$35.41
72200 is directed at the sacroiliac joints. Choose 72220 for imaging centered on the sacrum and coccyx.
On this page
CMS RVU26D · Effective 2026-10-01
72220 Sacrum X-ray Medicare reimbursement rates in Colorado
A targeted radiographic study of the sacrum and coccyx, reported when these bones require imaging for localized pain, trauma, or suspected abnormality. Compare 72220 office and facility rates across CMS payment localities in Colorado.
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.
What does Medicare pay for 72220 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$33.63
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Colorado, from the same CMS release.
$40.65
72202 describes a sacroiliac joint study with more views; it does not represent additional views of a sacrum and coccyx examination.
$42.45
72100 is for lumbar spine imaging. Select 72220 when the order and images focus on the sacrum and coccyx.
Compare 72220 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Colorado →
Office / nonfacility
$33.63
Facility
Unavailable
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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 72220 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
8,078
- Code
- 72220
- Physician work
- 0.17
- Practice expense
- 0.77
- Malpractice
- 0.02
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.012 | 0.1720 |
| Practice expense | 0.77 | × 1.064 | 0.8193 |
| Malpractice | 0.02 | × 0.781 | 0.0156 |
| Total RVUs | 1.0069 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$33.63
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.17 | 1.012 |
| Practice expense | 0.77 | 1.064 |
| Malpractice | 0.02 | 0.781 |
(0.17 × 1.012 + 0.77 × 1.064 + 0.02 × 0.781) × $33.4009 = $33.63
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.
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.
8,07572202,,X-ray exam si joints 3/> vws,A,,0.22,0.92,,0.92,NA,0.02,1.16,1.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.24,3.24,0.05
8,07672202,26,X-ray exam si joints 3/> vws,A,,0.22,0.08,,0.08,,0.01,0.31,0.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,07772202,TC,X-ray exam si joints 3/> vws,A,,0.00,0.84,,0.84,NA,0.01,0.85,0.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.16,3.16,0.04
8,07872220,,X-ray exam sacrum tailbone,A,,0.17,0.77,,0.77,NA,0.02,0.96,0.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,2.69,2.69,0.05
8,07972220,26,X-ray exam sacrum tailbone,A,,0.17,0.07,,0.07,,0.01,0.25,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,08072220,TC,X-ray exam sacrum tailbone,A,,0.00,0.70,,0.70,NA,0.01,0.71,0.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,2.62,2.62,0.04
8,08172240,,Myelography neck spine,A,,0.89,2.39,,2.39,NA,0.07,3.35,3.35,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,24.20,24.20,0.18
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899