{
    "code": "72110",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/72110/2020/A",
    "release_specific_url": "https://localishealth.com/cpt/72110/2020/C",
    "description": "The complete plain-film study of the lower back - front, side, and additional angled views, often including a focused picture of the lowest lumbar level where it meets the sacrum. The extra angles show the small facet joints and the openings the nerve roots pass through, detail the shorter two- or three-picture study cannot provide. Bending views, taken with the patient leaning forward and back to reveal instability, are handled by a further code.",
    "answer": {
        "question": "How much did Medicare pay for CPT 72110 in Q3 2020?",
        "text": "Medicare paid $49.08 for CPT 72110 in the office (non-facility) setting and $49.08 in a facility under the Q3 2020 Physician Fee Schedule, effective July 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 decreased 5.4%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2020,
        "quarter": "C",
        "label": "Q3 2020",
        "effective": "July 1 – September 30, 2020",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 49.08,
        "facility": 49.08,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.26,
        "practice_expense_non_facility": 1.08,
        "practice_expense_facility": 1.08,
        "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 (Q3 2020)",
        "cms_url": "https://www.cms.gov/files/zip/rvu20c-updated-06192020.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2020/C",
        "file": "PPRRVU20_V0618.csv",
        "row": 12332,
        "sha256": "ebde66539c09d959dffb822c31f25e7c77955ac2e54e8c120994bef894ac5342"
    },
    "modified_at": "2026-08-04T03:09:46+00:00"
}
