50+$15.97
  3. Washington, DC area · District of Columbia$151.83+$17.30
  4. Miami, FL · Florida$141.28+$6.75
  5. Chicago, IL · Illinois$137.81+$3.28
  6. Manhattan, NY · New York$152.13+$17.60
  7. Alaska · Alaska$159.80+$25.27

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

Every other payment area

72270 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$121.51—
ArkansasArkansas$119.97—
ArizonaArizona$130.51—
Bakersfield, CACalifornia$141.78—
Chico, CACalifornia$141.50—
El Centro, CACalifornia$141.52—
Fresno, CACalifornia$141.50—
Hanford, CACalifornia$141.50—

72270 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.

$119.97

$159.80

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

View every state and territory as a table
72270 office rate range by state
State / territoryOffice rate rangeLocalities
AK$159.801
AL$121.511
AR$119.971
AZ$130.511
CA$141.50–$175.8229
CO$139.141
CT$141.771
DC$151.831
DE$132.501
FL$131.10–$141.283
GA$124.67–$135.672
GU$144.471
HI$144.471
IA$124.551
ID$125.191
IL$127.49–$138.334
IN$125.841
KS$123.881
KY$123.661
LA$123.43–$128.802
MA$138.39–$152.072
MD$134.87–$151.833
ME$125.59–$131.832
MI$126.33–$132.372
MN$134.261
MO$121.46–$129.413
MS$120.741
MT$133.601
NC$126.781
ND$132.021
NE$125.201
NH$136.861
NJ$143.65–$150.522
NM$126.881
NV$133.241
NY$128.43–$155.215
OH$126.011
OK$123.641
OR$132.46–$143.332
PA$126.28–$138.492
PR$134.531
RI$137.031
SC$126.551
SD$131.831
TN$124.401
TX$125.54–$138.468
UT$128.081
VA$131.33–$151.832
VI$134.531
VT$131.411
WA$138.17–$155.152
WI$128.081
WV$123.291
WY$132.911

See 72270 in every payment locality

How the 72270 rate is calculated

Each of 72270’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 · 72270

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.30

1.30 RVUs× 1.000 GPCI

Practice expense2.62

2.62 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

4.0000

Conversion factor

$33.4009

Medicare rate

$133.60

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

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,090

Code
72270
Physician work
1.30
Practice expense
2.62
Malpractice
0.08

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 72270 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.30× 1.0001.3000
Practice expense2.62× 1.0112.6488
Malpractice0.08× 0.9850.0788
Total RVUs4.0276
Conversion factor× 33.4009

Office rate, Puerto Rico$134.53

Office: (1.3 × 1 + 2.62 × 1.011 + 0.08 × 0.985) × $33.4009 = $134.53

Open 72270 in the RVU calculator

Payment rules and modifiers for 72270

The CMS indicators that decide how 72270 is paid alongside other services.

CMS payment indicators · 72270

Myelography, two or more spine regions

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

72270 without 26 · national office

$133.60

Myelography, two or more spine regions

72270-26 · Professional component

$60.12

Pays only the interpretation and report.

When to use modifier 26

Codes related to 72270

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

Codes related to 72270
CodeHow it relatesOffice range, Puerto Rico
Same family
72240Myelography, cervical spineSingle-region myelography code for a cervical examination.$112.74
72255Myelography, thoracic spineSingle-region myelography code for a thoracic examination.$104.98
72265Myelography, lumbar or lumbosacral regionSingle-region myelography code for a lumbosacral examination.$111.09
Often billed with
62284Myelogram injection, spinal, excluding C1-C2Lumbar injection service that may accompany the myelographic imaging.$181.32
72132Spine CT, lumbar, with contrastLumbar CT with contrast may be performed after myelography as a separate imaging service.$170.01

How 72270 has changed in Puerto Rico

72270 · Office / nonfacility

$134.53

Effective 2026-10-01

The base rate is $13.27 lower than on 2025-10-01, moving from $147.80 to $134.53 (9.0%).

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

    $147.80changed to$134.53

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.33 changed to 1.30
    • Practice expense RVU 3.09 changed to 2.62
    • Malpractice RVU 0.13 changed to 0.08
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $153.14changed to$147.80

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.16 changed to 3.09
    • Malpractice RVU 0.09 changed to 0.13

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $150.64changed to$153.14

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $168.32changed to$150.64

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.53 changed to 3.16
    • Malpractice RVU 0.08 changed to 0.09
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $167.40changed to$168.32

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $174.32changed to$167.40

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.58 changed to 3.53
    • Malpractice RVU 0.10 changed to 0.08
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $152.22changed to$174.32

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.94 changed to 3.58
    • Malpractice RVU 0.07 changed to 0.10

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $145.08changed to$152.22

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.60 changed to 2.94
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $138.24changed to$145.08

