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CMS RVU26D · Effective 2026-10-01

72295 in El Centro

Office / nonfacility

$130.92

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 72295: Lumbar discography imaging interpretation

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

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.

CMS billing rules for 72295

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 RVU0.81 · 22%
  • Practice expense (office) RVU2.80 · 77%
  • Malpractice RVU0.05 · 1%

3.5K

Medicare services in 2024 · #2085 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.

72295 compared with similar codes

Office rates for El Centro, from the same CMS release.

72285

Discography

Cervical or thoracic

$154.97

Choose 72285 for discography imaging interpretation of cervical or thoracic discs; 72295 is for lumbar discs.

62290

Discography

Lumbar level injection

$393.06

62290 represents the lumbar discography injection, while 72295 represents the associated imaging supervision and interpretation.

72265

Myelography

Lumbar or lumbosacral region

$117.55

72265 describes lumbar myelography, which evaluates the spinal canal after contrast is introduced into the thecal space; 72295 concerns contrast imaging of lumbar discs.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 72295 is $131.09—$0.17 higher than the $130.92 rate in El Centro. Both use the same code, release and participation basis.

72295 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $130.92

  2. Bakersfield

    $131.09

    $0.17 higher than El Centro

  3. Chico

    $130.91

    $0.01 lower than El Centro

  4. Fresno

    $130.91

    $0.01 lower than El Centro

  5. Hanford-Corcoran

    $130.91

    $0.01 lower than El Centro

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

    $139.91

    $8.99 higher than El Centro

  7. Madera

    $130.91

    $0.01 lower than El Centro

Other payment areas listed in California 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, 72295 ranges from $108.25 in Arkansas to $165.79 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

  • Merced

    California · 72295

    Office

    $130.91

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Modesto

    California · 72295

    Office

    $130.91

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Napa

    California · 72295

    Office

    $152.87

    Facility

    Unavailable

    $21.95 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 72295

    Office

    $139.40

    Facility

    Unavailable

    $8.48 higher than El Centro for the office setting.

  • Redding

    California · 72295

    Office

    $130.91

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Rest Of California

    California · 72295

    Office

    $130.91

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 72295

    Office

    $131.47

    Facility

    Unavailable

    $0.55 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 72295

    Office

    $137.69

    Facility

    Unavailable

    $6.77 higher than El Centro for the office setting.

  • Salinas

    California · 72295

    Office

    $137.18

    Facility

    Unavailable

    $6.26 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 72295

    Office

    $140.62

    Facility

    Unavailable

    $9.70 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 72295

    Office

    $162.26

    Facility

    Unavailable

    $31.34 higher than El Centro for the office setting.

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

    California · 72295

    Office

    $162.20

    Facility

    Unavailable

    $31.28 higher than El Centro for the office setting.

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

    California · 72295

    Office

    $165.79

    Facility

    Unavailable

    $34.87 higher than El Centro for the office setting.

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

    California · 72295

    Office

    $165.55

    Facility

    Unavailable

    $34.63 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 72295

    Office

    $134.93

    Facility

    Unavailable

    $4.01 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 72295

    Office

    $142.15

    Facility

    Unavailable

    $11.23 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 72295

    Office

    $137.75

    Facility

    Unavailable

    $6.83 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 72295

    Office

    $143.61

    Facility

    Unavailable

    $12.69 higher than El Centro for the office setting.

  • Stockton

    California · 72295

    Office

    $130.91

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Vallejo

    California · 72295

    Office

    $152.79

    Facility

    Unavailable

    $21.87 higher than El Centro for the office setting.

  • Visalia

    California · 72295

    Office

    $130.91

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Yuba City

    California · 72295

    Office

    $130.91

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 72295

    Office

    $140.54

    Facility

    Unavailable

    $9.62 higher than El Centro for the office setting.

  • Miami

    Florida · 72295

    Office

    $128.64

    Facility

    Unavailable

    $2.28 lower than El Centro for the office setting.

  • Chicago

    Illinois · 72295

    Office

    $125.07

    Facility

    Unavailable

    $5.85 lower than El Centro for the office setting.

  • Manhattan

    New York · 72295

    Office

    $140.11

    Facility

    Unavailable

    $9.19 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 72295

    Office

    $141.10

    Facility

    Unavailable

    $10.18 higher than El Centro for the office setting.

  • Alabama

    Alabama · 72295

    Office

    $109.83

    Facility

    Unavailable

    $21.09 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 72295

    Office

    $108.25

    Facility

    Unavailable

    $22.67 lower than El Centro for the office setting.

