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CMS RVU26D · Effective 2026-10-01

72265 in Redding

Office / nonfacility

$117.54

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 72265: Lumbar spine myelogram interpretation

Radiologic supervision and interpretation of a lumbar or lumbosacral myelogram, used to evaluate the spinal canal and nerve-root anatomy.

A lumbar or lumbosacral myelogram uses contrast introduced into the spinal canal, followed by radiographic imaging to show the canal and nearby nerve roots. A radiologist typically supervises the imaging and interprets the resulting study. It may help assess anatomy when evaluating suspected narrowing, nerve-root involvement, or changes after prior spine surgery, including when additional detail is needed beyond other imaging.

Report 72265 for the myelographic study of the lumbar or lumbosacral region, rather than for the contrast injection alone. Documentation should identify the region examined and include the myelographic images and interpretation. The contrast injection may be reported separately with 62284 when performed. CMS recognizes professional and technical components: modifier 26 reports the interpretation, modifier TC reports the equipment and staff, and billing without either modifier represents the global service.

CMS billing rules for 72265

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 · 25%
  • Practice expense (office) RVU2.43 · 74%
  • Malpractice RVU0.06 · 2%

1.1K

Medicare services in 2024 · #2914 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.

72265 compared with similar codes

Office rates for Redding, from the same CMS release.

72240

Myelography

Cervical spine

$118.98

This code is for a cervical myelogram; 72265 is for the lumbar or lumbosacral region.

72255

Myelography

Thoracic spine

$110.74

This code is for a thoracic myelogram; 72265 is for the lumbar or lumbosacral region.

72270

Myelography

Two or more spine regions

$141.50

Use 72270 when the myelographic examination covers two or more spinal regions. Use 72265 for the lumbar or lumbosacral region alone.

62284

Myelogram injection

Spinal, excluding C1-C2

$190.36

62284 reports the spinal contrast injection for myelography or CT; 72265 reports the lumbar or lumbosacral myelographic imaging service.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 72265 is $117.75—$0.21 higher than the $117.54 rate in Redding. Both use the same code, release and participation basis.

72265 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $117.54

  2. Bakersfield

    $117.75

    $0.21 higher than Redding

  3. Chico

    $117.54

    The same base rate than Redding

  4. El Centro

    $117.55

    $0.01 higher than Redding

  5. Fresno

    $117.54

    The same base rate than Redding

  6. Hanford-Corcoran

    $117.54

    The same base rate than Redding

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

    $125.51

    $7.97 higher than Redding

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, 72265 ranges from $97.81 in Arkansas to $148.14 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 · 72265

    Office

    $117.54

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Merced

    California · 72265

    Office

    $117.54

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Modesto

    California · 72265

    Office

    $117.54

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Napa

    California · 72265

    Office

    $136.75

    Facility

    Unavailable

    $19.21 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 72265

    Office

    $125.00

    Facility

    Unavailable

    $7.46 higher than Redding for the office setting.

  • Rest Of California

    California · 72265

    Office

    $117.54

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 72265

    Office

    $118.21

    Facility

    Unavailable

    $0.67 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 72265

    Office

    $123.50

    Facility

    Unavailable

    $5.96 higher than Redding for the office setting.

  • Salinas

    California · 72265

    Office

    $123.04

    Facility

    Unavailable

    $5.50 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 72265

    Office

    $126.02

    Facility

    Unavailable

    $8.48 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 72265

    Office

    $144.99

    Facility

    Unavailable

    $27.45 higher than Redding for the office setting.

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

    California · 72265

    Office

    $144.92

    Facility

    Unavailable

    $27.38 higher than Redding for the office setting.

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

    California · 72265

    Office

    $148.14

    Facility

    Unavailable

    $30.60 higher than Redding for the office setting.

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

    California · 72265

    Office

    $147.87

    Facility

    Unavailable

    $30.33 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 72265

    Office

    $121.03

    Facility

    Unavailable

    $3.49 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 72265

    Office

    $127.31

    Facility

    Unavailable

    $9.77 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 72265

    Office

    $123.52

    Facility

    Unavailable

    $5.98 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 72265

    Office

    $128.61

    Facility

    Unavailable

    $11.07 higher than Redding for the office setting.

