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CMS RVU26D · Effective 2026-10-01

72126 in Wyoming**

Office / nonfacility

$167.56

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 72126: Cervical spine CT with contrast

Reports contrast-enhanced CT imaging of the cervical spine, commonly performed after myelography to evaluate the spinal canal and nerve roots.

This service is a CT examination of the cervical spine performed with contrast. It is commonly used after cervical myelography to assess the spinal canal and nerve roots, including when MRI is unsuitable or more detail is needed for a specific finding. A radiologist interprets the images; the technical service includes the scanner, acquisition, and supporting staff. The examination may be performed in a hospital or an imaging center.

Choose this code when the cervical CT uses contrast only. Use the sibling code for a study performed both before and after contrast, and the noncontrast sibling when no contrast is used. The order and report should support the cervical anatomy examined, the contrast protocol, and the clinical question. Medicare recognizes professional and technical components: report modifier 26 for interpretation, TC for the technical service, or neither for the global service. When multiple diagnostic imaging services are performed, the multiple procedure reduction applies to both components.

CMS billing rules for 72126

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 RVU1.19 · 24%
  • Practice expense (office) RVU3.76 · 75%
  • Malpractice RVU0.09 · 2%

17.6K

Medicare services in 2024 · #1196 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.

72126 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

72125

Cervical spine CT

Without contrast

$129.99

Choose 72125 for a cervical CT without contrast; choose 72126 when contrast is used for the CT examination.

72127

Cervical spine CT

Without and with contrast

$195.28

72127 represents cervical CT imaging both before and after contrast; 72126 is for contrast-only imaging.

72142

Spine MRI

Cervical, contrast only

$272.67

72142 is cervical MRI with contrast, not CT. Select according to the imaging modality performed and documented.

The same code, a different location

How does Wyoming** compare?

72126 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $167.56

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

    $191.94

    $24.38 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $193.18

    $25.62 higher than Wyoming**

  4. Miami

    $178.09

    $10.53 higher than Wyoming**

  5. Chicago

    $173.14

    $5.58 higher than Wyoming**

  6. Manhattan

    $192.99

    $25.43 higher than Wyoming**

  7. Alaska*

    $195.03

    $27.47 higher than Wyoming**

Other payment areas listed in Wyoming 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, 72126 ranges from $149.17 in Arkansas to $226.83 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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

Compare all 108 other payment areas

  • Alabama

    Alabama · 72126

    Office

    $151.34

    Facility

    Unavailable

    $16.22 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 72126

    Office

    $149.17

    Facility

    Unavailable

    $18.39 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 72126

    Office

    $164.01

    Facility

    Unavailable

    $3.55 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 72126

    Office

    $179.98

    Facility

    Unavailable

    $12.42 higher than Wyoming** for the office setting.

  • Chico

    California · 72126

    Office

    $179.68

    Facility

    Unavailable

    $12.12 higher than Wyoming** for the office setting.

  • El Centro

    California · 72126

    Office

    $179.69

    Facility

    Unavailable

    $12.13 higher than Wyoming** for the office setting.

  • Fresno

    California · 72126

    Office

    $179.68

    Facility

    Unavailable

    $12.12 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 72126

    Office

    $179.68

    Facility

    Unavailable

    $12.12 higher than Wyoming** for the office setting.

  • Madera

    California · 72126

    Office

    $179.68

    Facility

    Unavailable

    $12.12 higher than Wyoming** for the office setting.

  • Merced

    California · 72126

    Office

    $179.68

    Facility

    Unavailable

    $12.12 higher than Wyoming** for the office setting.

  • Modesto

    California · 72126

    Office

    $179.68

    Facility

    Unavailable

    $12.12 higher than Wyoming** for the office setting.

  • Napa

    California · 72126

    Office

    $209.30

    Facility

    Unavailable

    $41.74 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 72126

    Office

    $191.18

    Facility

    Unavailable

    $23.62 higher than Wyoming** for the office setting.

  • Redding

    California · 72126

    Office

    $179.68

    Facility

    Unavailable

    $12.12 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 72126

    Office

    $179.68

    Facility

    Unavailable

    $12.12 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 72126

    Office

    $180.67

    Facility

    Unavailable

    $13.11 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 72126

    Office

    $188.85

    Facility

    Unavailable

    $21.29 higher than Wyoming** for the office setting.

  • Salinas

    California · 72126

    Office

    $188.15

    Facility

    Unavailable

    $20.59 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 72126

    Office

    $192.77

    Facility

    Unavailable

    $25.21 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 72126

    Office

    $221.98

    Facility

    Unavailable

    $54.42 higher than Wyoming** for the office setting.

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

    California · 72126

    Office

    $221.88

    Facility

    Unavailable

    $54.32 higher than Wyoming** for the office setting.

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

    California · 72126

    Office

    $226.83

    Facility

    Unavailable

    $59.27 higher than Wyoming** for the office setting.

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

    California · 72126

    Office

    $226.41

    Facility

    Unavailable

    $58.85 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 72126

    Office

    $185.08

    Facility

    Unavailable

    $17.52 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 72126

    Office

    $194.78

    Facility

    Unavailable

    $27.22 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 72126

    Office

    $188.91

    Facility

    Unavailable

    $21.35 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 72126

    Office

    $196.77

    Facility

    Unavailable

    $29.21 higher than Wyoming** for the office setting.

  • Stockton

    California · 72126

    Office

    $179.68

    Facility

    Unavailable

    $12.12 higher than Wyoming** for the office setting.

  • Vallejo

    California · 72126

    Office

    $209.16

    Facility

    Unavailable

    $41.60 higher than Wyoming** for the office setting.

  • Visalia

    California · 72126

    Office

    $179.68

    Facility

    Unavailable

    $12.12 higher than Wyoming** for the office setting.

