Billing code 72132: Spine CTMedicare rate & RVUs in Nevada

Reports CT imaging of the lumbar spine performed with contrast, including contrast-enhanced studies and the CT portion of a lumbar myelography examination.

CMS RVU26DEffective Oct 1, 20261 payment locality67.9K Medicare services in 2024

Medicare pays $168.30 for 72132 in the office in Nevada (Nevada**). Which amount applies depends on the service address.

$168.30Office (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 72132 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Nevada
  2. What 72132 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 72132 covers

This service covers CT image acquisition and interpretation focused on the lumbar spine after contrast administration. Radiologists commonly interpret the study in hospital or outpatient imaging settings; CT myelography is a familiar clinical context, with images obtained after contrast is introduced into the spinal canal. The code identifies the CT examination, not the contrast-injection procedure itself.

Select this code when the documented lumbar CT uses contrast without also acquiring a noncontrast series. Use 72131 for lumbar CT without contrast and 72133 when both noncontrast and contrast-enhanced series are obtained. The report should identify the lumbar anatomy examined, contrast use, and the findings and interpretation. The service has separately priced professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or neither for the global service. The diagnostic imaging multiple procedure reduction applies to both the technical and professional components when applicable.

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.

72132 in Nevada**

72132 office and facility rates by payment locality
Payment localityOfficeFacility
Nevada**$168.30Unavailable

How the 72132 rate is calculated

Each of 72132’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 · 72132

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 1.19Practice expense 3.77Malpractice 0.09

5.0500 adjusted RVUs×$33.4009 conversion factor=$168.67

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 72132

The CMS indicators that decide how 72132 is paid alongside other services.

CMS payment indicators · 72132

Spine CT

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures4Diagnostic imaging reduction applies to the technical component (and professional component) of additional services.
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

72132 without 26 · national office

$168.67

Spine CT

72132-26 · Professional component

$56.11

Pays only the interpretation and report.

When to use modifier 26

72132 compared with similar codes

Compare codes

72132 vs 72131 vs 72133 vs 72149: national Medicare rates

Swap in your local Medicare rate.

  • 72132
    Spine CT · 1.19 wRVU
    $168.67
  • 72131
    Lumbar CT · 0.98 wRVU
    $129.93−$38.74
  • 72133
    Lumbar CT · 1.24 wRVU
    $196.73+$28.06
  • 72149
    MRI · 1.74 wRVU
    $269.55+$100.88

How to choose

72131Lumbar CT
72131 is for lumbar CT without contrast. Use 72132 when contrast is administered and no noncontrast series is also acquired.
72133Lumbar CT
72133 represents lumbar CT with both noncontrast and contrast-enhanced series; 72132 represents the contrast-enhanced examination alone.
72149MRI
72149 is lumbar MRI with contrast, not CT. Select the code that matches the imaging modality actually performed.

72132 billing questions

How is 72132 distinguished from 72131 and 72133?

Use 72132 when the lumbar CT is performed with contrast only. Choose 72131 for a noncontrast examination and 72133 when both noncontrast and contrast-enhanced series are acquired.

Can 72132 be reported for the CT portion of a myelogram?

Yes. When lumbar CT images are obtained after intrathecal contrast for myelography, 72132 reports the CT examination; the myelography service may be separately reportable when performed and documented.

Which modifiers identify the CT components?

Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.

Does the multiple procedure reduction affect both components?

Yes. CMS applies the diagnostic imaging multiple procedure reduction to the professional and technical components.

Is contrast injection included in 72132?

The code describes the CT examination, not a separately performed contrast-injection or myelography procedure. For a CT myelogram, report the distinct injection or myelography service when supported by the documented work.

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 72132PPRRVU2026_Oct_nonQPP.csv, line 8,006 (RVU26D)
Geographic factors for Nevada**GPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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