  • Stockton

    California · 72265

    Office

    $117.54

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 72265

    Office

    $136.65

    Facility

    Unavailable

    $19.11 higher than Redding for the office setting.

  • Visalia

    California · 72265

    Office

    $117.54

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 72265

    Office

    $117.54

    Facility

    Unavailable

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 72265

    Office

    $126.36

    Facility

    Unavailable

    $8.82 higher than Redding for the office setting.

  • Miami

    Florida · 72265

    Office

    $116.61

    Facility

    Unavailable

    $0.93 lower than Redding for the office setting.

  • Chicago

    Illinois · 72265

    Office

    $113.41

    Facility

    Unavailable

    $4.13 lower than Redding for the office setting.

  • Manhattan

    New York · 72265

    Office

    $126.28

    Facility

    Unavailable

    $8.74 higher than Redding for the office setting.

  • Alaska*

    Alaska · 72265

    Office

    $128.13

    Facility

    Unavailable

    $10.59 higher than Redding for the office setting.

  • Alabama

    Alabama · 72265

    Office

    $99.21

    Facility

    Unavailable

    $18.33 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 72265

    Office

    $97.81

    Facility

    Unavailable

    $19.73 lower than Redding for the office setting.

  • Arizona

    Arizona · 72265

    Office

    $107.42

    Facility

    Unavailable

    $10.12 lower than Redding for the office setting.

  • Colorado

    Colorado · 72265

    Office

    $115.30

    Facility

    Unavailable

    $2.24 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 72265

    Office

    $117.43

    Facility

    Unavailable

    $0.11 lower than Redding for the office setting.

  • Delaware

    Delaware · 72265

    Office

    $109.18

    Facility

    Unavailable

    $8.36 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 72265

    Office

    $112.90

    Facility

    Unavailable

    $4.64 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 72265

    Office

    $107.66

    Facility

    Unavailable

    $9.88 lower than Redding for the office setting.

  • Atlanta

    Georgia · 72265

    Office

    $112.01

    Facility

    Unavailable

    $5.53 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 72265

    Office

    $101.84

    Facility

    Unavailable

    $15.70 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 72265

    Office

    $120.50

    Facility

    Unavailable

    $2.96 higher than Redding for the office setting.

  • Iowa

    Iowa · 72265

    Office

    $102.12

    Facility

    Unavailable

    $15.42 lower than Redding for the office setting.

  • Idaho

    Idaho · 72265

    Office

    $102.67

    Facility

    Unavailable

    $14.87 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 72265

    Office

    $105.76

    Facility

    Unavailable

    $11.78 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 72265

    Office

    $104.29

    Facility

    Unavailable

    $13.25 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 72265

    Office

    $114.15

    Facility

    Unavailable

    $3.39 lower than Redding for the office setting.

  • Indiana

    Indiana · 72265

    Office

    $103.27

    Facility

    Unavailable

    $14.27 lower than Redding for the office setting.

  • Kansas

    Kansas · 72265

    Office

    $101.44

    Facility

    Unavailable

    $16.10 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 72265

    Office

    $101.04

    Facility

    Unavailable

    $16.50 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 72265

    Office

    $105.71

    Facility

    Unavailable

    $11.83 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 72265

    Office

    $100.80

    Facility

    Unavailable

    $16.74 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 72265

    Office

    $126.86

    Facility

    Unavailable

    $9.32 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 72265

    Office

    $114.55

    Facility

    Unavailable

    $2.99 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 72265

    Office

    $117.06

    Facility

    Unavailable

    $0.48 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 72265

    Office

    $111.30

    Facility

    Unavailable

    $6.24 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 72265

    Office

    $102.97

    Facility

    Unavailable

    $14.57 lower than Redding for the office setting.

  • Southern Maine

    Maine · 72265

    Office

    $108.75

    Facility

    Unavailable

    $8.79 lower than Redding for the office setting.

  • Detroit

    Michigan · 72265

    Office

    $108.76

    Facility

    Unavailable

    $8.78 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 72265

    Office

    $103.42

    Facility

    Unavailable

    $14.12 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 72265

    Office

    $111.17

    Facility

    Unavailable

    $6.37 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 72265

    Office

    $105.23

    Facility

    Unavailable

    $12.31 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 72265

    Office

    $106.33

    Facility

    Unavailable

    $11.21 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 72265

    Office

    $98.97

    Facility

    Unavailable

    $18.57 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 72265

    Office

    $98.42

    Facility

    Unavailable

    $19.12 lower than Redding for the office setting.

  • Montana**

    Montana · 72265

    Office

    $110.22

    Facility

    Unavailable

    $7.32 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 72265

    Office

    $104.06

    Facility

    Unavailable

    $13.48 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 72265

    Office

    $109.03

    Facility

    Unavailable

    $8.51 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 72265

    Office

    $102.73

    Facility

    Unavailable

    $14.81 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 72265

    Office

    $113.30

    Facility

    Unavailable

    $4.24 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 72265

    Office

    $125.05

    Facility

    Unavailable

    $7.51 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 72265

    Office

    $118.97

    Facility

    Unavailable

    $1.43 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 72265

    Office

    $103.89

    Facility

    Unavailable

    $13.65 lower than Redding for the office setting.

  • Nevada**

    Nevada · 72265

    Office

    $109.97

    Facility

    Unavailable

    $7.57 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 72265

    Office

    $129.01

    Facility

    Unavailable

    $11.47 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 72265

    Office

    $119.57

    Facility

    Unavailable

    $2.03 higher than Redding for the office setting.

  • Queens

    New York · 72265

    Office

    $127.61

    Facility

    Unavailable

    $10.07 higher than Redding for the office setting.

  • Rest Of New York

    New York · 72265

    Office

    $105.57

    Facility

    Unavailable

    $11.97 lower than Redding for the office setting.

  • Ohio

    Ohio · 72265

    Office

    $103.18

    Facility

    Unavailable

    $14.36 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 72265

    Office

    $101.09

    Facility

    Unavailable

    $16.45 lower than Redding for the office setting.

  • Portland

    Oregon · 72265

    Office

    $119.15

    Facility

    Unavailable

    $1.61 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 72265

    Office

    $109.30

    Facility

    Unavailable

    $8.24 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 72265

    Office

    $114.42

    Facility

    Unavailable

    $3.12 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 72265

    Office

    $103.46

    Facility

    Unavailable

    $14.08 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 72265

    Office

    $111.09

    Facility

    Unavailable

    $6.45 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 72265

    Office

    $113.20

    Facility

    Unavailable

    $4.34 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 72265

    Office

    $103.75

    Facility

    Unavailable

    $13.79 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 72265

    Office

    $108.89

    Facility

    Unavailable

    $8.65 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 72265

    Office

    $101.91

    Facility

    Unavailable

    $15.63 lower than Redding for the office setting.

  • Austin

    Texas · 72265

    Office

    $114.76

    Facility

    Unavailable

    $2.78 lower than Redding for the office setting.

  • Beaumont

    Texas · 72265

    Office

    $102.78

    Facility

    Unavailable

    $14.76 lower than Redding for the office setting.

  • Brazoria

    Texas · 72265

    Office

    $109.27

    Facility

    Unavailable

    $8.27 lower than Redding for the office setting.

  • Dallas

    Texas · 72265

    Office

    $109.86

    Facility

    Unavailable

    $7.68 lower than Redding for the office setting.

  • Fort Worth

    Texas · 72265

    Office

    $109.07

    Facility

    Unavailable

    $8.47 lower than Redding for the office setting.

  • Galveston

    Texas · 72265

    Office

    $109.53

    Facility

    Unavailable

    $8.01 lower than Redding for the office setting.

  • Houston

    Texas · 72265

    Office

    $110.62

    Facility

    Unavailable

    $6.92 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 72265

    Office

    $105.89

    Facility

    Unavailable

    $11.65 lower than Redding for the office setting.

  • Utah

    Utah · 72265

    Office

    $105.15

    Facility

    Unavailable

    $12.39 lower than Redding for the office setting.

  • Virginia

    Virginia · 72265

    Office

    $108.25

    Facility

    Unavailable

    $9.29 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 72265

    Office

    $111.09

    Facility

    Unavailable

    $6.45 lower than Redding for the office setting.

