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CMS RVU26D · Effective 2026-10-01

72220 in Modesto

Office / nonfacility

$34.32

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 72220: Sacrum and coccyx radiographic examination

A targeted radiographic study of the sacrum and coccyx, reported when these bones require imaging for localized pain, trauma, or suspected abnormality.

This examination produces radiographic images focused on the sacrum and coccyx, with at least two views. It is commonly ordered for localized tailbone pain, injury, or concern about an abnormality in these bones. A radiologic technologist typically obtains the images in an outpatient imaging department, hospital, or office equipped for X-ray; a physician, often a radiologist, interprets them and documents the findings.

Report 72220 when the ordered study targets the sacrum and coccyx, rather than the sacroiliac joints or lumbar spine. The record should support the reason for imaging and identify the requested anatomy; the image set and interpretation report support the service performed. CMS recognizes separately priced professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff portion, and billing without either modifier represents the global service.

CMS billing rules for 72220

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 RVU0.17 · 18%
  • Practice expense (office) RVU0.77 · 80%
  • Malpractice RVU0.02 · 2%

117.2K

Medicare services in 2024 · #519 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.

72220 compared with similar codes

Office rates for Modesto, from the same CMS release.

72200

SI joint X-ray

Fewer than three views

$36.15

72200 is directed at the sacroiliac joints. Choose 72220 for imaging centered on the sacrum and coccyx.

72202

SI joint X-ray

Three or more views

$41.51

72202 describes a sacroiliac joint study with more views; it does not represent additional views of a sacrum and coccyx examination.

72100

Lumbar spine X-ray

Two or three views

$43.37

72100 is for lumbar spine imaging. Select 72220 when the order and images focus on the sacrum and coccyx.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 72220 is $34.38—$0.06 higher than the $34.32 rate in Modesto. Both use the same code, release and participation basis.

72220 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $34.32

  2. Bakersfield

    $34.38

    $0.06 higher than Modesto

  3. Chico

    $34.32

    The same base rate than Modesto

  4. El Centro

    $34.32

    The same base rate than Modesto

  5. Fresno

    $34.32

    The same base rate than Modesto

  6. Hanford-Corcoran

    $34.32

    The same base rate than Modesto

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

    $36.78

    $2.46 higher than Modesto

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, 72220 ranges from $28.11 in Arkansas to $43.75 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

  • Madera

    California · 72220

    Office

    $34.32

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Merced

    California · 72220

    Office

    $34.32

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Napa

    California · 72220

    Office

    $40.27

    Facility

    Unavailable

    $5.95 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 72220

    Office

    $36.65

    Facility

    Unavailable

    $2.33 higher than Modesto for the office setting.

  • Redding

    California · 72220

    Office

    $34.32

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 72220

    Office

    $34.32

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 72220

    Office

    $34.54

    Facility

    Unavailable

    $0.22 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 72220

    Office

    $36.15

    Facility

    Unavailable

    $1.83 higher than Modesto for the office setting.

  • Salinas

    California · 72220

    Office

    $36.02

    Facility

    Unavailable

    $1.70 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 72220

    Office

    $36.97

    Facility

    Unavailable

    $2.65 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 72220

    Office

    $42.79

    Facility

    Unavailable

    $8.47 higher than Modesto for the office setting.

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

    California · 72220

    Office

    $42.76

    Facility

    Unavailable

    $8.44 higher than Modesto for the office setting.

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

    California · 72220

    Office

    $43.75

    Facility

    Unavailable

    $9.43 higher than Modesto for the office setting.

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

    California · 72220

    Office

    $43.65

    Facility

    Unavailable

    $9.33 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 72220

    Office

    $35.43

    Facility

    Unavailable

    $1.11 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 72220

    Office

    $37.40

    Facility

    Unavailable

    $3.08 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 72220

    Office

    $36.18

    Facility

    Unavailable

    $1.86 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 72220

    Office

    $37.79

    Facility

    Unavailable

    $3.47 higher than Modesto for the office setting.

