$114.84
Use 72240 when the myelographic examination is limited to the cervical region. Use 72270 when the documented study covers two or more spinal regions.
On this page
CMS RVU26D · Effective 2026-10-01
72270 Myelography Medicare reimbursement rates in Rhode Island
Report this radiology service for a contrast myelographic examination that evaluates two or more spinal regions, such as cervical and thoracic levels. Compare 72270 office and facility rates across CMS payment localities in Rhode Island.
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 72270 in Rhode Island?
Rhode Island 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
$137.03
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 72270: Multi-region spinal myelogram
Report this radiology service for a contrast myelographic examination that evaluates two or more spinal regions, such as cervical and thoracic levels.
A multi-region myelogram uses contrast introduced into the spinal canal to outline the thecal sac and nerve-root structures, with imaging of at least two spinal regions. A radiologist commonly supervises the examination and interprets the images in a hospital or imaging center; the study may help evaluate suspected canal narrowing, nerve-root compression, or other spinal abnormalities when myelography is indicated. For example, imaging may cover cervical and thoracic regions during the same examination.
Select this code when the documented myelographic study covers two or more spinal regions, rather than choosing a single-region myelography code for each region. The report should identify the regions examined and support the medical reason for the study. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for the equipment and staff portion, or neither modifier when billing the global service. The lumbar contrast-injection service may be separately reported when performed and supported by the record.
CMS billing rules for 72270
- 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 RVU1.30 · 33%
- Practice expense (office) RVU2.62 · 66%
- Malpractice RVU0.08 · 2%
177
Medicare services in 2024 · #4437 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.
72270 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$106.95
Use 72255 for a thoracic-only myelographic study; this code represents a study spanning at least two regions.
$113.20
Use 72265 when the myelogram is limited to the lumbosacral region. A study that also examines another spinal region points to 72270.
$173.26
72132 reports lumbar CT with contrast, not the multi-region myelographic examination. It may describe a separate CT study performed after myelography.
Compare 72270 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
Rhode Island →
Office / nonfacility
$137.03
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 72270 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
8,090
- Code
- 72270
- Physician work
- 1.30
- Practice expense
- 2.62
- Malpractice
- 0.08
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.30 | × 1.019 | 1.3247 |
| Practice expense | 2.62 | × 1.033 | 2.7065 |
| Malpractice | 0.08 | × 0.892 | 0.0714 |
| Total RVUs | 4.1025 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$137.03
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.3 | 1.019 |
| Practice expense | 2.62 | 1.033 |
| Malpractice | 0.08 | 0.892 |
(1.3 × 1.019 + 2.62 × 1.033 + 0.08 × 0.892) × $33.4009 = $137.03
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.
72270 billing questions
When should this code be chosen instead of a single-region myelography code?
Use it when the documented myelographic examination covers at least two spinal regions. A study limited to cervical, thoracic, or lumbosacral anatomy is represented by the corresponding single-region code.
Can the contrast injection be reported separately?
A separately performed lumbar injection for myelography may be reported with 62284. The record should support the injection service as well as the multi-region imaging and interpretation.
Which modifier identifies the radiologist's interpretation?
Append modifier 26 for the professional interpretation. Modifier TC identifies the technical portion; billing without either modifier represents the global service.
What documentation supports reporting the multi-region service?
Document the spinal regions examined, the myelographic imaging performed, and the findings or interpretation. The record should show that the examination included at least two regions.
Can a CT examination follow the myelogram on the same date?
Yes. A CT examination, such as lumbar spine CT with contrast, may follow a myelogram to assess the anatomy, and is reported when that separate service is performed and documented.
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.
8,08772265,,Myelography l-s spine,A,,0.81,2.43,,2.43,NA,0.06,3.30,3.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,24.20,24.20,0.17
8,08872265,26,Myelography l-s spine,A,,0.81,0.34,,0.34,,0.05,1.20,1.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,08972265,TC,Myelography l-s spine,A,,0.00,2.09,,2.09,NA,0.01,2.10,2.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,23.86,23.86,0.12
8,09072270,,Myelogphy 2/> spine regions,A,,1.30,2.62,,2.62,NA,0.08,4.00,4.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,24.30,24.30,0.18
8,09172270,26,Myelogphy 2/> spine regions,A,,1.30,0.43,,0.43,,0.07,1.80,1.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,09272270,TC,Myelogphy 2/> spine regions,A,,0.00,2.19,,2.19,NA,0.01,2.20,2.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,23.87,23.87,0.11
8,09372285,,Discography cerv/thor spine,A,,1.13,3.16,,3.16,NA,0.05,4.34,4.34,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,60.04,60.04,0.27
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537