{
    "code": "72040",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/72040/2020/A",
    "release_specific_url": "https://localishealth.com/cpt/72040/2020/D",
    "description": "Plain X-rays of the seven vertebrae in the neck, taken as a short study of two or three pictures - typically a front view and a side view. It is the basic look at neck alignment, disc space narrowing, and arthritic wear. Longer studies of the same region exist for when more angles are needed, including oblique views and bending films that show how the neck moves.",
    "answer": {
        "question": "How much did Medicare pay for CPT 72040 in Q4 2020?",
        "text": "Medicare paid $38.62 for CPT 72040 in the office (non-facility) setting and $38.62 in a facility under the Q4 2020 Physician Fee Schedule, effective October 2020. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2020, when it increased 4.0%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2020,
        "quarter": "D",
        "label": "Q4 2020",
        "effective": "October 1 – December 31, 2020",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 38.62,
        "facility": 38.62,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.22,
        "practice_expense_non_facility": 0.83,
        "practice_expense_facility": 0.83,
        "malpractice": 0.02
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0896,
    "source": {
        "label": "Physician relative value file (Q4 2020)",
        "cms_url": "https://www.cms.gov/files/zip/rvu20d-updated-11232020.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2020/D",
        "file": "PPRRVU20_OCT.csv",
        "row": 12317,
        "sha256": "504fd19a9bc1d2eeebb290adac2d7de6c56d4e86cde7532df1862fe42494d319"
    },
    "modified_at": "2026-08-04T03:10:00+00:00"
}