  • Stockton

    California · 72220

    Office

    $34.32

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 72220

    Office

    $40.24

    Facility

    Unavailable

    $5.92 higher than Modesto for the office setting.

  • Visalia

    California · 72220

    Office

    $34.32

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 72220

    Office

    $34.32

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 72220

    Office

    $37.02

    Facility

    Unavailable

    $2.70 higher than Modesto for the office setting.

  • Miami

    Florida · 72220

    Office

    $34.14

    Facility

    Unavailable

    $0.18 lower than Modesto for the office setting.

  • Chicago

    Illinois · 72220

    Office

    $33.10

    Facility

    Unavailable

    $1.22 lower than Modesto for the office setting.

  • Manhattan

    New York · 72220

    Office

    $36.99

    Facility

    Unavailable

    $2.67 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 72220

    Office

    $36.28

    Facility

    Unavailable

    $1.96 higher than Modesto for the office setting.

  • Alabama

    Alabama · 72220

    Office

    $28.56

    Facility

    Unavailable

    $5.76 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 72220

    Office

    $28.11

    Facility

    Unavailable

    $6.21 lower than Modesto for the office setting.

  • Arizona

    Arizona · 72220

    Office

    $31.17

    Facility

    Unavailable

    $3.15 lower than Modesto for the office setting.

  • Colorado

    Colorado · 72220

    Office

    $33.63

    Facility

    Unavailable

    $0.69 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 72220

    Office

    $34.30

    Facility

    Unavailable

    $0.02 lower than Modesto for the office setting.

  • Delaware

    Delaware · 72220

    Office

    $31.72

    Facility

    Unavailable

    $2.60 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 72220

    Office

    $32.94

    Facility

    Unavailable

    $1.38 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 72220

    Office

    $31.27

    Facility

    Unavailable

    $3.05 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 72220

    Office

    $32.63

    Facility

    Unavailable

    $1.69 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 72220

    Office

    $29.42

    Facility

    Unavailable

    $4.90 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 72220

    Office

    $35.31

    Facility

    Unavailable

    $0.99 higher than Modesto for the office setting.

  • Iowa

    Iowa · 72220

    Office

    $29.48

    Facility

    Unavailable

    $4.84 lower than Modesto for the office setting.

  • Idaho

    Idaho · 72220

    Office

    $29.66

    Facility

    Unavailable

    $4.66 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 72220

    Office

    $30.68

    Facility

    Unavailable

    $3.64 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 72220

    Office

    $30.20

    Facility

    Unavailable

    $4.12 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 72220

    Office

    $33.31

    Facility

    Unavailable

    $1.01 lower than Modesto for the office setting.

  • Indiana

    Indiana · 72220

    Office

    $29.84

    Facility

    Unavailable

    $4.48 lower than Modesto for the office setting.

  • Kansas

    Kansas · 72220

    Office

    $29.26

    Facility

    Unavailable

    $5.06 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 72220

    Office

    $29.15

    Facility

    Unavailable

    $5.17 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 72220

    Office

    $30.64

    Facility

    Unavailable

    $3.68 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 72220

    Office

    $29.08

    Facility

    Unavailable

    $5.24 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 72220

    Office

    $37.21

    Facility

    Unavailable

    $2.89 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 72220

    Office

    $33.38

    Facility

    Unavailable

    $0.94 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 72220

    Office

    $34.19

    Facility

    Unavailable

    $0.13 lower than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 72220

    Office

    $32.38

    Facility

    Unavailable

    $1.94 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 72220

    Office

    $29.75

    Facility

    Unavailable

    $4.57 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 72220

    Office

    $31.59

    Facility

    Unavailable

    $2.73 lower than Modesto for the office setting.

  • Detroit

    Michigan · 72220

    Office

    $31.62

    Facility

    Unavailable

    $2.70 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 72220

    Office

    $29.91

    Facility

    Unavailable

    $4.41 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 72220

    Office

    $32.34

    Facility

    Unavailable

    $1.98 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 72220

    Office

    $30.48

    Facility

    Unavailable

    $3.84 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 72220

    Office

    $30.83

    Facility

    Unavailable

    $3.49 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 72220

    Office

    $28.50

    Facility

    Unavailable

    $5.82 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 72220

    Office

    $28.32

    Facility

    Unavailable

    $6.00 lower than Modesto for the office setting.