  • Vermont

    Vermont · 72265

    Office

    $108.42

    Facility

    Unavailable

    $9.12 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 72265

    Office

    $114.40

    Facility

    Unavailable

    $3.14 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 72265

    Office

    $129.63

    Facility

    Unavailable

    $12.09 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 72265

    Office

    $105.43

    Facility

    Unavailable

    $12.11 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 72265

    Office

    $100.45

    Facility

    Unavailable

    $17.09 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 72265

    Office

    $109.70

    Facility

    Unavailable

    $7.84 lower than Redding for the office setting.

See how rates vary across the country

72265 · 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.

$97.81

$132.84

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$128.131
AL$99.211
AR$97.811
AZ$107.421
CA$117.54–$148.1429
CO$115.301
CT$117.431
DC$126.361
DE$109.181
FL$107.66–$116.613
GA$101.84–$112.012
GU$120.501
HI$120.501
IA$102.121
ID$102.671
IL$104.29–$114.154
IN$103.271
KS$101.441
KY$101.041
LA$100.80–$105.712
MA$114.55–$126.862
MD$111.30–$126.363
ME$102.97–$108.752
MI$103.42–$108.762
MN$111.171
MO$98.97–$106.333
MS$98.421
MT$110.221
NC$104.061
ND$109.031
NE$102.731
NH$113.301
NJ$118.97–$125.052
NM$103.891
NV$109.971
NY$105.57–$129.015
OH$103.181
OK$101.091
OR$109.30–$119.152
PA$103.46–$114.422
PR$111.091
RI$113.201
SC$103.751
SD$108.891
TN$101.911
TX$102.78–$114.768
UT$105.151
VA$108.25–$126.362
VI$111.091
VT$108.421
WA$114.40–$129.632
WI$105.431
WV$100.451
WY$109.701

Explore 72265 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 72265 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$129.29

$117.54 × 110% = $129.29

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 72265 in Redding.

PPRRVU2026_Oct_nonQPP.csv

8,087

Code
72265
Physician work
0.81
Practice expense
2.43
Malpractice
0.06

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 72265 in Redding
ComponentRVULocality factorAdjusted
Physician work0.81× 1.0170.8238
Practice expense2.43× 1.0962.6633
Malpractice0.06× 0.5360.0322
Total RVUs3.5192
Conversion factor× 33.4009

Office / nonfacility rate, Redding$117.54

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

Open 72265 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.811.017
Practice expense2.431.096
Malpractice0.060.536

(0.81 × 1.017 + 2.43 × 1.096 + 0.06 × 0.536) × $33.4009 = $117.54

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

72265 · Office / nonfacility

$117.54

Effective 2026-10-01

The base rate is $5.97 higher than on 2025-10-01, moving from $111.57 to $117.54 (5.4%).

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

    $111.57changed to$117.54

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.83 changed to 0.81
    • Practice expense RVU 2.36 changed to 2.43
    • Malpractice RVU 0.05 changed to 0.06
    • 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: $111.57

    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$117.54Not available in this settingRVU26D
2026-07-01$117.54Not available in this settingRVU26C
2026-04-01$117.54Not available in this settingRVU26B
2026-01-01$117.54Not available in this settingRVU26A
2025-10-01$111.57Not available in this settingRVU25D
2025-07-01$111.57Not available in this settingRVU25C
2025-04-01$111.57Not available in this settingRVU25B
2025-01-01$111.57Not available in this settingRVU25A

72265 billing questions

When should 72265 be used instead of 72270?

Use 72265 for a lumbar or lumbosacral myelogram. Use 72270 when the myelographic examination covers two or more spinal regions.

Does 72265 include the contrast injection?

The code represents the lumbar or lumbosacral myelographic imaging service, not the injection alone. When performed, the spinal contrast injection may be reported separately with 62284.

Which modifier reports only the interpretation?

Append modifier 26 for the professional interpretation. Modifier TC reports the technical service, and billing without either modifier represents the global service.

How does 72265 differ from 62284?

72265 covers the radiologic myelogram service for the lumbar or lumbosacral region. Code 62284 represents the spinal contrast injection used for myelography or CT.

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 72265PPRRVU2026_Oct_nonQPP.csv, line 8,087 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet