$128.49
72125 is for a cervical spine CT without contrast only. Choose this code when the examination includes both noncontrast and post-contrast imaging.
On this page
CMS RVU26D · Effective 2026-10-01
72127 Cervical spine CT Medicare reimbursement rates in Vermont
Reports a cervical spine CT with image acquisition both before and after contrast, often selected when evaluation requires bone detail and contrast-enhanced findings. Compare 72127 office and facility rates across CMS payment localities in Vermont.
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 72127 in Vermont?
Vermont 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
$193.06
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Diagnostic imaging
About 72127: Cervical spine CT without and with contrast
Reports a cervical spine CT with image acquisition both before and after contrast, often selected when evaluation requires bone detail and contrast-enhanced findings.
This study images the cervical vertebrae and surrounding structures using CT, with acquisitions made before and after contrast administration. It may be selected when the clinical question, such as suspected infection or a tumor, calls for both noncontrast bone detail and assessment of contrast-enhanced findings. A radiologic technologist typically performs the scan, and a radiologist interprets the images in a hospital or imaging center.
Report this code when the same cervical spine CT examination includes both noncontrast and post-contrast imaging; the two phases are represented by one code. Use the contrast-only or noncontrast-only cervical CT code when only that acquisition is performed. Documentation should support the cervical anatomy examined, both imaging phases, and the indication. The service has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies the equipment and staff service, and no component modifier represents the global service. CMS diagnostic imaging multiple procedure reduction applies to both the professional and technical components when applicable.
CMS billing rules for 72127
- 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.
- Multiple procedures
- Diagnostic imaging multiple procedure reduction applies to the technical and professional components.
Where the value comes from
- Work RVU1.24 · 21%
- Practice expense (office) RVU4.54 · 77%
- Malpractice RVU0.09 · 2%
2K
Medicare services in 2024 · #2458 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.
72127 compared with similar codes
Office rates for Vermont, from the same CMS release.
$165.60
72126 describes a cervical spine CT with contrast only. This code represents an examination with both noncontrast and post-contrast phases.
$312.96
72156 is an MRI examination of the cervical spine without and with contrast. This code is for CT of the same region and contrast phases.
Compare 72127 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
Vermont →
Office / nonfacility
$193.06
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 72127 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
7,991
- Code
- 72127
- Physician work
- 1.24
- Practice expense
- 4.54
- Malpractice
- 0.09
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.24 | × 1.000 | 1.2400 |
| Practice expense | 4.54 | × 0.990 | 4.4946 |
| Malpractice | 0.09 | × 0.506 | 0.0455 |
| Total RVUs | 5.7801 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$193.06
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.24 | 1 |
| Practice expense | 4.54 | 0.99 |
| Malpractice | 0.09 | 0.506 |
(1.24 × 1 + 4.54 × 0.99 + 0.09 × 0.506) × $33.4009 = $193.06
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.
72127 billing questions
When should this code be selected instead of 72125 or 72126?
The combined examination is reported with this code when both phases are performed as one cervical spine CT study; do not separately report the two phases as 72125 and 72126 for that same study.
How are the professional and technical services billed?
Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Billing without either modifier represents the global service.
Does a multiple procedure reduction affect this code?
CMS diagnostic imaging multiple procedure reduction applies to both the professional and technical components when applicable.
What documentation supports reporting the combined examination?
Document the cervical spine study, the clinical indication, and that imaging was performed both before and after contrast. The record should support why both phases were obtained.
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.
7,98872126,,Ct neck spine w/dye,A,,1.19,3.76,,3.76,NA,0.09,5.04,5.04,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.03,11.03,0.13
7,98972126,26,Ct neck spine w/dye,A,,1.19,0.42,,0.42,,0.07,1.68,1.68,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
7,99072126,TC,Ct neck spine w/dye,A,,0.00,3.34,,3.34,NA,0.02,3.36,3.36,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,10.61,10.61,0.06
7,99172127,,Ct neck spine w/o & w/dye,A,,1.24,4.54,,4.54,NA,0.09,5.87,5.87,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,5.77,5.77,0.10
7,99272127,26,Ct neck spine w/o & w/dye,A,,1.24,0.43,,0.43,,0.07,1.74,1.74,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
7,99372127,TC,Ct neck spine w/o & w/dye,A,,0.00,4.11,,4.11,NA,0.02,4.13,4.13,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,5.34,5.34,0.03
7,99472128,,Ct chest spine w/o dye,A,,0.98,2.85,,2.85,NA,0.07,3.90,3.90,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,3.53,3.53,0.07
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817