  • Montana**

    Montana · 72220

    Office

    $32.06

    Facility

    Unavailable

    $2.26 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 72220

    Office

    $30.10

    Facility

    Unavailable

    $4.22 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 72220

    Office

    $31.67

    Facility

    Unavailable

    $2.65 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 72220

    Office

    $29.67

    Facility

    Unavailable

    $4.65 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 72220

    Office

    $33.04

    Facility

    Unavailable

    $1.28 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 72220

    Office

    $36.58

    Facility

    Unavailable

    $2.26 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 72220

    Office

    $34.72

    Facility

    Unavailable

    $0.40 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 72220

    Office

    $30.06

    Facility

    Unavailable

    $4.26 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 72220

    Office

    $31.98

    Facility

    Unavailable

    $2.34 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 72220

    Office

    $37.86

    Facility

    Unavailable

    $3.54 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 72220

    Office

    $34.90

    Facility

    Unavailable

    $0.58 higher than Modesto for the office setting.

  • Queens

    New York · 72220

    Office

    $37.40

    Facility

    Unavailable

    $3.08 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 72220

    Office

    $30.58

    Facility

    Unavailable

    $3.74 lower than Modesto for the office setting.

  • Ohio

    Ohio · 72220

    Office

    $29.83

    Facility

    Unavailable

    $4.49 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 72220

    Office

    $29.16

    Facility

    Unavailable

    $5.16 lower than Modesto for the office setting.

  • Portland

    Oregon · 72220

    Office

    $34.84

    Facility

    Unavailable

    $0.52 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 72220

    Office

    $31.76

    Facility

    Unavailable

    $2.56 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 72220

    Office

    $33.35

    Facility

    Unavailable

    $0.97 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 72220

    Office

    $29.92

    Facility

    Unavailable

    $4.40 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 72220

    Office

    $32.34

    Facility

    Unavailable

    $1.98 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 72220

    Office

    $32.95

    Facility

    Unavailable

    $1.37 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 72220

    Office

    $30.01

    Facility

    Unavailable

    $4.31 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 72220

    Office

    $31.62

    Facility

    Unavailable

    $2.70 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 72220

    Office

    $29.42

    Facility

    Unavailable

    $4.90 lower than Modesto for the office setting.

  • Austin

    Texas · 72220

    Office

    $33.49

    Facility

    Unavailable

    $0.83 lower than Modesto for the office setting.

  • Beaumont

    Texas · 72220

    Office

    $29.70

    Facility

    Unavailable

    $4.62 lower than Modesto for the office setting.

  • Brazoria

    Texas · 72220

    Office

    $31.73

    Facility

    Unavailable

    $2.59 lower than Modesto for the office setting.

  • Dallas

    Texas · 72220

    Office

    $31.92

    Facility

    Unavailable

    $2.40 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 72220

    Office

    $31.67

    Facility

    Unavailable

    $2.65 lower than Modesto for the office setting.

  • Galveston

    Texas · 72220

    Office

    $31.82

    Facility

    Unavailable

    $2.50 lower than Modesto for the office setting.

  • Houston

    Texas · 72220

    Office

    $32.18

    Facility

    Unavailable

    $2.14 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 72220

    Office

    $30.69

    Facility

    Unavailable

    $3.63 lower than Modesto for the office setting.

  • Utah

    Utah · 72220

    Office

    $30.45

    Facility

    Unavailable

    $3.87 lower than Modesto for the office setting.

  • Virginia

    Virginia · 72220

    Office

    $31.43

    Facility

    Unavailable

    $2.89 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 72220

    Office

    $32.34

    Facility

    Unavailable

    $1.98 lower than Modesto for the office setting.

  • Vermont

    Vermont · 72220

    Office

    $31.48

    Facility

    Unavailable

    $2.84 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 72220

    Office

    $33.34

    Facility

    Unavailable

    $0.98 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 72220

    Office

    $38.06

    Facility

    Unavailable

    $3.74 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 72220

    Office

    $30.52

    Facility

    Unavailable

    $3.80 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 72220

    Office

    $28.98

    Facility

    Unavailable

    $5.34 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 72220

    Office

    $31.89

    Facility

    Unavailable

    $2.43 lower than Modesto for the office setting.

See how rates vary across the country

72220 · 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.

$28.11

$39.04

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$36.281
AL$28.561
AR$28.111
AZ$31.171
CA$34.32–$43.7529
CO$33.631
CT$34.301
DC$37.021
DE$31.721
FL$31.27–$34.143
GA$29.42–$32.632
GU$35.311
HI$35.311
IA$29.481
ID$29.661
IL$30.20–$33.314
IN$29.841
KS$29.261
KY$29.151
LA$29.08–$30.642
MA$33.38–$37.212
MD$32.38–$37.023
ME$29.75–$31.592
MI$29.91–$31.622
MN$32.341
MO$28.50–$30.833
MS$28.321
MT$32.061
NC$30.101
ND$31.671
NE$29.671
NH$33.041
NJ$34.72–$36.582
NM$30.061
NV$31.981
NY$30.58–$37.865
OH$29.831
OK$29.161
OR$31.76–$34.842
PA$29.92–$33.352
PR$32.341
RI$32.951
SC$30.011
SD$31.621
TN$29.421
TX$29.70–$33.498
UT$30.451
VA$31.43–$37.022
VI$32.341
VT$31.481
WA$33.34–$38.062
WI$30.521
WV$28.981
WY$31.891

Explore 72220 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 72220 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$37.75

$34.32 × 110% = $37.75

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 72220 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

8,078

Code
72220
Physician work
0.17
Practice expense
0.77
Malpractice
0.02

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 72220 in Modesto
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0170.1729
Practice expense0.77× 1.0960.8439
Malpractice0.02× 0.5360.0107
Total RVUs1.0275
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$34.32

Open 72220 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.171.017
Practice expense0.771.096
Malpractice0.020.536

(0.17 × 1.017 + 0.77 × 1.096 + 0.02 × 0.536) × $33.4009 = $34.32

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

72220 · Office / nonfacility

$34.32

Effective 2026-10-01

The base rate is $0.45 higher than on 2025-10-01, moving from $33.87 to $34.32 (1.3%).

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

    $33.87changed to$34.32

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.79 changed to 0.77
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $33.87

    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$34.32Not available in this settingRVU26D
2026-07-01$34.32Not available in this settingRVU26C
2026-04-01$34.32Not available in this settingRVU26B
2026-01-01$34.32Not available in this settingRVU26A
2025-10-01$33.87Not available in this settingRVU25D
2025-07-01$33.87Not available in this settingRVU25C
2025-04-01$33.87Not available in this settingRVU25B
2025-01-01$33.87Not available in this settingRVU25A

72220 billing questions

When should 72220 be chosen instead of a sacroiliac joint X-ray?

Use 72220 when the examination targets the sacrum and coccyx. Sacroiliac joint studies are reported with 72200 or 72202, depending on the views.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 reports the physician's interpretation, and modifier TC reports the technical portion. Without either modifier, the claim represents the global service.

What documentation supports this code?

The record should show the clinical reason for imaging and the sacrum and coccyx as the requested anatomy. The images and a physician's interpretation report support the service.

Does the code include both image acquisition and interpretation?

The global service includes both portions. When the portions are furnished and billed separately, use modifier 26 for interpretation or modifier TC for the technical service.

How is 72220 distinguished from a lumbar spine X-ray?

Choose 72220 for imaging centered on the sacrum and coccyx. Use a lumbar spine code when the study is directed at the lumbar vertebrae.

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 72220PPRRVU2026_Oct_nonQPP.csv, line 8,078 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet