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CMS RVU26D · Effective 2026-10-01

72202 in Beaumont

Office / nonfacility

$35.93

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Radiology

About 72202: Sacroiliac joint X-ray, three or more views

Reports radiographic evaluation of the sacroiliac joints when the examination includes at least three views, such as for suspected joint inflammation or structural change.

This examination uses X-rays to assess the sacroiliac joints, where the sacrum meets the ilium. Clinicians may order it when evaluating persistent low-back or buttock pain, suspected sacroiliitis, or changes associated with inflammatory disease. A radiologic technologist obtains the images in an outpatient imaging center, hospital department, or office with radiography equipment; a physician, commonly a radiologist, interprets the study and documents the findings.

Select this code when the documented examination contains three or more views of the sacroiliac joints. The report and image record should support the anatomy examined and the number of views; do not select it based only on the suspected diagnosis. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for the equipment and staff, or neither modifier when billing the global service. The professional and technical portions may be separately priced under CMS data.

CMS billing rules for 72202

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.

Where the value comes from

  • Work RVU0.22 · 19%
  • Practice expense (office) RVU0.92 · 79%
  • Malpractice RVU0.02 · 2%

44.8K

Medicare services in 2024 · #824 by national volume

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.

72202 compared with similar codes

Office rates for Beaumont, from the same CMS release.

72200

SI joint X-ray

Fewer than three views

$31.22

Both codes examine the sacroiliac joints. Use 72202 for three or more views and 72200 for the lower view-count study.

72220

Sacrum X-ray

Sacrum and coccyx

$29.70

This code targets the sacrum and coccyx rather than the sacroiliac joints. Select based on the anatomy actually imaged.

72100

Lumbar spine X-ray

Two or three views

$37.42

This code reports lumbar spine radiographs, not a dedicated sacroiliac joint examination. A separate study may be appropriate when both regions are imaged and interpreted.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 72202 is $40.47—$4.54 higher than the $35.93 rate in Beaumont. Both use the same code, release and participation basis.

72202 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $35.93

  2. Austin

    $40.47

    $4.54 higher than Beaumont

  3. Brazoria

    $38.38

    $2.45 higher than Beaumont

  4. Dallas

    $38.59

    $2.66 higher than Beaumont

  5. Fort Worth

    $38.29

    $2.36 higher than Beaumont

  6. Galveston

    $38.47

    $2.54 higher than Beaumont

  7. Houston

    $38.84

    $2.91 higher than Beaumont

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 72202 ranges from $34.09 in Arkansas to $52.83 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 72202

    Office

    $37.11

    Facility

    Unavailable

    $1.18 higher than Beaumont for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 72202

    Office

    $44.45

    Facility

    Unavailable

    $8.52 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 72202

    Office

    $44.69

    Facility

    Unavailable

    $8.76 higher than Beaumont for the office setting.

  • Miami

    Florida · 72202

    Office

    $41.03

    Facility

    Unavailable

    $5.10 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 72202

    Office

    $39.82

    Facility

    Unavailable

    $3.89 higher than Beaumont for the office setting.

  • Manhattan

    New York · 72202

    Office

    $44.58

    Facility

    Unavailable

    $8.65 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 72202

    Office

    $44.12

    Facility

    Unavailable

    $8.19 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 72202

    Office

    $34.61

    Facility

    Unavailable

    $1.32 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 72202

    Office

    $34.09

    Facility

    Unavailable

    $1.84 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 72202

    Office

    $37.70

    Facility

    Unavailable

    $1.77 higher than Beaumont for the office setting.

  • Bakersfield

    California · 72202

    Office

    $41.57

    Facility

    Unavailable

    $5.64 higher than Beaumont for the office setting.

  • Chico

    California · 72202

    Office

    $41.51

    Facility

    Unavailable

    $5.58 higher than Beaumont for the office setting.

  • El Centro

    California · 72202

    Office

    $41.51

    Facility

    Unavailable

    $5.58 higher than Beaumont for the office setting.

