$111.29
This code is for a cervical myelogram; 72265 is for the lumbar or lumbosacral region.
On this page
CMS RVU26D · Effective 2026-10-01
72265 Myelography Medicare reimbursement rates in Wyoming
Radiologic supervision and interpretation of a lumbar or lumbosacral myelogram, used to evaluate the spinal canal and nerve-root anatomy. Compare 72265 office and facility rates across CMS payment localities in Wyoming.
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 72265 in Wyoming?
Wyoming 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
$109.70
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 72265: Lumbar spine myelogram interpretation
Radiologic supervision and interpretation of a lumbar or lumbosacral myelogram, used to evaluate the spinal canal and nerve-root anatomy.
A lumbar or lumbosacral myelogram uses contrast introduced into the spinal canal, followed by radiographic imaging to show the canal and nearby nerve roots. A radiologist typically supervises the imaging and interprets the resulting study. It may help assess anatomy when evaluating suspected narrowing, nerve-root involvement, or changes after prior spine surgery, including when additional detail is needed beyond other imaging.
Report 72265 for the myelographic study of the lumbar or lumbosacral region, rather than for the contrast injection alone. Documentation should identify the region examined and include the myelographic images and interpretation. The contrast injection may be reported separately with 62284 when performed. CMS recognizes professional and technical components: modifier 26 reports the interpretation, modifier TC reports the equipment and staff, and billing without either modifier represents the global service.
CMS billing rules for 72265
- 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 RVU0.81 · 25%
- Practice expense (office) RVU2.43 · 74%
- Malpractice RVU0.06 · 2%
1.1K
Medicare services in 2024 · #2914 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.
72265 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$103.69
This code is for a thoracic myelogram; 72265 is for the lumbar or lumbosacral region.
$132.91
Use 72270 when the myelographic examination covers two or more spinal regions. Use 72265 for the lumbar or lumbosacral region alone.
$178.64
62284 reports the spinal contrast injection for myelography or CT; 72265 reports the lumbar or lumbosacral myelographic imaging service.
Compare 72265 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
Wyoming** →
Office / nonfacility
$109.70
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 72265 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
8,087
- Code
- 72265
- Physician work
- 0.81
- Practice expense
- 2.43
- Malpractice
- 0.06
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.81 | × 1.000 | 0.8100 |
| Practice expense | 2.43 | × 1.000 | 2.4300 |
| Malpractice | 0.06 | × 0.740 | 0.0444 |
| Total RVUs | 3.2844 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$109.70
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.81 | 1 |
| Practice expense | 2.43 | 1 |
| Malpractice | 0.06 | 0.74 |
(0.81 × 1 + 2.43 × 1 + 0.06 × 0.74) × $33.4009 = $109.70
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.
72265 billing questions
When should 72265 be used instead of 72270?
Use 72265 for a lumbar or lumbosacral myelogram. Use 72270 when the myelographic examination covers two or more spinal regions.
Does 72265 include the contrast injection?
The code represents the lumbar or lumbosacral myelographic imaging service, not the injection alone. When performed, the spinal contrast injection may be reported separately with 62284.
Which modifier reports only the interpretation?
Append modifier 26 for the professional interpretation. Modifier TC reports the technical service, and billing without either modifier represents the global service.
How does 72265 differ from 62284?
72265 covers the radiologic myelogram service for the lumbar or lumbosacral region. Code 62284 represents the spinal contrast injection used for myelography or CT.
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.
8,08472255,,Myelography thoracic spine,A,,0.89,2.17,,2.17,NA,0.06,3.12,3.12,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,24.17,24.17,0.18
8,08572255,26,Myelography thoracic spine,A,,0.89,0.32,,0.32,,0.05,1.26,1.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,08672255,TC,Myelography thoracic spine,A,,0.00,1.85,,1.85,NA,0.01,1.86,1.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,23.85,23.85,0.13
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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,