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CMS RVU26D · Effective 2026-10-01

72127 in Delaware

Office / nonfacility

$194.15

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.

Diagnostic imaging

About 72127: Cervical spine CT without and with contrast

Reports a cervical spine CT with image acquisition both before and after contrast, often selected when evaluation requires bone detail and contrast-enhanced findings.

This study images the cervical vertebrae and surrounding structures using CT, with acquisitions made before and after contrast administration. It may be selected when the clinical question, such as suspected infection or a tumor, calls for both noncontrast bone detail and assessment of contrast-enhanced findings. A radiologic technologist typically performs the scan, and a radiologist interprets the images in a hospital or imaging center.

Report this code when the same cervical spine CT examination includes both noncontrast and post-contrast imaging; the two phases are represented by one code. Use the contrast-only or noncontrast-only cervical CT code when only that acquisition is performed. Documentation should support the cervical anatomy examined, both imaging phases, and the indication. The service has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies the equipment and staff service, and no component modifier represents the global service. CMS diagnostic imaging multiple procedure reduction applies to both the professional and technical components when applicable.

CMS billing rules for 72127

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.
Multiple procedures
Diagnostic imaging multiple procedure reduction applies to the technical and professional components.

Where the value comes from

  • Work RVU1.24 · 21%
  • Practice expense (office) RVU4.54 · 77%
  • Malpractice RVU0.09 · 2%

2K

Medicare services in 2024 · #2458 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.

72127 compared with similar codes

Office rates for Delaware, from the same CMS release.

72125

Cervical spine CT

Without contrast

$129.38

72125 is for a cervical spine CT without contrast only. Choose this code when the examination includes both noncontrast and post-contrast imaging.

72126

CT spine

Cervical, contrast only

$166.73

72126 describes a cervical spine CT with contrast only. This code represents an examination with both noncontrast and post-contrast phases.

72156

Spine MRI

Cervical spine, without and with contrast

$314.95

72156 is an MRI examination of the cervical spine without and with contrast. This code is for CT of the same region and contrast phases.

The same code, a different location

How does Delaware compare?

72127 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $194.15

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $224.50

    $30.35 higher than Delaware

  3. Dc + Md/Va Suburbs

    $225.63

    $31.48 higher than Delaware

  4. Miami

    $206.88

    $12.73 higher than Delaware

  5. Chicago

    $201.00

    $6.85 higher than Delaware

  6. Manhattan

    $225.04

    $30.89 higher than Delaware

  7. Alaska*

    $225.28

    $31.13 higher than Delaware

Other payment areas listed in Delaware 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, 72127 ranges from $173.22 in Arkansas to $266.25 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

  • Alabama

    Alabama · 72127

    Office

    $175.80

    Facility

    Unavailable

    $18.35 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 72127

    Office

    $173.22

    Facility

    Unavailable

    $20.93 lower than Delaware for the office setting.

  • Arizona

    Arizona · 72127

    Office

    $190.93

    Facility

    Unavailable

    $3.22 lower than Delaware for the office setting.

  • Bakersfield

    California · 72127

    Office

    $210.23

    Facility

    Unavailable

    $16.08 higher than Delaware for the office setting.

  • Chico

    California · 72127

    Office

    $209.93

    Facility

    Unavailable

    $15.78 higher than Delaware for the office setting.

  • El Centro

    California · 72127

    Office

    $209.95

    Facility

    Unavailable

    $15.80 higher than Delaware for the office setting.

  • Fresno

    California · 72127

    Office

    $209.93

    Facility

    Unavailable

    $15.78 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 72127

    Office

    $209.93

    Facility

    Unavailable

    $15.78 higher than Delaware for the office setting.

  • Madera

    California · 72127

    Office

    $209.93

    Facility

    Unavailable

    $15.78 higher than Delaware for the office setting.

  • Merced

    California · 72127

    Office

    $209.93

    Facility

    Unavailable

    $15.78 higher than Delaware for the office setting.

  • Modesto

    California · 72127

    Office

    $209.93

    Facility

    Unavailable

    $15.78 higher than Delaware for the office setting.

  • Napa

    California · 72127

    Office

    $245.42

    Facility

    Unavailable

    $51.27 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 72127

    Office

    $223.69

    Facility

    Unavailable

    $29.54 higher than Delaware for the office setting.