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.40 changed to 2.60
    • Malpractice RVU 0.09 changed to 0.07
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $130.84changed to$138.24

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.20 changed to 2.40

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $116.78changed to$130.84

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.18 changed to 2.20
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $103.09changed to$116.78

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.16 changed to 2.18
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $103.35changed to$103.09

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.08 changed to 0.09

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $102.84changed to$103.35

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $151.79changed to$102.84

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.17 changed to 2.16
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $149.50changed to$151.79

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.49 changed to 4.17
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $149.50

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$134.53Not available in this settingRVU26D
2026-07-01$134.53Not available in this settingRVU26C
2026-04-01$134.53Not available in this settingRVU26B
2026-01-01$134.53Not available in this settingRVU26A
2025-10-01$147.80Not available in this settingRVU25D
2025-07-01$147.80Not available in this settingRVU25C
2025-04-01$147.80Not available in this settingRVU25B
2025-01-01$147.80Not available in this settingRVU25A
2024-10-01$153.14Not available in this settingRVU24D
2024-07-01$153.14Not available in this settingRVU24C
2024-04-01$153.14Not available in this settingRVU24B
2024-03-09$153.14Not available in this settingRVU24AR
2024-01-01$150.64Not available in this settingRVU24A
2023-10-01$168.32Not available in this settingRVU23D
2023-07-01$167.40Not available in this settingRVU23C
2023-04-01$167.40Not available in this settingRVU23B
2023-01-01$167.40Not available in this settingRVU23A
2022-10-01$174.32Not available in this settingRVU22D
2022-07-01$174.32Not available in this settingRVU22C
2022-04-01$174.32Not available in this settingRVU22B
2022-01-01$174.32Not available in this settingRVU22A
2021-10-01$152.22Not available in this settingRVU21D
2021-07-01$152.22Not available in this settingRVU21C
2021-04-01$152.22Not available in this settingRVU21B
2021-01-01$152.22Not available in this settingRVU21A
2020-10-01$145.08Not available in this settingRVU20D
2020-07-01$145.08Not available in this settingRVU20C
2020-04-01$145.08Not available in this settingRVU20B
2020-01-01$145.08Not available in this settingRVU20A
2019-10-01$138.24Not available in this settingRVU19D
2019-07-01$138.24Not available in this settingRVU19C
2019-04-01$138.24Not available in this settingRVU19B
2019-01-01$138.24Not available in this settingRVU19A
2018-10-01$130.84Not available in this settingRVU18D
2018-07-01$130.84Not available in this settingRVU18C
2018-04-01$130.84Not available in this settingRVU18B
2018-01-01$130.84Not available in this settingRVU18AR1
2017-10-01$116.78Not available in this settingRVU17D
2017-07-01$116.78Not available in this settingRVU17C
2017-04-01$116.78Not available in this settingRVU17B
2017-01-01$116.78Not available in this settingRVU17A
2016-10-01$103.09Not available in this settingRVU16D
2016-07-01$103.09Not available in this settingRVU16C
2016-04-01$103.09Not available in this settingRVU16B
2016-01-01$103.09Not available in this settingRVU16A
2015-10-01$103.35Not available in this settingRVU15D
2015-07-01$103.35Not available in this settingRVU15C
2015-04-01$102.84Not available in this settingRVU15B
2015-01-01$102.84Not available in this settingRVU15A
2014-10-01$151.79Not available in this settingRVU14D
2014-07-01$151.79Not available in this settingRVU14C
2014-04-01$151.79Not available in this settingRVU14B
2014-01-01$151.79Not available in this settingRVU14A
2013-10-01$149.50Not available in this settingRVU13D
2013-07-01$149.50Not available in this settingRVU13C
2013-04-01$149.50Not available in this settingRVU13B
2013-01-01$149.50Not available in this settingRVU13AR

Price 72270 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

72270 billing questions

When should this code be chosen instead of a single-region myelography code?

Use it when the documented myelographic examination covers at least two spinal regions. A study limited to cervical, thoracic, or lumbosacral anatomy is represented by the corresponding single-region code.

Can the contrast injection be reported separately?

A separately performed lumbar injection for myelography may be reported with 62284. The record should support the injection service as well as the multi-region imaging and interpretation.

Which modifier identifies the radiologist's interpretation?

Append modifier 26 for the professional interpretation. Modifier TC identifies the technical portion; billing without either modifier represents the global service.

What documentation supports reporting the multi-region service?

Document the spinal regions examined, the myelographic imaging performed, and the findings or interpretation. The record should show that the examination included at least two regions.

Can a CT examination follow the myelogram on the same date?

Yes. A CT examination, such as lumbar spine CT with contrast, may follow a myelogram to assess the anatomy, and is reported when that separate service is performed and documented.

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 72270PPRRVU2026_Oct_nonQPP.csv, line 8,090 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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