CPT 72110
Global XXX ActiveX-ray exam l-2 spine 4/>vws
CPT 72110 Billing & Documentation Guide
CPT code 72110 (X-ray exam l-2 spine 4/>vws) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.25, a non-facility practice expense RVU of 1.32, and a malpractice RVU of 0.03, a total non-facility RVU of 1.6 and facility RVU of 1.6. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $55.39, though rates vary from $46.74 to $73.38 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 72110, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 72110 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 72110 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 72110
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.25 | 0.25 |
| Practice Expense RVU | 1.32 | 1.32 |
| Malpractice RVU | 0.03 | 0.03 |
| Total RVU | 1.6 | 1.6 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 72110
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $61.36 | $61.36 | $57.35 - $73.38 | 29 |
| Florida | $54.54 | $54.54 | $52.01 - $56.78 | 3 |
| Georgia | $51.62 | $51.62 | $48.87 - $54.37 | 2 |
| Illinois | $52.9 | $52.9 | $50.17 - $55.46 | 4 |
| Michigan | $51.16 | $51.16 | $49.73 - $52.59 | 2 |
| North Carolina | $50.13 | $50.13 | $50.13 - $50.13 | 1 |
| New York | $59.3 | $59.3 | $50.94 - $63.17 | 5 |
| Ohio | $49.61 | $49.61 | $49.61 - $49.61 | 1 |
| Pennsylvania | $52.68 | $52.68 | $49.77 - $55.59 | 2 |
| Texas | $52.73 | $52.73 | $49.4 - $55.9 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 72110
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 72110 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 72020 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 72080 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 72100 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 72114 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 72010 | Column 2 (secondary), bundled into primary | Yes | HCPCS/CPT procedure code definition |
| 72081 | Column 2 (secondary), bundled into primary | Yes | HCPCS/CPT procedure code definition |
| 72082 | Column 2 (secondary), bundled into primary | Yes | HCPCS/CPT procedure code definition |
Frequently Asked Questions, CPT 72110
What does CPT code 72110 mean? +
CPT code 72110 represents: X-ray exam l-2 spine 4/>vws. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 72110? +
The 2026 Medicare national average non-facility payment for CPT 72110 is $55.39. Rates range from $46.74 to $73.38 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 72110? +
Radiology codes rely heavily on the professional/technical split: modifier 26 (professional component only) and TC (technical component only). Also common: 50 (bilateral imaging), 76 (repeat by same physician), 77 (repeat by different physician), and LT/RT for laterality.
What bundling edits apply to CPT 72110? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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