$129.38
Choose 72125 for a cervical CT without contrast; choose 72126 when contrast is used for the CT examination.
On this page
CMS RVU26D · Effective 2026-10-01
72126 CT spine Medicare reimbursement rates in Delaware
Reports contrast-enhanced CT imaging of the cervical spine, commonly performed after myelography to evaluate the spinal canal and nerve roots. Compare 72126 office and facility rates across CMS payment localities in Delaware.
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 72126 in Delaware?
Delaware 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
$166.73
1 of 1 localities have a supported rate.
Payment area: Delaware
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 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 Delaware, from the same CMS release.
$194.15
72127 represents cervical CT imaging both before and after contrast; 72126 is for contrast-only imaging.
$271.17
72142 is cervical MRI with contrast, not CT. Select according to the imaging modality performed and documented.
Compare 72126 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
Delaware →
Office / nonfacility
$166.73
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 72126 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
7,988
- Code
- 72126
- Physician work
- 1.19
- Practice expense
- 3.76
- Malpractice
- 0.09
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.19 | × 1.005 | 1.1959 |
| Practice expense | 3.76 | × 0.988 | 3.7149 |
| Malpractice | 0.09 | × 0.899 | 0.0809 |
| Total RVUs | 4.9917 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$166.73
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.19 | 1.005 |
| Practice expense | 3.76 | 0.988 |
| Malpractice | 0.09 | 0.899 |
(1.19 × 1.005 + 3.76 × 0.988 + 0.09 × 0.899) × $33.4009 = $166.73
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.
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.
7,98572125,,Ct neck spine w/o dye,A,,0.98,2.86,,2.86,NA,0.07,3.91,3.91,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,3.54,3.54,0.07
7,98672125,26,Ct neck spine w/o dye,A,,0.98,0.35,,0.35,,0.06,1.39,1.39,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
7,98772125,TC,Ct neck spine w/o dye,A,,0.00,2.51,,2.51,NA,0.01,2.52,2.52,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,01,0,88,3.19,3.19,0.01
7,98872126,,Ct neck spine w/dye,A,,1.19,3.76,,3.76,NA,0.09,5.04,5.04,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.03,11.03,0.13
7,98972126,26,Ct neck spine w/dye,A,,1.19,0.42,,0.42,,0.07,1.68,1.68,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
7,99072126,TC,Ct neck spine w/dye,A,,0.00,3.34,,3.34,NA,0.02,3.36,3.36,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,10.61,10.61,0.06
7,99172127,,Ct neck spine w/o & w/dye,A,,1.24,4.54,,4.54,NA,0.09,5.87,5.87,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,5.77,5.77,0.10
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
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503