  • Arizona

    Arizona · 72295

    Office

    $119.11

    Facility

    Unavailable

    $11.81 lower than El Centro for the office setting.

  • Colorado

    Colorado · 72295

    Office

    $128.19

    Facility

    Unavailable

    $2.73 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 72295

    Office

    $130.34

    Facility

    Unavailable

    $0.58 lower than El Centro for the office setting.

  • Delaware

    Delaware · 72295

    Office

    $121.09

    Facility

    Unavailable

    $9.83 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 72295

    Office

    $124.81

    Facility

    Unavailable

    $6.11 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 72295

    Office

    $118.97

    Facility

    Unavailable

    $11.95 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 72295

    Office

    $124.16

    Facility

    Unavailable

    $6.76 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 72295

    Office

    $112.47

    Facility

    Unavailable

    $18.45 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 72295

    Office

    $134.36

    Facility

    Unavailable

    $3.44 higher than El Centro for the office setting.

  • Iowa

    Iowa · 72295

    Office

    $113.29

    Facility

    Unavailable

    $17.63 lower than El Centro for the office setting.

  • Idaho

    Idaho · 72295

    Office

    $113.89

    Facility

    Unavailable

    $17.03 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 72295

    Office

    $116.46

    Facility

    Unavailable

    $14.46 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 72295

    Office

    $115.05

    Facility

    Unavailable

    $15.87 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 72295

    Office

    $126.25

    Facility

    Unavailable

    $4.67 lower than El Centro for the office setting.

  • Indiana

    Indiana · 72295

    Office

    $114.56

    Facility

    Unavailable

    $16.36 lower than El Centro for the office setting.

  • Kansas

    Kansas · 72295

    Office

    $112.44

    Facility

    Unavailable

    $18.48 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 72295

    Office

    $111.72

    Facility

    Unavailable

    $19.20 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 72295

    Office

    $116.96

    Facility

    Unavailable

    $13.96 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 72295

    Office

    $111.42

    Facility

    Unavailable

    $19.50 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 72295

    Office

    $141.32

    Facility

    Unavailable

    $10.40 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 72295

    Office

    $127.30

    Facility

    Unavailable

    $3.62 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 72295

    Office

    $129.90

    Facility

    Unavailable

    $1.02 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 72295

    Office

    $123.50

    Facility

    Unavailable

    $7.42 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 72295

    Office

    $114.13

    Facility

    Unavailable

    $16.79 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 72295

    Office

    $120.79

    Facility

    Unavailable

    $10.13 lower than El Centro for the office setting.

  • Detroit

    Michigan · 72295

    Office

    $120.12

    Facility

    Unavailable

    $10.80 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 72295

    Office

    $114.33

    Facility

    Unavailable

    $16.59 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 72295

    Office

    $123.78

    Facility

    Unavailable

    $7.14 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 72295

    Office

    $116.50

    Facility

    Unavailable

    $14.42 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 72295

    Office

    $117.76

    Facility

    Unavailable

    $13.16 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 72295

    Office

    $109.30

    Facility

    Unavailable

    $21.62 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 72295

    Office

    $108.81

    Facility

    Unavailable

    $22.11 lower than El Centro for the office setting.

  • Montana**

    Montana · 72295

    Office

    $122.24

    Facility

    Unavailable

    $8.68 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 72295

    Office

    $115.38

    Facility

    Unavailable

    $15.54 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 72295

    Office

    $121.26

    Facility

    Unavailable

    $9.66 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 72295

    Office

    $114.01

    Facility

    Unavailable

    $16.91 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 72295

    Office

    $125.87

    Facility

    Unavailable

    $5.05 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 72295

    Office

    $139.03

    Facility

    Unavailable

    $8.11 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 72295

    Office

    $132.10

    Facility

    Unavailable

    $1.18 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 72295

    Office

    $114.82

    Facility

    Unavailable

    $16.10 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 72295

    Office

    $122.06

    Facility

    Unavailable

    $8.86 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 72295

    Office

    $143.09

    Facility

    Unavailable

    $12.17 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 72295

    Office

    $132.70

    Facility

    Unavailable

    $1.78 higher than El Centro for the office setting.

  • Queens

    New York · 72295

    Office

    $141.74

    Facility

    Unavailable

    $10.82 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 72295

    Office

    $117.08

    Facility

    Unavailable

    $13.84 lower than El Centro for the office setting.

  • Ohio

    Ohio · 72295

    Office

    $114.12

    Facility

    Unavailable

    $16.80 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 72295

    Office

    $111.87

    Facility

    Unavailable

    $19.05 lower than El Centro for the office setting.

  • Portland

    Oregon · 72295

    Office

    $132.63

    Facility

    Unavailable

    $1.71 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 72295

    Office

    $121.38

    Facility

    Unavailable

    $9.54 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 72295

    Office

    $126.89

    Facility

    Unavailable

    $4.03 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 72295

    Office

    $114.49

    Facility

    Unavailable

    $16.43 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 72295

    Office

    $123.25

    Facility

    Unavailable

    $7.67 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 72295

    Office

    $125.67

    Facility

    Unavailable

    $5.25 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 72295

    Office

    $114.89

    Facility

    Unavailable

    $16.03 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 72295

    Office

    $121.14

    Facility

    Unavailable

    $9.78 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 72295

    Office

    $112.96

    Facility

    Unavailable

    $17.96 lower than El Centro for the office setting.

  • Austin

    Texas · 72295

    Office

    $127.54

    Facility

    Unavailable

    $3.38 lower than El Centro for the office setting.

  • Beaumont

    Texas · 72295

    Office

    $113.71

    Facility

    Unavailable

    $17.21 lower than El Centro for the office setting.

  • Brazoria

    Texas · 72295

    Office

    $121.25

    Facility

    Unavailable

    $9.67 lower than El Centro for the office setting.

  • Dallas

    Texas · 72295

    Office

    $121.88

    Facility

    Unavailable

    $9.04 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 72295

    Office

    $120.97

    Facility

    Unavailable

    $9.95 lower than El Centro for the office setting.

  • Galveston

    Texas · 72295

    Office

    $121.52

    Facility

    Unavailable

    $9.40 lower than El Centro for the office setting.

  • Houston

    Texas · 72295

    Office

    $122.44

    Facility

    Unavailable

    $8.48 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 72295

    Office

    $117.32

    Facility

    Unavailable

    $13.60 lower than El Centro for the office setting.

  • Utah

    Utah · 72295

    Office

    $116.47

    Facility

    Unavailable

    $14.45 lower than El Centro for the office setting.

  • Virginia

    Virginia · 72295

    Office

    $120.17

    Facility

    Unavailable

    $10.75 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 72295

    Office

    $123.25

    Facility

    Unavailable

    $7.67 lower than El Centro for the office setting.

  • Vermont

    Vermont · 72295

    Office

    $120.49

    Facility

    Unavailable

    $10.43 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 72295

    Office

    $127.16

    Facility

    Unavailable

    $3.76 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 72295

    Office

    $144.52

    Facility

    Unavailable

    $13.60 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 72295

    Office

    $117.16

    Facility

    Unavailable

    $13.76 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 72295

    Office

    $110.72

    Facility

    Unavailable

    $20.20 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 72295

    Office

    $121.81

    Facility

    Unavailable

    $9.11 lower than El Centro for the office setting.

See how rates vary across the country

72295 · 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.

$108.25

$148.35

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

View all state and territory rates as a table
State / territoryRate 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

Explore 72295 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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 California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 72295 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$144.01

$130.92 × 110% = $144.01

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 72295 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

8,096

Code
72295
Physician work
0.81
Practice expense
2.80
Malpractice
0.05

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 72295 in El Centro
ComponentRVULocality factorAdjusted
Physician work0.81× 1.0170.8238
Practice expense2.80× 1.0963.0688
Malpractice0.05× 0.5410.0271
Total RVUs3.9196
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$130.92

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

Open 72295 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.811.017
Practice expense2.81.096
Malpractice0.050.541

(0.81 × 1.017 + 2.8 × 1.096 + 0.05 × 0.541) × $33.4009 = $130.92

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

72295 · Office / nonfacility

$130.92

Effective 2026-10-01

The base rate is $16.51 higher than on 2025-10-01, moving from $114.41 to $130.92 (14.4%).

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

    $114.41changed to$130.92

    • 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
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $114.41

    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$130.92Not available in this settingRVU26D
2026-07-01$130.92Not available in this settingRVU26C
2026-04-01$130.92Not available in this settingRVU26B
2026-01-01$130.92Not available in this settingRVU26A
2025-10-01$114.41Not available in this settingRVU25D
2025-07-01$114.41Not available in this settingRVU25C
2025-04-01$114.41Not available in this settingRVU25B
2025-01-01$114.41Not available in this settingRVU25A

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 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 72295PPRRVU2026_Oct_nonQPP.csv, line 8,096 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet