Billing code 72050: Neck spine X-rayMedicare rate & RVUs in Alabama

Reports cervical spine radiographs when four or five views are obtained to evaluate neck pain, alignment, or suspected bony changes.

CMS RVU26DEffective Oct 1, 20261 payment locality352.5K Medicare services in 2024

Medicare pays $49.00 for 72050 in the office in Alabama (Alabama). Which amount applies depends on the service address.

$49.00Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 72050 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Alabama
  2. What 72050 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 72050 covers

This service uses X-rays to image the cervical spine in four or five views. A radiologic technologist typically obtains the projections in an office imaging suite, outpatient radiology department, or hospital, and a physician—often a radiologist—interprets the images. Clinicians may request this examination when assessing neck pain, suspected degenerative changes, or cervical alignment. The views provide more coverage than a limited two- or three-view cervical study.

Select the code based on the cervical region and the number of views actually obtained; the report should support both. Billing without a modifier represents the global service, including the imaging equipment and staff as well as the interpretation. When those portions are billed separately, modifier 26 identifies the professional interpretation and modifier TC identifies the technical service. The CMS fee schedule separately prices these modifiers.

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.

72050 in Alabama

72050 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$49.00Unavailable

How the 72050 rate is calculated

Each of 72050’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 72050

RVUs × geographic indexes × conversion factor

Work0.26

0.26 RVUs× 1.000 GPCI

Practice expense1.36

1.36 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

1.6500

Conversion factor

$33.4009

Medicare rate

$55.11

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 72050

The CMS indicators that decide how 72050 is paid alongside other services.

CMS payment indicators · 72050

Neck spine X-ray

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

72050 without 26 · national office

$55.11

Neck spine X-ray

72050-26 · Professional component

$13.03

Pays only the interpretation and report.

When to use modifier 26

72050 compared with similar codes

Compare codes · National

4 codes, side by side

  • 72050

    Neck spine X-ray0.26 wRVU

    $55.11

  • 72040

    Cervical spine X-ray0.21 wRVU

    $39.75−$15.36

  • 72052

    Cervical X-ray0.29 wRVU

    $62.79+$7.68

  • 72070

    Thoracic spine X-ray0.2 wRVU

    $33.07−$22.04

How to choose

72040Cervical spine X-ray
72040 applies to a cervical spine study with two or three views; 72050 applies when four or five views are obtained.
72052Cervical X-ray
Both codes cover cervical spine imaging, but 72052 is for six or more views rather than four or five.
72070Thoracic spine X-ray
72070 is for thoracic spine imaging. Choose 72050 when the imaged region is the cervical spine and four or five views are obtained.

72050 billing questions

When should 72050 be chosen instead of 72040?

Use 72050 when four or five cervical spine views are obtained. Use 72040 for a cervical study with two or three views.

Does four views versus five views change the code?

No. Both four- and five-view cervical spine examinations fall within 72050; the documentation should show the views obtained.

How are the interpretation and imaging service billed?

Billing without a modifier represents the global service. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service.

Can the professional and technical portions be billed separately?

Yes. The professional component and technical component may be reported separately with modifiers 26 and TC, respectively, when each portion is furnished and billed separately.

What documentation supports 72050?

The imaging record should identify the cervical spine examination and establish that four or five views were obtained. The interpretation should document the physician's findings.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 72050PPRRVU2026_Oct_nonQPP.csv, line 7,943 (RVU26D)
Geographic factors for AlabamaGPCI2026.csv, line 4 (RVU26D)

Open CMS sourceHow we calculate rates

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