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CPT code 72295: Discography imaging, lumbar spine2026 Medicare rate & RVUs in Nevada

Lumbar discography imaging interpretation is reported for fluoroscopic assessment of contrast injected into lumbar discs during evaluation of suspected discogenic pain.

CMS RVU26DEffective Oct 1, 2026One payment locality3.5K Medicare services in 2024

In Nevada, Medicare pays $122.06 for 72295 in the office.

$122.06Office (non-facility)
Not available in this settingHospital or facility
−0.2%vs the national office rate ($122.25)

Check a contract rate as a % of Medicare · 72295 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 72295 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 72295 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 72295 covers

This service covers the imaging supervision and physician interpretation of lumbar discography. During the study, contrast is injected into one or more lumbar intervertebral discs and imaging is used to assess disc appearance and the patient's response. Spine specialists or pain physicians commonly perform the injections in a fluoroscopy-equipped procedure suite; the physician interpreting the images documents the findings and their clinical significance.

Report 72295 for the radiological supervision and interpretation, separately from the lumbar discography injection service, commonly coded with 62290. The record should identify the lumbar levels studied, include the imaging and interpretation, and support why discography was performed, such as evaluation of suspected discogenic pain. 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 Nevada compares for 72295

Across 109 of 109 payment localities, the office rate for 72295 runs from $108.25 in Arkansas to $165.79 in San Benito County, CA. Nevada pays $122.06. The RVUs are the same everywhere; the geographic indexes change the dollars.

72295 in Nevada vs other payment areas
  1. Nevada · this page$122.06
  2. Los Angeles, CA · California$139.91+$17.85
  3. Washington, DC area · District of Columbia$140.54+$18.48
  4. Miami, FL · Florida$128.64+$6.58
  5. Chicago, IL · Illinois$125.07+$3.01
  6. Manhattan, NY · New York$140.11+$18.05
  7. Alaska · Alaska$141.10+$19.04

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

Every other payment area

72295 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$109.83—
ArkansasArkansas$108.25—
ArizonaArizona$119.11—
Bakersfield, CACalifornia$131.09—
Chico, CACalifornia$130.91—
El Centro, CACalifornia$130.92—
Fresno, CACalifornia$130.91—
Hanford, CACalifornia$130.91—

72295 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.

$108.25

$148.35

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

View every state and territory as a table
72295 office rate range by state
State / territoryOffice rate rangeLocalities
AK$141.101
AL$109.831
AR$108.251
AZ$119.111
CA$130.91–$165.7929
CO$128.191
CT$130.341
DC$140.541
DE$121.091
FL$118.97–$128.643
GA$112.47–$124.162
GU$134.361
HI$134.361
IA$113.291
ID$113.891
IL$115.05–$126.254
IN$114.561
KS$112.441
KY$111.721
LA$111.42–$116.962
MA$127.30–$141.322
MD$123.50–$140.543
ME$114.13–$120.792
MI$114.33–$120.122
MN$123.781
MO$109.30–$117.763
MS$108.811
MT$122.241
NC$115.381
ND$121.261
NE$114.011
NH$125.871
NJ$132.10–$139.032
NM$114.821
NV$122.061
NY$117.08–$143.095
OH$114.121
OK$111.871
OR$121.38–$132.632
PA$114.49–$126.892
PR$123.251
RI$125.671
SC$114.891
SD$121.141
TN$112.961
TX$113.71–$127.548
UT$116.471
VA$120.17–$140.542
VI$123.251
VT$120.491
WA$127.16–$144.522
WI$117.161
WV$110.721
WY$121.811

See 72295 in every payment locality

How the 72295 rate is calculated

Each of 72295’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 · 72295

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.81

0.81 RVUs× 1.000 GPCI

Practice expense2.80

2.80 RVUs× 1.000 GPCI

Malpractice0.05

0.05 RVUs× 1.000 GPCI

Adjusted RVUs

3.6600

Conversion factor

$33.4009

Medicare rate

$122.25

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

8,096

Code
72295
Physician work
0.81
Practice expense
2.80
Malpractice
0.05

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 72295 in Nevada
ComponentRVULocality factorAdjusted
Physician work0.81× 1.0000.8100
Practice expense2.80× 1.0012.8028
Malpractice0.05× 0.8330.0416
Total RVUs3.6544
Conversion factor× 33.4009

Office rate, Nevada$122.06

Office: (0.81 × 1 + 2.8 × 1.001 + 0.05 × 0.833) × $33.4009 = $122.06

Open 72295 in the RVU calculator

Payment rules and modifiers for 72295

The CMS indicators that decide how 72295 is paid alongside other services.

CMS payment indicators · 72295

Discography imaging, lumbar 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

72295 without 26 · national office

$122.25

Discography imaging, lumbar spine

72295-26 · Professional component

$40.42

Pays only the interpretation and report.

When to use modifier 26

Codes related to 72295

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

Codes related to 72295
CodeHow it relatesOffice range, Nevada
Often billed with
62290Discography, lumbar level injectionLumbar discography injection service commonly reported with the imaging interpretation.$368.90
62291Discography, cervical or thoracicMay accompany a separate cervical or thoracic discography injection during a multiregion study.$336.24
Same family
72285Discography, cervical or thoracicImaging interpretation code for discography in the cervical or thoracic spine.$144.79

How 72295 has changed in Nevada

72295 · Office / nonfacility

$122.06

Effective 2026-10-01

The base rate is $14.92 higher than on 2025-10-01, moving from $107.14 to $122.06 (13.9%).

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

    $107.14changed to$122.06

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.83 changed to 0.81
    • Practice expense RVU 2.44 changed to 2.80
    • 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

    $110.92changed to$107.14

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.46 changed to 2.44

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $109.11changed to$110.92

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $113.01changed to$109.11

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.45 changed to 2.46
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $117.15changed to$113.01

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.47 changed to 2.45
    • Malpractice RVU 0.06 changed to 0.05
    • 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

    $115.68changed to$117.15

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.40 changed to 2.47

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $109.39changed to$115.68

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.13 changed to 2.40
    • 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

    $105.57changed to$109.39

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.00 changed to 2.13
    • Malpractice RVU 0.07 changed to 0.06
    • 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

    $99.96changed to$105.57

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.85 changed to 2.00

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $101.31changed to$99.96

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.86 changed to 1.85
    • 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

    $103.07changed to$101.31

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.88 changed to 1.86
    • 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

    $102.36changed to$103.07

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.87 changed to 1.88
    • Malpractice RVU 0.05 changed to 0.07

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $101.85changed to$102.36

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $105.06changed to$101.85

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.94 changed to 1.87
    • 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

    $109.17changed to$105.06

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.19 changed to 1.94
    • 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$109.17

  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$122.06Not available in this settingRVU26D
2026-07-01$122.06Not available in this settingRVU26C
2026-04-01$122.06Not available in this settingRVU26B
2026-01-01$122.06Not available in this settingRVU26A
2025-10-01$107.14Not available in this settingRVU25D
2025-07-01$107.14Not available in this settingRVU25C
2025-04-01$107.14Not available in this settingRVU25B
2025-01-01$107.14Not available in this settingRVU25A
2024-10-01$110.92Not available in this settingRVU24D
2024-07-01$110.92Not available in this settingRVU24C
2024-04-01$110.92Not available in this settingRVU24B
2024-03-09$110.92Not available in this settingRVU24AR
2024-01-01$109.11Not available in this settingRVU24A
2023-10-01$113.01Not available in this settingRVU23D
2023-07-01$113.01Not available in this settingRVU23C
2023-04-01$113.01Not available in this settingRVU23B
2023-01-01$113.01Not available in this settingRVU23A
2022-10-01$117.15Not available in this settingRVU22D
2022-07-01$117.15Not available in this settingRVU22C
2022-04-01$117.15Not available in this settingRVU22B
2022-01-01$117.15Not available in this settingRVU22A
2021-10-01$115.68Not available in this settingRVU21D
2021-07-01$115.68Not available in this settingRVU21C
2021-04-01$115.68Not available in this settingRVU21B
2021-01-01$115.68Not available in this settingRVU21A
2020-10-01$109.39Not available in this settingRVU20D
2020-07-01$109.39Not available in this settingRVU20C
2020-04-01$109.39Not available in this settingRVU20B
2020-01-01$109.39Not available in this settingRVU20A
2019-10-01$105.57Not available in this settingRVU19D
2019-07-01$105.57Not available in this settingRVU19C
2019-04-01$105.57Not available in this settingRVU19B
2019-01-01$105.57Not available in this settingRVU19A
2018-10-01$99.96Not available in this settingRVU18D
2018-07-01$99.96Not available in this settingRVU18C
2018-04-01$99.96Not available in this settingRVU18B
2018-01-01$99.96Not available in this settingRVU18AR1
2017-10-01$101.31Not available in this settingRVU17D
2017-07-01$101.31Not available in this settingRVU17C
2017-04-01$101.31Not available in this settingRVU17B
2017-01-01$101.31Not available in this settingRVU17A
2016-10-01$103.07Not available in this settingRVU16D
2016-07-01$103.07Not available in this settingRVU16C
2016-04-01$103.07Not available in this settingRVU16B
2016-01-01$103.07Not available in this settingRVU16A
2015-10-01$102.36Not available in this settingRVU15D
2015-07-01$102.36Not available in this settingRVU15C
2015-04-01$101.85Not available in this settingRVU15B
2015-01-01$101.85Not available in this settingRVU15A
2014-10-01$105.06Not available in this settingRVU14D
2014-07-01$105.06Not available in this settingRVU14C
2014-04-01$105.06Not available in this settingRVU14B
2014-01-01$105.06Not available in this settingRVU14A
2013-10-01$109.17Not 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 72295 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

72295 billing questions

How is 72295 different from 72285?

72295 is for interpretation of lumbar discography. 72285 is used when discography evaluates cervical or thoracic discs.

Is the disc injection included in 72295?

No. 72295 covers imaging supervision and interpretation; the lumbar discography injection is separately represented by 62290.

When should modifier 26 or TC be used?

Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. Without either modifier, 72295 represents the global service.

What documentation supports reporting 72295?

Document the lumbar levels examined, the imaging findings, and the physician's interpretation. The record should also support the clinical reason for performing discography.

Should 72295 be reported once for each disc injected?

The injection code 62290 accounts for lumbar discography injections by level. Do not treat 72295 as a per-level injection code; it represents the radiological supervision and interpretation.

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 72295PPRRVU2026_Oct_nonQPP.csv, line 8,096 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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