  • Redding

    California · 72127

    Office

    $209.93

    Facility

    Unavailable

    $15.78 higher than Delaware for the office setting.

  • Rest Of California

    California · 72127

    Office

    $209.93

    Facility

    Unavailable

    $15.78 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 72127

    Office

    $210.92

    Facility

    Unavailable

    $16.77 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 72127

    Office

    $220.88

    Facility

    Unavailable

    $26.73 higher than Delaware for the office setting.

  • Salinas

    California · 72127

    Office

    $220.06

    Facility

    Unavailable

    $25.91 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 72127

    Office

    $225.65

    Facility

    Unavailable

    $31.50 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 72127

    Office

    $260.54

    Facility

    Unavailable

    $66.39 higher than Delaware for the office setting.

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

    California · 72127

    Office

    $260.44

    Facility

    Unavailable

    $66.29 higher than Delaware for the office setting.

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

    California · 72127

    Office

    $266.25

    Facility

    Unavailable

    $72.10 higher than Delaware for the office setting.

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

    California · 72127

    Office

    $265.83

    Facility

    Unavailable

    $71.68 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 72127

    Office

    $216.45

    Facility

    Unavailable

    $22.30 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 72127

    Office

    $228.14

    Facility

    Unavailable

    $33.99 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 72127

    Office

    $221.00

    Facility

    Unavailable

    $26.85 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 72127

    Office

    $230.48

    Facility

    Unavailable

    $36.33 higher than Delaware for the office setting.

  • Stockton

    California · 72127

    Office

    $209.93

    Facility

    Unavailable

    $15.78 higher than Delaware for the office setting.

  • Vallejo

    California · 72127

    Office

    $245.27

    Facility

    Unavailable

    $51.12 higher than Delaware for the office setting.

  • Visalia

    California · 72127

    Office

    $209.93

    Facility

    Unavailable

    $15.78 higher than Delaware for the office setting.

  • Yuba City

    California · 72127

    Office

    $209.93

    Facility

    Unavailable

    $15.78 higher than Delaware for the office setting.

  • Colorado

    Colorado · 72127

    Office

    $205.61

    Facility

    Unavailable

    $11.46 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 72127

    Office

    $209.20

    Facility

    Unavailable

    $15.05 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 72127

    Office

    $200.46

    Facility

    Unavailable

    $6.31 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 72127

    Office

    $190.90

    Facility

    Unavailable

    $3.25 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 72127

    Office

    $199.22

    Facility

    Unavailable

    $5.07 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 72127

    Office

    $180.26

    Facility

    Unavailable

    $13.89 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 72127

    Office

    $215.57

    Facility

    Unavailable

    $21.42 higher than Delaware for the office setting.

  • Iowa

    Iowa · 72127

    Office

    $181.36

    Facility

    Unavailable

    $12.79 lower than Delaware for the office setting.

  • Idaho

    Idaho · 72127

    Office

    $182.35

    Facility

    Unavailable

    $11.80 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 72127

    Office

    $186.98

    Facility

    Unavailable

    $7.17 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 72127

    Office

    $184.56

    Facility

    Unavailable

    $9.59 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 72127

    Office

    $202.77

    Facility

    Unavailable

    $8.62 higher than Delaware for the office setting.

  • Indiana

    Indiana · 72127

    Office

    $183.45

    Facility

    Unavailable

    $10.70 lower than Delaware for the office setting.

  • Kansas

    Kansas · 72127

    Office

    $180.01

    Facility

    Unavailable

    $14.14 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 72127

    Office

    $178.98

    Facility

    Unavailable

    $15.17 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 72127

    Office

    $187.53

    Facility

    Unavailable

    $6.62 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 72127

    Office

    $178.50

    Facility

    Unavailable

    $15.65 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 72127

    Office

    $226.85

    Facility

    Unavailable

    $32.70 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 72127

    Office

    $204.15

    Facility

    Unavailable

    $10.00 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 72127

    Office

    $208.51

    Facility

    Unavailable

    $14.36 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 72127

    Office

    $198.05

    Facility

    Unavailable

    $3.90 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 72127

    Office

    $182.80

    Facility

    Unavailable

    $11.35 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 72127

    Office

    $193.59

    Facility

    Unavailable

    $0.56 lower than Delaware for the office setting.

  • Detroit

    Michigan · 72127

    Office

    $192.82

    Facility

    Unavailable

    $1.33 lower than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 72127

    Office

    $183.26

    Facility

    Unavailable

    $10.89 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 72127

    Office

    $198.34

    Facility

    Unavailable

    $4.19 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 72127

    Office

    $186.74

    Facility

    Unavailable

    $7.41 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 72127

    Office

    $188.79

    Facility

    Unavailable

    $5.36 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 72127

    Office

    $175.06

    Facility

    Unavailable

    $19.09 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 72127

    Office

    $174.20

    Facility

    Unavailable

    $19.95 lower than Delaware for the office setting.

  • Montana**

    Montana · 72127

    Office

    $196.06

    Facility

    Unavailable

    $1.91 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 72127

    Office

    $184.82

    Facility

    Unavailable

    $9.33 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 72127

    Office

    $194.28

    Facility

    Unavailable

    $0.13 higher than Delaware for the office setting.

  • Nebraska

    Nebraska · 72127

    Office

    $182.52

    Facility

    Unavailable

    $11.63 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 72127

    Office

    $201.90

    Facility

    Unavailable

    $7.75 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 72127

    Office

    $223.14

    Facility

    Unavailable

    $28.99 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 72127

    Office

    $211.96

    Facility

    Unavailable

    $17.81 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 72127

    Office

    $184.08

    Facility

    Unavailable

    $10.07 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 72127

    Office

    $195.71

    Facility

    Unavailable

    $1.56 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 72127

    Office

    $229.95

    Facility

    Unavailable

    $35.80 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 72127

    Office

    $212.96

    Facility

    Unavailable

    $18.81 higher than Delaware for the office setting.

  • Queens

    New York · 72127

    Office

    $227.64

    Facility

    Unavailable

    $33.49 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 72127

    Office

    $187.59

    Facility

    Unavailable

    $6.56 lower than Delaware for the office setting.

  • Ohio

    Ohio · 72127

    Office

    $182.89

    Facility

    Unavailable

    $11.26 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 72127

    Office

    $179.17

    Facility

    Unavailable

    $14.98 lower than Delaware for the office setting.

  • Portland

    Oregon · 72127

    Office

    $212.79

    Facility

    Unavailable

    $18.64 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 72127

    Office

    $194.56

    Facility

    Unavailable

    $0.41 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 72127

    Office

    $203.61

    Facility

    Unavailable

    $9.46 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 72127

    Office

    $183.46

    Facility

    Unavailable

    $10.69 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 72127

    Office

    $197.69

    Facility

    Unavailable

    $3.54 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 72127

    Office

    $201.53

    Facility

    Unavailable

    $7.38 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 72127

    Office

    $184.09

    Facility

    Unavailable

    $10.06 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 72127

    Office

    $194.07

    Facility

    Unavailable

    $0.08 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 72127

    Office

    $180.87

    Facility

    Unavailable

    $13.28 lower than Delaware for the office setting.

  • Austin

    Texas · 72127

    Office

    $204.60

    Facility

    Unavailable

    $10.45 higher than Delaware for the office setting.

  • Beaumont

    Texas · 72127

    Office

    $182.20

    Facility

    Unavailable

    $11.95 lower than Delaware for the office setting.

  • Brazoria

    Texas · 72127

    Office

    $194.37

    Facility

    Unavailable

    $0.22 higher than Delaware for the office setting.

  • Dallas

    Texas · 72127

    Office

    $195.40

    Facility

    Unavailable

    $1.25 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 72127

    Office

    $193.93

    Facility

    Unavailable

    $0.22 lower than Delaware for the office setting.

  • Galveston

    Texas · 72127

    Office

    $194.82

    Facility

    Unavailable

    $0.67 higher than Delaware for the office setting.

  • Houston

    Texas · 72127

    Office

    $196.46

    Facility

    Unavailable

    $2.31 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 72127

    Office

    $188.04

    Facility

    Unavailable

    $6.11 lower than Delaware for the office setting.

  • Utah

    Utah · 72127

    Office

    $186.66

    Facility

    Unavailable

    $7.49 lower than Delaware for the office setting.

  • Virginia

    Virginia · 72127

    Office

    $192.60

    Facility

    Unavailable

    $1.55 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 72127

    Office

    $197.69

    Facility

    Unavailable

    $3.54 higher than Delaware for the office setting.

  • Vermont

    Vermont · 72127

    Office

    $193.06

    Facility

    Unavailable

    $1.09 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 72127

    Office

    $203.92

    Facility

    Unavailable

    $9.77 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 72127

    Office

    $232.01

    Facility

    Unavailable

    $37.86 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 72127

    Office

    $187.61

    Facility

    Unavailable

    $6.54 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 72127

    Office

    $177.49

    Facility

    Unavailable

    $16.66 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 72127

    Office

    $195.28

    Facility

    Unavailable

    $1.13 higher than Delaware for the office setting.

See how rates vary across the country

72127 · 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.

$173.22

$238.09

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$225.281
AL$175.801
AR$173.221
AZ$190.931
CA$209.93–$266.2529
CO$205.611
CT$209.201
DC$225.631
DE$194.151
FL$190.90–$206.883
GA$180.26–$199.222
GU$215.571
HI$215.571
IA$181.361
ID$182.351
IL$184.56–$202.774
IN$183.451
KS$180.011
KY$178.981
LA$178.50–$187.532
MA$204.15–$226.852
MD$198.05–$225.633
ME$182.80–$193.592
MI$183.26–$192.822
MN$198.341
MO$175.06–$188.793
MS$174.201
MT$196.061
NC$184.821
ND$194.281
NE$182.521
NH$201.901
NJ$211.96–$223.142
NM$184.081
NV$195.711
NY$187.59–$229.955
OH$182.891
OK$179.171
OR$194.56–$212.792
PA$183.46–$203.612
PR$197.691
RI$201.531
SC$184.091
SD$194.071
TN$180.871
TX$182.20–$204.608
UT$186.661
VA$192.60–$225.632
VI$197.691
VT$193.061
WA$203.92–$232.012
WI$187.611
WV$177.491
WY$195.281

Explore 72127 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 Delaware →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 72127 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$213.57

$194.15 × 110% = $213.57

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.

Compare your contract offer →

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 72127 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

7,991

Code
72127
Physician work
1.24
Practice expense
4.54
Malpractice
0.09

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 72127 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.24× 1.0051.2462
Practice expense4.54× 0.9884.4855
Malpractice0.09× 0.8990.0809
Total RVUs5.8126
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$194.15

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 72127 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.241.005
Practice expense4.540.988
Malpractice0.090.899

(1.24 × 1.005 + 4.54 × 0.988 + 0.09 × 0.899) × $33.4009 = $194.15

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

72127 · Office / nonfacility

$194.15

Effective 2026-10-01

The base rate is $1.68 higher than on 2025-10-01, moving from $192.47 to $194.15 (0.9%).

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

    $192.47changed to$194.15

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.27 changed to 1.24
    • Practice expense RVU 4.63 changed to 4.54
    • Malpractice RVU 0.08 changed to 0.09
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $192.47

    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$194.15Not available in this settingRVU26D
2026-07-01$194.15Not available in this settingRVU26C
2026-04-01$194.15Not available in this settingRVU26B
2026-01-01$194.15Not available in this settingRVU26A
2025-10-01$192.47Not available in this settingRVU25D
2025-07-01$192.47Not available in this settingRVU25C
2025-04-01$192.47Not available in this settingRVU25B
2025-01-01$192.47Not available in this settingRVU25A

72127 billing questions

When should this code be selected instead of 72125 or 72126?

The combined examination is reported with this code when both phases are performed as one cervical spine CT study; do not separately report the two phases as 72125 and 72126 for that same study.

How are the professional and technical services billed?

Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Billing without either modifier represents the global service.

Does a multiple procedure reduction affect this code?

CMS diagnostic imaging multiple procedure reduction applies to both the professional and technical components when applicable.

What documentation supports reporting the combined examination?

Document the cervical spine study, the clinical indication, and that imaging was performed both before and after contrast. The record should support why both phases were obtained.

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 72127PPRRVU2026_Oct_nonQPP.csv, line 7,991 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet