$36.10
Both codes examine the sacroiliac joints. Use 72202 for three or more views and 72200 for the lower view-count study.
On this page
CMS RVU26D · Effective 2026-10-01
72202 SI joint X-ray Medicare reimbursement rates in Connecticut
Reports radiographic evaluation of the sacroiliac joints when the examination includes at least three views, such as for suspected joint inflammation or structural change. Compare 72202 office and facility rates across CMS payment localities in Connecticut.
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 72202 in Connecticut?
Connecticut 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
$41.40
1 of 1 localities have a supported rate.
Payment area: Connecticut
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 72202: Sacroiliac joint X-ray, three or more views
Reports radiographic evaluation of the sacroiliac joints when the examination includes at least three views, such as for suspected joint inflammation or structural change.
This examination uses X-rays to assess the sacroiliac joints, where the sacrum meets the ilium. Clinicians may order it when evaluating persistent low-back or buttock pain, suspected sacroiliitis, or changes associated with inflammatory disease. A radiologic technologist obtains the images in an outpatient imaging center, hospital department, or office with radiography equipment; a physician, commonly a radiologist, interprets the study and documents the findings.
Select this code when the documented examination contains three or more views of the sacroiliac joints. The report and image record should support the anatomy examined and the number of views; do not select it based only on the suspected diagnosis. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for the equipment and staff, or neither modifier when billing the global service. The professional and technical portions may be separately priced under CMS data.
CMS billing rules for 72202
- 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 RVU0.22 · 19%
- Practice expense (office) RVU0.92 · 79%
- Malpractice RVU0.02 · 2%
44.8K
Medicare services in 2024 · #824 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.
72202 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$34.30
This code targets the sacrum and coccyx rather than the sacroiliac joints. Select based on the anatomy actually imaged.
$43.22
This code reports lumbar spine radiographs, not a dedicated sacroiliac joint examination. A separate study may be appropriate when both regions are imaged and interpreted.
Compare 72202 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
Connecticut →
Office / nonfacility
$41.40
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 72202 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
8,075
- Code
- 72202
- Physician work
- 0.22
- Practice expense
- 0.92
- Malpractice
- 0.02
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.22 | × 1.020 | 0.2244 |
| Practice expense | 0.92 | × 1.077 | 0.9908 |
| Malpractice | 0.02 | × 1.210 | 0.0242 |
| Total RVUs | 1.2394 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$41.40
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.22 | 1.02 |
| Practice expense | 0.92 | 1.077 |
| Malpractice | 0.02 | 1.21 |
(0.22 × 1.02 + 0.92 × 1.077 + 0.02 × 1.21) × $33.4009 = $41.40
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.
72202 billing questions
How does this differ from 72200?
Choose 72202 when the sacroiliac joint examination includes three or more views. Code 72200 is for the lower view-count examination, so use the documented views to distinguish them.
Can the interpretation and imaging work be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion. Without either modifier, the claim represents the global service.
Is this reported once for each view?
Report the examination code once for the study, not once for every projection. The record should show that the study reached the three-view threshold.
What documentation supports 72202?
Keep the imaging report and record of the views obtained, showing that the sacroiliac joints were examined with at least three views. The interpretation should identify the findings for that study.
Should a sacrum or coccyx X-ray use 72202?
No. Code 72202 is for imaging the sacroiliac joints. Use 72220 when the separately performed examination targets the sacrum or coccyx.
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.
8,07272200,,X-ray exam si joints,A,,0.17,0.82,,0.82,NA,0.02,1.01,1.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.23,3.23,0.05
8,07372200,26,X-ray exam si joints,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
8,07472200,TC,X-ray exam si joints,A,,0.00,0.75,,0.75,NA,0.01,0.76,0.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.16,3.16,0.04
8,07572202,,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
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808