  • Fresno

    California · 72202

    Office

    $41.51

    Facility

    Unavailable

    $5.58 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 72202

    Office

    $41.51

    Facility

    Unavailable

    $5.58 higher than Beaumont for the office setting.

  • Madera

    California · 72202

    Office

    $41.51

    Facility

    Unavailable

    $5.58 higher than Beaumont for the office setting.

  • Merced

    California · 72202

    Office

    $41.51

    Facility

    Unavailable

    $5.58 higher than Beaumont for the office setting.

  • Modesto

    California · 72202

    Office

    $41.51

    Facility

    Unavailable

    $5.58 higher than Beaumont for the office setting.

  • Napa

    California · 72202

    Office

    $48.65

    Facility

    Unavailable

    $12.72 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 72202

    Office

    $44.29

    Facility

    Unavailable

    $8.36 higher than Beaumont for the office setting.

  • Redding

    California · 72202

    Office

    $41.51

    Facility

    Unavailable

    $5.58 higher than Beaumont for the office setting.

  • Rest Of California

    California · 72202

    Office

    $41.51

    Facility

    Unavailable

    $5.58 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 72202

    Office

    $41.73

    Facility

    Unavailable

    $5.80 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 72202

    Office

    $43.71

    Facility

    Unavailable

    $7.78 higher than Beaumont for the office setting.

  • Salinas

    California · 72202

    Office

    $43.55

    Facility

    Unavailable

    $7.62 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 72202

    Office

    $44.68

    Facility

    Unavailable

    $8.75 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 72202

    Office

    $51.68

    Facility

    Unavailable

    $15.75 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 72202

    Office

    $51.66

    Facility

    Unavailable

    $15.73 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 72202

    Office

    $52.83

    Facility

    Unavailable

    $16.90 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 72202

    Office

    $52.73

    Facility

    Unavailable

    $16.80 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 72202

    Office

    $42.83

    Facility

    Unavailable

    $6.90 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 72202

    Office

    $45.20

    Facility

    Unavailable

    $9.27 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 72202

    Office

    $43.74

    Facility

    Unavailable

    $7.81 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 72202

    Office

    $45.66

    Facility

    Unavailable

    $9.73 higher than Beaumont for the office setting.

  • Stockton

    California · 72202

    Office

    $41.51

    Facility

    Unavailable

    $5.58 higher than Beaumont for the office setting.

  • Vallejo

    California · 72202

    Office

    $48.62

    Facility

    Unavailable

    $12.69 higher than Beaumont for the office setting.

  • Visalia

    California · 72202

    Office

    $41.51

    Facility

    Unavailable

    $5.58 higher than Beaumont for the office setting.

  • Yuba City

    California · 72202

    Office

    $41.51

    Facility

    Unavailable

    $5.58 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 72202

    Office

    $40.65

    Facility

    Unavailable

    $4.72 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 72202

    Office

    $41.40

    Facility

    Unavailable

    $5.47 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 72202

    Office

    $38.35

    Facility

    Unavailable

    $2.42 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 72202

    Office

    $39.68

    Facility

    Unavailable

    $3.75 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 72202

    Office

    $37.73

    Facility

    Unavailable

    $1.80 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 72202

    Office

    $39.39

    Facility

    Unavailable

    $3.46 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 72202

    Office

    $35.55

    Facility

    Unavailable

    $0.38 lower than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 72202

    Office

    $42.67

    Facility

    Unavailable

    $6.74 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 72202

    Office

    $35.73

    Facility

    Unavailable

    $0.20 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 72202

    Office

    $35.93

    Facility

    Unavailable

    The same base rate than Beaumont for the office setting.

  • East St. Louis

    Illinois · 72202

    Office

    $36.96

    Facility

    Unavailable

    $1.03 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 72202

    Office

    $36.45

    Facility

    Unavailable

    $0.52 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 72202

    Office

    $40.14

    Facility

    Unavailable

    $4.21 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 72202

    Office

    $36.16

    Facility

    Unavailable

    $0.23 higher than Beaumont for the office setting.

  • Kansas

    Kansas · 72202

    Office

    $35.46

    Facility

    Unavailable

    $0.47 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 72202

    Office

    $35.28

    Facility

    Unavailable

    $0.65 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 72202

    Office

    $37.02

    Facility

    Unavailable

    $1.09 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 72202

    Office

    $35.18

    Facility

    Unavailable

    $0.75 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 72202

    Office

    $44.93

    Facility

    Unavailable

    $9.00 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 72202

    Office

    $40.36

    Facility

    Unavailable

    $4.43 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 72202

    Office

    $41.26

    Facility

    Unavailable

    $5.33 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 72202

    Office

    $39.13

    Facility

    Unavailable

    $3.20 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 72202

    Office

    $36.03

    Facility

    Unavailable

    $0.10 higher than Beaumont for the office setting.

  • Southern Maine

    Maine · 72202

    Office

    $38.22

    Facility

    Unavailable

    $2.29 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 72202

    Office

    $38.13

    Facility

    Unavailable

    $2.20 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 72202

    Office

    $36.16

    Facility

    Unavailable

    $0.23 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 72202

    Office

    $39.17

    Facility

    Unavailable

    $3.24 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 72202

    Office

    $36.86

    Facility

    Unavailable

    $0.93 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 72202

    Office

    $37.27

    Facility

    Unavailable

    $1.34 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 72202

    Office

    $34.49

    Facility

    Unavailable

    $1.44 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 72202

    Office

    $34.30

    Facility

    Unavailable

    $1.63 lower than Beaumont for the office setting.

  • Montana**

    Montana · 72202

    Office

    $38.74

    Facility

    Unavailable

    $2.81 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 72202

    Office

    $36.45

    Facility

    Unavailable

    $0.52 higher than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 72202

    Office

    $38.35

    Facility

    Unavailable

    $2.42 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 72202

    Office

    $35.96

    Facility

    Unavailable

    $0.03 higher than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 72202

    Office

    $39.92

    Facility

    Unavailable

    $3.99 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 72202

    Office

    $44.17

    Facility

    Unavailable

    $8.24 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 72202

    Office

    $41.93

    Facility

    Unavailable

    $6.00 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 72202

    Office

    $36.33

    Facility

    Unavailable

    $0.40 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 72202

    Office

    $38.66

    Facility

    Unavailable

    $2.73 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 72202

    Office

    $45.60

    Facility

    Unavailable

    $9.67 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 72202

    Office

    $42.14

    Facility

    Unavailable

    $6.21 higher than Beaumont for the office setting.

  • Queens

    New York · 72202

    Office

    $45.10

    Facility

    Unavailable

    $9.17 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 72202

    Office

    $37.01

    Facility

    Unavailable

    $1.08 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 72202

    Office

    $36.08

    Facility

    Unavailable

    $0.15 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 72202

    Office

    $35.31

    Facility

    Unavailable

    $0.62 lower than Beaumont for the office setting.

  • Portland

    Oregon · 72202

    Office

    $42.10

    Facility

    Unavailable

    $6.17 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 72202

    Office

    $38.42

    Facility

    Unavailable

    $2.49 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 72202

    Office

    $40.27

    Facility

    Unavailable

    $4.34 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 72202

    Office

    $36.19

    Facility

    Unavailable

    $0.26 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 72202

    Office

    $39.07

    Facility

    Unavailable

    $3.14 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 72202

    Office

    $39.83

    Facility

    Unavailable

    $3.90 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 72202

    Office

    $36.31

    Facility

    Unavailable

    $0.38 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 72202

    Office

    $38.30

    Facility

    Unavailable

    $2.37 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 72202

    Office

    $35.64

    Facility

    Unavailable

    $0.29 lower than Beaumont for the office setting.

  • Utah

    Utah · 72202

    Office

    $36.83

    Facility

    Unavailable

    $0.90 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 72202

    Office

    $38.03

    Facility

    Unavailable

    $2.10 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 72202

    Office

    $39.07

    Facility

    Unavailable

    $3.14 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 72202

    Office

    $38.11

    Facility

    Unavailable

    $2.18 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 72202

    Office

    $40.31

    Facility

    Unavailable

    $4.38 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 72202

    Office

    $45.97

    Facility

    Unavailable

    $10.04 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 72202

    Office

    $36.99

    Facility

    Unavailable

    $1.06 higher than Beaumont for the office setting.

  • West Virginia

    West Virginia · 72202

    Office

    $35.01

    Facility

    Unavailable

    $0.92 lower than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 72202

    Office

    $38.57

    Facility

    Unavailable

    $2.64 higher than Beaumont for the office setting.

See how rates vary across the country

72202 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$34.09

$47.17

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$44.121
AL$34.611
AR$34.091
AZ$37.701
CA$41.51–$52.8329
CO$40.651
CT$41.401
DC$44.691
DE$38.351
FL$37.73–$41.033
GA$35.55–$39.392
GU$42.671
HI$42.671
IA$35.731
ID$35.931
IL$36.45–$40.144
IN$36.161
KS$35.461
KY$35.281
LA$35.18–$37.022
MA$40.36–$44.932
MD$39.13–$44.693
ME$36.03–$38.222
MI$36.16–$38.132
MN$39.171
MO$34.49–$37.273
MS$34.301
MT$38.741
NC$36.451
ND$38.351
NE$35.961
NH$39.921
NJ$41.93–$44.172
NM$36.331
NV$38.661
NY$37.01–$45.605
OH$36.081
OK$35.311
OR$38.42–$42.102
PA$36.19–$40.272
PR$39.071
RI$39.831
SC$36.311
SD$38.301
TN$35.641
TX$35.93–$40.478
UT$36.831
VA$38.03–$44.692
VI$39.071
VT$38.111
WA$40.31–$45.972
WI$36.991
WV$35.011
WY$38.571

Explore 72202 on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 72202 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$39.52

$35.93 × 110% = $39.52

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 72202 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

8,075

Code
72202
Physician work
0.22
Practice expense
0.92
Malpractice
0.02

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 72202 in Beaumont
ComponentRVULocality factorAdjusted
Physician work0.22× 1.0000.2200
Practice expense0.92× 0.9100.8372
Malpractice0.02× 0.9290.0186
Total RVUs1.0758
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$35.93

Open 72202 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.221
Practice expense0.920.91
Malpractice0.020.929

(0.22 × 1 + 0.92 × 0.91 + 0.02 × 0.929) × $33.4009 = $35.93

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

72202 · Office / nonfacility

$35.93

Effective 2026-10-01

The base rate is $0.71 higher than on 2025-10-01, moving from $35.22 to $35.93 (2.0%).

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

    $35.22changed to$35.93

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.23 changed to 0.22
    • Practice expense RVU 0.93 changed to 0.92
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $35.22

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$35.93Not available in this settingRVU26D
2026-07-01$35.93Not available in this settingRVU26C
2026-04-01$35.93Not available in this settingRVU26B
2026-01-01$35.93Not available in this settingRVU26A
2025-10-01$35.22Not available in this settingRVU25D
2025-07-01$35.22Not available in this settingRVU25C
2025-04-01$35.22Not available in this settingRVU25B
2025-01-01$35.22Not available in this settingRVU25A

72202 billing questions

How does this differ from 72200?

Choose 72202 when the sacroiliac joint examination includes three or more views. Code 72200 is for the lower view-count examination, so use the documented views to distinguish them.

Can the interpretation and imaging work be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion. Without either modifier, the claim represents the global service.

Is this reported once for each view?

Report the examination code once for the study, not once for every projection. The record should show that the study reached the three-view threshold.

What documentation supports 72202?

Keep the imaging report and record of the views obtained, showing that the sacroiliac joints were examined with at least three views. The interpretation should identify the findings for that study.

Should a sacrum or coccyx X-ray use 72202?

No. Code 72202 is for imaging the sacroiliac joints. Use 72220 when the separately performed examination targets the sacrum or coccyx.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 72202PPRRVU2026_Oct_nonQPP.csv, line 8,075 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet