$35.31
Both codes cover SI-joint radiography; select 72200 for fewer than three views and 72202 for three or more.
On this page
CMS RVU26D · Effective 2026-10-01
72200 SI joint X-ray Medicare reimbursement rates in Oklahoma
Reports a focused radiographic examination of the sacroiliac joints with fewer than three views, commonly obtained to evaluate localized joint pain or suspected sacroiliitis. Compare 72200 office and facility rates across CMS payment localities in Oklahoma.
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 72200 in Oklahoma?
Oklahoma has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$30.66
1 of 1 localities have a supported rate.
Payment area: Oklahoma
One mapped payment locality.
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 72200: Sacroiliac joint radiograph, limited views
Reports a focused radiographic examination of the sacroiliac joints with fewer than three views, commonly obtained to evaluate localized joint pain or suspected sacroiliitis.
This code describes a focused X-ray examination of the sacroiliac joints using fewer than three views. It is commonly used when pain is localized near the SI joints or imaging is needed to assess suspected sacroiliitis or other joint changes. A technologist acquires the images in an outpatient imaging department, hospital, or office with radiographic equipment; a physician, often a radiologist, interprets the study and documents the findings.
Select this code based on the number of views performed: fewer than three supports this service, while three or more views point to the higher-view sibling code. The imaging report and order should support the SI-joint focus and the views obtained. The global service is billed without a component modifier. Modifier 26 identifies the physician’s interpretation, while modifier TC identifies the technical service, including equipment and staff; CMS separately prices these modifiers.
CMS billing rules for 72200
- 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 RVU0.17 · 17%
- Practice expense (office) RVU0.82 · 81%
- Malpractice RVU0.02 · 2%
15K
Medicare services in 2024 · #1254 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.
72200 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
Compare 72200 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.
1 of 1 payment localities
Oklahoma →
Office / nonfacility
$30.66
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 72200 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
8,072
- Code
- 72200
- Physician work
- 0.17
- Practice expense
- 0.82
- Malpractice
- 0.02
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.000 | 0.1700 |
| Practice expense | 0.82 | × 0.893 | 0.7323 |
| Malpractice | 0.02 | × 0.777 | 0.0155 |
| Total RVUs | 0.9178 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Oklahoma$30.66
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.17 | 1 |
| Practice expense | 0.82 | 0.893 |
| Malpractice | 0.02 | 0.777 |
(0.17 × 1 + 0.82 × 0.893 + 0.02 × 0.777) × $33.4009 = $30.66
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
72200 billing questions
When should 72200 be used instead of 72202?
Choose 72200 when the SI-joint examination includes fewer than three views. Three or more views correspond to 72202.
What does the unmodified code represent?
It represents the global service, including both image acquisition and physician interpretation. Use modifier 26 for the professional interpretation or TC for the technical service when billing those portions separately.
What documentation supports 72200?
The order and imaging record should identify the SI joints as the examination focus and document the views performed. The interpretation should include the physician’s findings.
Is an X-ray of the sacrum or tailbone the same service?
No. 72200 focuses on the sacroiliac joints; 72220 describes imaging of the sacrum and coccyx. Select according to the body area examined.
Which modifier identifies the radiologist’s interpretation?
Modifier 26 identifies the professional interpretation. Modifier TC identifies the technical portion, including imaging equipment and staff.
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.
8,06972198,,Mr angio pelvis w/o & w/dye,A,,1.76,8.17,,8.17,NA,0.13,10.06,10.06,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.21,11.21,0.15
8,07072198,26,Mr angio pelvis w/o & w/dye,A,,1.76,0.60,,0.60,,0.09,2.45,2.45,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,07172198,TC,Mr angio pelvis w/o & w/dye,A,,0.00,7.57,,7.57,NA,0.04,7.61,7.61,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,10.61,10.61,0.06
8,07272200,,X-ray exam si joints,A,,0.17,0.82,,0.82,NA,0.02,1.01,1.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.23,3.23,0.05
8,07372200,26,X-ray exam si joints,A,,0.17,0.07,,0.07,,0.01,0.25,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,07472200,TC,X-ray exam si joints,A,,0.00,0.75,,0.75,NA,0.01,0.76,0.76,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.16,3.16,0.04
8,07572202,,X-ray exam si joints 3/> vws,A,,0.22,0.92,,0.92,NA,0.02,1.16,1.16,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.24,3.24,0.05
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193