CPT code 72114: Spine X-ray2026 Medicare rate & RVUs in Nebraska

Reports a complete lumbosacral spine radiographic study with at least six views, including bending views, to assess alignment and motion-related changes.

CMS RVU26DEffective Oct 1, 20261 payment locality88.8K Medicare services in 2024

Medicare pays $57.23 for 72114 in the office in Nebraska (Nebraska). Which amount applies depends on the service address.

$57.23Office (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 72114 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Nebraska
  2. What 72114 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 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.

72114 in Nebraska

72114 office and facility rates by payment locality
Payment localityOfficeFacility
Nebraska$57.23Unavailable

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

Work0.29

0.29 RVUs× 1.000 GPCI

Practice expense1.53

1.53 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

1.8500

Conversion factor

$33.4009

Medicare rate

$61.79

Every GPCI starts 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

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

72114 without 26 · national office

$61.79

Spine X-ray

72114-26 · Professional component

$14.36

Pays only the interpretation and report.

When to use modifier 26

72114 compared with similar codes

Compare codes · National

4 codes, side by side

  • 72114

    Spine X-ray0.29 wRVU

    $61.79

  • 72110

    Lumbar spine X-ray0.25 wRVU

    $53.44−$8.35

  • 72120

    Lumbar X-ray0.21 wRVU

    $42.09−$19.70

  • 72100

    Lumbar spine X-ray0.21 wRVU

    $40.42−$21.37

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
RVUs for 72114PPRRVU2026_Oct_nonQPP.csv, line 7,979 (RVU26D)
Geographic factors for NebraskaGPCI2026.csv, line 72 (RVU26D)

Open CMS sourceHow we calculate rates

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