Billing code 72082: Spine X-rayMedicare rate & RVUs

Reports radiographic imaging of the entire spine using two or three views, commonly to assess spinal alignment or deformity across multiple regions.

CMS RVU26DEffective Oct 1, 2026109 payment localities111.4K Medicare services in 2024

Medicare pays $71.81 for 72082 nationally in the office. Local office rates run $62.75–$99.32.

Medicare rate · 72082

Spine X-ray

Work RVUs
0.3
Total RVUs
2.15
Global days
XXX

National rate · 2026

$71.81

Office setting, before claim adjustments.

See every locality for 72082 →Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 72082 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 72082 covers

This service covers radiographs of the entire spine, with two or three views obtained to assess alignment across the spinal regions. It is commonly used when evaluating scoliosis, spinal curvature, or other alignment concerns that require imaging beyond a single spinal region. Imaging staff acquire the views, and a physician—often a radiologist or spine specialist—interprets the study. The service may be performed in an office imaging department or a hospital setting.

Select this code when the documented study covers the entire spine and includes two or three views. The imaging report and order should support the anatomic extent and view count; a study limited to the thoracolumbar region or a single spinal region points to a different code. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for equipment and staff, or neither modifier for the global service. The interpretation documentation should support the physician’s findings for the submitted study.

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.

Where 72082 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$62.75 to $99.32

$62.75$81.03$99.32
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

72082 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$63.78Unavailable
Alaska*$80.32Unavailable
Arizona$69.78Unavailable
Arkansas$62.75Unavailable
Atlanta$73.02Unavailable
Austin$75.24Unavailable
Bakersfield$77.45Unavailable
Baltimore/Surr. Cntys$76.65Unavailable
Beaumont$66.27Unavailable
Brazoria$71.12Unavailable

72082 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.

$62.75

$88.34

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

View every state and territory as a table
72082 office rate range by state
State / territoryOffice rate rangeLocalities
AK$80.321
AL$63.781
AR$62.751
AZ$69.781
CA$77.35–$99.3229
CO$75.601
CT$76.901
DC$83.291
DE$71.031
FL$69.64–$75.843
GA$65.44–$73.022
GU$79.721
HI$79.721
IA$66.041
ID$66.421
IL$67.09–$74.304
IN$66.861
KS$65.481
KY$64.981
LA$64.78–$68.362
MA$74.99–$83.912
MD$72.56–$83.293
ME$66.57–$70.902
MI$66.65–$70.372
MN$72.871
MO$63.40–$68.903
MS$63.101
MT$71.811
NC$67.381
ND$71.221
NE$66.511
NH$74.181
NJ$77.90–$82.242
NM$66.971
NV$71.711
NY$68.47–$84.805
OH$66.531
OK$65.081
OR$71.27–$78.462
PA$66.77–$74.682
PR$72.471
RI$73.901
SC$67.041
SD$71.151
TN$65.821
TX$66.27–$75.248
UT$68.061
VA$70.48–$83.292
VI$72.471
VT$70.711
WA$74.92–$85.932
WI$68.571
WV$64.281
WY$71.551

How the 72082 rate is calculated

Each of 72082’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 · 72082

RVUs × geographic indexes × conversion factor

Work0.30

0.30 RVUs× 1.000 GPCI

Practice expense1.82

1.82 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

2.1500

Conversion factor

$33.4009

Medicare rate

$71.81

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

Payment rules and modifiers for 72082

The CMS indicators that decide how 72082 is paid alongside other services.

CMS payment indicators · 72082

Spine X-ray

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

72082 without 26 · national office

$71.81

Spine X-ray

72082-26 · Professional component

$15.03

Pays only the interpretation and report.

When to use modifier 26

72082 compared with similar codes

Compare codes · National

4 codes, side by side

  • 72082

    Spine X-ray0.3 wRVU

    $71.81

  • 72081

    Spine X-ray0.25 wRVU

    $44.09−$27.72

  • 72083

    Spine X-ray0.34 wRVU

    $79.83+$8.02

  • 72080

    Spine X-ray0.2 wRVU

    $35.07−$36.74

How to choose

72081Spine X-ray
Choose 72081 for an entire-spine study consisting of one view; 72082 requires two or three views.
72083Spine X-ray
Choose 72083 when the entire-spine study has four or five views. Two or three views support 72082.
72080Spine X-ray
72080 describes imaging of the thoracolumbar region; 72082 is for a study covering the entire spine with two or three views.

72082 billing questions

How does this differ from 72081 or 72083?

All three describe imaging of the entire spine, but the view count distinguishes them: 72081 is for one view, 72082 for two or three, and 72083 for four or five.

When should 72080 be used instead?

Use 72080 when the radiographic exam covers the thoracolumbar region rather than the entire spine. The documented anatomic coverage, not the reason for imaging alone, guides the choice.

How are the professional and technical portions reported?

Report modifier 26 for the physician’s interpretation and modifier TC for the technical service. Submit without either modifier when billing the global service.

What documentation supports this code?

The order and imaging report should establish that the study covers the entire spine and includes two or three views. The report should also document the interpreting physician’s findings.

Can a scoliosis evaluation support 72082?

Yes, when the radiographs cover the entire spine and the study consists of two or three views. A scoliosis diagnosis alone does not establish the required coverage or view count.

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 72082PPRRVU2026_Oct_nonQPP.csv, line 7,964 (RVU26D)

Open CMS sourceHow we calculate rates

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