Choose 72285 for discography imaging interpretation of cervical or thoracic discs; 72295 is for lumbar discs.
On this page
CMS RVU26D · Effective 2026-10-01
72295 Discography imaging Medicare reimbursement rates in Maine
Lumbar discography imaging interpretation is reported for fluoroscopic assessment of contrast injected into lumbar discs during evaluation of suspected discogenic pain. Compare 72295 office and facility rates across CMS payment localities in Maine.
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 72295 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$114.13–$120.79
2 of 2 localities have a supported rate.
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 72295: Lumbar discography imaging interpretation
Lumbar discography imaging interpretation is reported for fluoroscopic assessment of contrast injected into lumbar discs during evaluation of suspected discogenic pain.
This service covers the imaging supervision and physician interpretation of lumbar discography. During the study, contrast is injected into one or more lumbar intervertebral discs and imaging is used to assess disc appearance and the patient's response. Spine specialists or pain physicians commonly perform the injections in a fluoroscopy-equipped procedure suite; the physician interpreting the images documents the findings and their clinical significance.
Report 72295 for the radiological supervision and interpretation, separately from the lumbar discography injection service, commonly coded with 62290. The record should identify the lumbar levels studied, include the imaging and interpretation, and support why discography was performed, such as evaluation of suspected discogenic pain. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and reporting without either modifier represents the global service.
CMS billing rules for 72295
- 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 RVU0.81 · 22%
- Practice expense (office) RVU2.80 · 77%
- Malpractice RVU0.05 · 1%
3.5K
Medicare services in 2024 · #2085 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.
72295 compared with similar codes
Office rates for Maine, from the same CMS release.
62290 represents the lumbar discography injection, while 72295 represents the associated imaging supervision and interpretation.
72265 describes lumbar myelography, which evaluates the spinal canal after contrast is introduced into the thecal space; 72295 concerns contrast imaging of lumbar discs.
Compare 72295 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$114.13
Facility
Unavailable
Southern Maine →
Office / nonfacility
$120.79
Facility
Unavailable
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72295 billing questions
How is 72295 different from 72285?
72295 is for interpretation of lumbar discography. 72285 is used when discography evaluates cervical or thoracic discs.
Is the disc injection included in 72295?
No. 72295 covers imaging supervision and interpretation; the lumbar discography injection is separately represented by 62290.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. Without either modifier, 72295 represents the global service.
What documentation supports reporting 72295?
Document the lumbar levels examined, the imaging findings, and the physician's interpretation. The record should also support the clinical reason for performing discography.
Should 72295 be reported once for each disc injected?
The injection code 62290 accounts for lumbar discography injections by level. Do not treat 72295 as a per-level injection code; it represents the radiological supervision and interpretation.
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.
