Billing code 72083: Spine X-rayMedicare rate & RVUs in Massachusetts

Reports radiographic imaging of the entire spine with four or five views, commonly used to assess spinal alignment or deformity across multiple regions.

CMS RVU26DEffective Oct 1, 20262 payment localities18.6K Medicare services in 2024

Medicare pays $83.38–$93.27 for 72083 in the office in Massachusetts, from Rest Of Massachusetts to Metropolitan Boston. Which amount applies depends on the service address.

$83.38–$93.27Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 72083 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Massachusetts
  2. What 72083 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 72083 covers

This service covers radiographic imaging that includes the entire spine in four or five views. It is commonly performed to assess spinal alignment, including in patients evaluated for scoliosis, and may be obtained in an outpatient imaging center, hospital department, or office with radiographic equipment. A technologist acquires the images; a qualified practitioner interprets them when the professional service is billed separately.

Select this code when the study covers the entire spine and the documented examination comprises four or five views. The imaging order and report should support the anatomic extent and number of views performed. Medicare recognizes separately priced professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or neither modifier when billing the global service. The professional component represents interpretation; the technical component represents image acquisition and associated equipment and staff.

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 72083 pays more and less in Massachusetts

72083 office and facility rates by payment locality
Payment localityOfficeFacility
Metropolitan Boston$93.27Unavailable
Rest Of Massachusetts$83.38Unavailable

How the 72083 rate is calculated

Each of 72083’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 · 72083

RVUs × geographic indexes × conversion factor

Work0.34

0.34 RVUs× 1.000 GPCI

Practice expense2.02

2.02 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

2.3900

Conversion factor

$33.4009

Medicare rate

$79.83

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 72083

The CMS indicators that decide how 72083 is paid alongside other services.

CMS payment indicators · 72083

Spine X-ray

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

72083 without 26 · national office

$79.83

Spine X-ray

72083-26 · Professional component

$17.03

Pays only the interpretation and report.

When to use modifier 26

72083 compared with similar codes

Compare codes · National

4 codes, side by side

  • 72083

    Spine X-ray0.34 wRVU

    $79.83

  • 72082

    Spine X-ray0.3 wRVU

    $71.81−$8.02

  • 72084

    Full-spine X-ray0.4 wRVU

    $98.53+$18.70

  • 72080

    Spine X-ray0.2 wRVU

    $35.07−$44.76

How to choose

72082Spine X-ray
Both describe imaging of the entire spine; choose 72082 for two or three views and 72083 for four or five.
72084Full-spine X-ray
This is the entire-spine option for six or more views. Use 72083 when the documented study has four or five.
72080Spine X-ray
72080 describes a thoracolumbar examination, while 72083 is for imaging that encompasses the entire spine.

72083 billing questions

When should 72083 be selected instead of 72082 or 72084?

Use 72083 for an entire-spine study with four or five views. The neighboring codes distinguish entire-spine studies with two or three views and six or more views.

Does this code describe a scoliosis study?

It can describe full-spine radiographs obtained to assess scoliosis, provided the study covers the entire spine and includes four or five views. The clinical indication alone does not determine the view-count code.

How are the professional and technical services billed?

Use modifier 26 for the interpretation and report, or modifier TC for the technical service, including equipment and staff. Billing without either modifier represents the global service.

What documentation supports reporting 72083?

The order and imaging report should establish that the examination covered the entire spine and that four or five views were obtained.

Can 72083 be used for imaging limited to the thoracolumbar spine?

No. This code describes imaging of the entire spine; a study limited to the thoracolumbar region is represented by a different code.

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
RVUs for 72083PPRRVU2026_Oct_nonQPP.csv, line 7,967 (RVU26D)

Open CMS sourceHow we calculate rates

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