CPT 72127
Global XXX ActiveCt neck spine w/o & w/dye
CPT 72127 Billing & Documentation Guide
CPT code 72127 (Ct neck spine w/o & w/dye) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.24, a non-facility practice expense RVU of 4.54, and a malpractice RVU of 0.09, a total non-facility RVU of 5.87 and facility RVU of 5.87. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $203.09, though rates vary from $173.22 to $266.25 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 72127, 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 72127 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 72127 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 72127
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.24 | 1.24 |
| Practice Expense RVU | 4.54 | 4.54 |
| Malpractice RVU | 0.09 | 0.09 |
| Total RVU | 5.87 | 5.87 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 72127
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 | $223.96 | $223.96 | $209.93 - $266.25 | 29 |
| Florida | $199.41 | $199.41 | $190.9 - $206.88 | 3 |
| Georgia | $189.74 | $189.74 | $180.26 - $199.22 | 2 |
| Illinois | $193.83 | $193.83 | $184.56 - $202.77 | 4 |
| Michigan | $188.04 | $188.04 | $183.26 - $192.82 | 2 |
| North Carolina | $184.82 | $184.82 | $184.82 - $184.82 | 1 |
| New York | $216.64 | $216.64 | $187.59 - $229.95 | 5 |
| Ohio | $182.89 | $182.89 | $182.89 - $182.89 | 1 |
| Pennsylvania | $193.54 | $193.54 | $183.46 - $203.61 | 2 |
| Texas | $193.73 | $193.73 | $182.2 - $204.6 | 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 72127
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 72127 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 |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36000 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36005 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 36011 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36406 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36410 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 72127
What does CPT code 72127 mean? +
CPT code 72127 represents: Ct neck spine w/o & w/dye. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 72127? +
The 2026 Medicare national average non-facility payment for CPT 72127 is $203.09. Rates range from $173.22 to $266.25 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 72127? +
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 72127? +
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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