{
    "code": "72128",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/72128/2016/A",
    "release_specific_url": "https://localishealth.com/cpt/72128/2016/A",
    "description": "A CT scan of the twelve rib-bearing vertebrae of the mid back, taken without contrast dye and reformatted into multiple planes. It is chosen when the question is bony: is a vertebra fractured, how badly has it collapsed, has a cancer eaten into the bone. This is the least common of the three spinal CT regions, since mid-back problems are less frequent than neck and low back ones, and companion codes cover the same region with contrast.",
    "answer": {
        "question": "How much did Medicare pay for CPT 72128 in Q1 2016?",
        "text": "Medicare paid $181.53 for CPT 72128 in the office (non-facility) setting and $181.53 in a facility under the Q1 2016 Physician Fee Schedule, effective January 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 0.2% increase from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2016,
        "quarter": "A",
        "label": "Q1 2016",
        "effective": "January 1 – March 31, 2016",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 181.53,
        "facility": 181.53,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1,
        "practice_expense_non_facility": 4,
        "practice_expense_facility": 4,
        "malpractice": 0.07
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8043,
    "source": {
        "label": "Physician relative value file (Q1 2016)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16a.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2016/A",
        "file": "PPRRVU16_V0122.csv",
        "row": 11457,
        "sha256": "e7973024293c4f8bd19119f0479a6b7bdc36435376c6b05a22fd3cd3cec5b13c"
    },
    "modified_at": "2026-08-04T03:06:29+00:00"
}