Billing code 72114: Spine X-rayMedicare rate & RVUs in Illinois
Reports a complete lumbosacral spine radiographic study with at least six views, including bending views, to assess alignment and motion-related changes.
Medicare pays $57.91–$64.01 for 72114 in the office in Illinois, from Rest Of Illinois to Suburban Chicago. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 72114 covers
This study uses multiple X-ray views of the lumbar and sacral spine, including bending views that show alignment in different positions. It is commonly ordered when a clinician evaluating back pain or suspected spinal instability needs to assess movement-related changes, such as with suspected spondylolisthesis. A radiologic technologist acquires the images, and a physician interprets them in an office, imaging center, or hospital setting.
Report 72114 when the documented examination includes at least six views and bending views; select the code based on the study performed, not simply the diagnosis or order wording. The record should support the lumbosacral anatomy examined, the views obtained, the clinical reason, and the interpretation. Medicare recognizes separately priced professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff service, and an unmodified claim represents the global service.
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.
Where 72114 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
4 payment localities
$57.91 to $64.01
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | $63.41 | Unavailable |
| East St. Louis | $58.72 | Unavailable |
| Rest Of Illinois | $57.91 | Unavailable |
| Suburban Chicago | $64.01 | Unavailable |
How the 72114 rate is calculated
Each of 72114’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 · 72114
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.29Practice expense 1.53Malpractice 0.03
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 72114
The CMS indicators that decide how 72114 is paid alongside other services.
CMS payment indicators · 72114
Spine X-ray
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
72114 without 26 · national office
$61.79
Spine X-ray
72114-26 · Professional component
$14.36
Pays only the interpretation and report.
72114 compared with similar codes
Compare codes
72114 vs 72110 vs 72120 vs 72100: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 72110Lumbar spine X-ray
- Use 72114 when the study includes at least six views and bending views. Use 72110 for a four-or-more-view lumbosacral study that does not meet those criteria.
- 72120Lumbar X-ray
- 72120 covers bending views alone. 72114 represents a complete study that includes bending views and at least six total views.
- 72100Lumbar spine X-ray
- 72100 is for a two- or three-view lumbosacral study, not the six-or-more-view bending study represented by 72114.
72114 billing questions
How does 72114 differ from 72110?
72114 describes a study with at least six views, including bending views. 72110 is used for a four-or-more-view lumbosacral study that does not meet the specific bending-view criteria for 72114.
When should 72120 be reported instead?
Use 72120 for bending views alone, rather than a complete study that includes bending views and at least six total views.
Can the professional and technical services be billed separately?
Yes. Modifier 26 identifies the physician's interpretation, and modifier TC identifies the equipment and staff service. Without either modifier, the claim represents the global service.
What documentation supports reporting 72114?
Document the lumbosacral study, the clinical indication, and the views actually obtained. The record should support at least six views, including bending views.
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
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