CPT 72125
Global XXX ActiveCt neck spine w/o dye
CPT 72125 Billing & Documentation Guide
CPT code 72125 (Ct neck spine w/o dye) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.98, a non-facility practice expense RVU of 2.86, and a malpractice RVU of 0.07, a total non-facility RVU of 3.91 and facility RVU of 3.91. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $135.1, though rates vary from $115.99 to $175.34 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 72125, 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 72125 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 72125 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 72125
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.98 | 0.98 |
| Practice Expense RVU | 2.86 | 2.86 |
| Malpractice RVU | 0.07 | 0.07 |
| Total RVU | 3.91 | 3.91 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 72125
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 | $148.21 | $148.21 | $139.24 - $175.34 | 29 |
| Florida | $133.13 | $133.13 | $127.57 - $138.09 | 3 |
| Georgia | $126.71 | $126.71 | $120.73 - $132.69 | 2 |
| Illinois | $129.62 | $129.62 | $123.6 - $135.21 | 4 |
| Michigan | $125.73 | $125.73 | $122.59 - $128.86 | 2 |
| North Carolina | $123.35 | $123.35 | $123.35 - $123.35 | 1 |
| New York | $144.03 | $144.03 | $125.13 - $152.75 | 5 |
| Ohio | $122.31 | $122.31 | $122.31 - $122.31 | 1 |
| Pennsylvania | $129.1 | $129.1 | $122.64 - $135.55 | 2 |
| Texas | $129.13 | $129.13 | $121.83 - $135.94 | 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 72125
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 72125 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01922 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0558T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 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 |
| 72240 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 72270 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 76350 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 76380 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99201 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 72125
What does CPT code 72125 mean? +
CPT code 72125 represents: Ct neck spine w/o dye. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 72125? +
The 2026 Medicare national average non-facility payment for CPT 72125 is $135.1. Rates range from $115.99 to $175.34 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 72125? +
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 72125? +
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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