  • Yuba City

    California · 72126

    Office

    $179.68

    Facility

    Unavailable

    $12.12 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 72126

    Office

    $176.20

    Facility

    Unavailable

    $8.64 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 72126

    Office

    $179.44

    Facility

    Unavailable

    $11.88 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 72126

    Office

    $166.73

    Facility

    Unavailable

    $0.83 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 72126

    Office

    $172.40

    Facility

    Unavailable

    $4.84 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 72126

    Office

    $164.33

    Facility

    Unavailable

    $3.23 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 72126

    Office

    $171.07

    Facility

    Unavailable

    $3.51 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 72126

    Office

    $155.35

    Facility

    Unavailable

    $12.21 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 72126

    Office

    $184.28

    Facility

    Unavailable

    $16.72 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 72126

    Office

    $155.85

    Facility

    Unavailable

    $11.71 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 72126

    Office

    $156.71

    Facility

    Unavailable

    $10.85 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 72126

    Office

    $161.34

    Facility

    Unavailable

    $6.22 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 72126

    Office

    $159.11

    Facility

    Unavailable

    $8.45 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 72126

    Office

    $174.33

    Facility

    Unavailable

    $6.77 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 72126

    Office

    $157.63

    Facility

    Unavailable

    $9.93 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 72126

    Office

    $154.79

    Facility

    Unavailable

    $12.77 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 72126

    Office

    $154.14

    Facility

    Unavailable

    $13.42 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 72126

    Office

    $161.34

    Facility

    Unavailable

    $6.22 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 72126

    Office

    $153.77

    Facility

    Unavailable

    $13.79 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 72126

    Office

    $194.00

    Facility

    Unavailable

    $26.44 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 72126

    Office

    $175.02

    Facility

    Unavailable

    $7.46 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 72126

    Office

    $178.86

    Facility

    Unavailable

    $11.30 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 72126

    Office

    $170.00

    Facility

    Unavailable

    $2.44 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 72126

    Office

    $157.16

    Facility

    Unavailable

    $10.40 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 72126

    Office

    $166.10

    Facility

    Unavailable

    $1.46 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 72126

    Office

    $166.01

    Facility

    Unavailable

    $1.55 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 72126

    Office

    $157.80

    Facility

    Unavailable

    $9.76 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 72126

    Office

    $169.87

    Facility

    Unavailable

    $2.31 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 72126

    Office

    $160.61

    Facility

    Unavailable

    $6.95 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 72126

    Office

    $162.32

    Facility

    Unavailable

    $5.24 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 72126

    Office

    $150.93

    Facility

    Unavailable

    $16.63 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 72126

    Office

    $150.10

    Facility

    Unavailable

    $17.46 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 72126

    Office

    $168.33

    Facility

    Unavailable

    $0.77 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 72126

    Office

    $158.84

    Facility

    Unavailable

    $8.72 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 72126

    Office

    $166.55

    Facility

    Unavailable

    $1.01 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 72126

    Office

    $156.80

    Facility

    Unavailable

    $10.76 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 72126

    Office

    $173.11

    Facility

    Unavailable

    $5.55 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 72126

    Office

    $191.14

    Facility

    Unavailable

    $23.58 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 72126

    Office

    $181.78

    Facility

    Unavailable

    $14.22 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 72126

    Office

    $158.52

    Facility

    Unavailable

    $9.04 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 72126

    Office

    $167.96

    Facility

    Unavailable

    $0.40 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 72126

    Office

    $197.20

    Facility

    Unavailable

    $29.64 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 72126

    Office

    $182.69

    Facility

    Unavailable

    $15.13 higher than Wyoming** for the office setting.

  • Queens

    New York · 72126

    Office

    $195.07

    Facility

    Unavailable

    $27.51 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 72126

    Office

    $161.17

    Facility

    Unavailable

    $6.39 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 72126

    Office

    $157.44

    Facility

    Unavailable

    $10.12 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 72126

    Office

    $154.23

    Facility

    Unavailable

    $13.33 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 72126

    Office

    $182.15

    Facility

    Unavailable

    $14.59 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 72126

    Office

    $166.95

    Facility

    Unavailable

    $0.61 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 72126

    Office

    $174.79

    Facility

    Unavailable

    $7.23 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 72126

    Office

    $157.88

    Facility

    Unavailable

    $9.68 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 72126

    Office

    $169.68

    Facility

    Unavailable

    $2.12 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 72126

    Office

    $172.92

    Facility

    Unavailable

    $5.36 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 72126

    Office

    $158.34

    Facility

    Unavailable

    $9.22 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 72126

    Office

    $166.34

    Facility

    Unavailable

    $1.22 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 72126

    Office

    $155.52

    Facility

    Unavailable

    $12.04 lower than Wyoming** for the office setting.

  • Austin

    Texas · 72126

    Office

    $175.36

    Facility

    Unavailable

    $7.80 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 72126

    Office

    $156.82

    Facility

    Unavailable

    $10.74 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 72126

    Office

    $166.87

    Facility

    Unavailable

    $0.69 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 72126

    Office

    $167.77

    Facility

    Unavailable

    $0.21 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 72126

    Office

    $166.55

    Facility

    Unavailable

    $1.01 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 72126

    Office

    $167.26

    Facility

    Unavailable

    $0.30 lower than Wyoming** for the office setting.

  • Houston

    Texas · 72126

    Office

    $168.91

    Facility

    Unavailable

    $1.35 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 72126

    Office

    $161.64

    Facility

    Unavailable

    $5.92 lower than Wyoming** for the office setting.

  • Utah

    Utah · 72126

    Office

    $160.50

    Facility

    Unavailable

    $7.06 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 72126

    Office

    $165.32

    Facility

    Unavailable

    $2.24 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 72126

    Office

    $169.68

    Facility

    Unavailable

    $2.12 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 72126

    Office

    $165.60

    Facility

    Unavailable

    $1.96 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 72126

    Office

    $174.79

    Facility

    Unavailable

    $7.23 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 72126

    Office

    $198.29

    Facility

    Unavailable

    $30.73 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 72126

    Office

    $160.99

    Facility

    Unavailable

    $6.57 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 72126

    Office

    $153.18

    Facility

    Unavailable

    $14.38 lower than Wyoming** for the office setting.

See how rates vary across the country

72126 · 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.

$149.17

$203.26

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$195.031
AL$151.341
AR$149.171
AZ$164.011
CA$179.68–$226.8329
CO$176.201
CT$179.441
DC$193.181
DE$166.731
FL$164.33–$178.093
GA$155.35–$171.072
GU$184.281
HI$184.281
IA$155.851
ID$156.711
IL$159.11–$174.334
IN$157.631
KS$154.791
KY$154.141
LA$153.77–$161.342
MA$175.02–$194.002
MD$170.00–$193.183
ME$157.16–$166.102
MI$157.80–$166.012
MN$169.871
MO$150.93–$162.323
MS$150.101
MT$168.331
NC$158.841
ND$166.551
NE$156.801
NH$173.111
NJ$181.78–$191.142
NM$158.521
NV$167.961
NY$161.17–$197.205
OH$157.441
OK$154.231
OR$166.95–$182.152
PA$157.88–$174.792
PR$169.681
RI$172.921
SC$158.341
SD$166.341
TN$155.521
TX$156.82–$175.368
UT$160.501
VA$165.32–$193.182
VI$169.681
VT$165.601
WA$174.79–$198.292
WI$160.991
WV$153.181
WY$167.561

Explore 72126 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 72126 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$184.32

$167.56 × 110% = $184.32

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 72126 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

7,988

Code
72126
Physician work
1.19
Practice expense
3.76
Malpractice
0.09

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 72126 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work1.19× 1.0001.1900
Practice expense3.76× 1.0003.7600
Malpractice0.09× 0.7400.0666
Total RVUs5.0166
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$167.56

Open 72126 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.191
Practice expense3.761
Malpractice0.090.74

(1.19 × 1 + 3.76 × 1 + 0.09 × 0.74) × $33.4009 = $167.56

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

72126 · Office / nonfacility

$167.56

Effective 2026-10-01

The base rate is $2.21 higher than on 2025-10-01, moving from $165.35 to $167.56 (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

    $165.35changed to$167.56

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.22 changed to 1.19
    • Practice expense RVU 3.84 changed to 3.76
    • Malpractice RVU 0.07 changed to 0.09
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $165.35

    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$167.56Not available in this settingRVU26D
2026-07-01$167.56Not available in this settingRVU26C
2026-04-01$167.56Not available in this settingRVU26B
2026-01-01$167.56Not available in this settingRVU26A
2025-10-01$165.35Not available in this settingRVU25D
2025-07-01$165.35Not available in this settingRVU25C
2025-04-01$165.35Not available in this settingRVU25B
2025-01-01$165.35Not available in this settingRVU25A

72126 billing questions

How does this differ from 72125?

72126 is for a cervical CT performed with contrast. Use 72125 when the examination is performed without contrast.

When should 72127 be used instead?

Use 72127 when the cervical CT includes imaging both before and after contrast. 72126 represents the contrast-only examination.

Can 72126 be reported with cervical myelography?

A cervical CT performed after myelography may be reported with the cervical myelography service when both are performed and documented. The CT code represents the CT examination, not the myelographic service.

Which modifier identifies the radiologist's interpretation?

Modifier 26 identifies the professional interpretation. Modifier TC identifies the technical service; reporting without either modifier represents the global service.

What happens when multiple imaging services are performed?

CMS's diagnostic imaging multiple procedure reduction applies to both the professional and technical components. Apply the rule when billing the applicable component services.

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 72126PPRRVU2026_Oct_nonQPP.csv, line 7,988 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet