Medicare Physician Fee Schedule · Q3 2026 release
CPT 72131 in Queens, NY
A CT scan of the lower back, covering the lumbar vertebrae and usually the top of the sacrum, taken without contrast dye and rebuilt into side and front views. It gives excellent detail of bone - fractures, slipped vertebrae, arthritic facet joints, narrowing of the canal from bone overgrowth - and is the usual choice when MRI is unavailable or ruled out by a pacemaker or other implant. Contrast versions of the same region exist and are reserved mainly for suspected infection or tumor.
Medicare pays, Office (non-facility) setting, in Queens, NY
$150.32
Before the ~2% sequestration cut. Q3 2026 Physician Fee Schedule.
Local vs. national amount
Queens, NY pays above the national baseline by 15.7%, driven by this locality's GPCIs.
ZIP codes in this locality
This payment locality covers 84 ZIP codes, including 11004, 11005, 11101, 11102, 11103, 11104, 11105, 11106, 11109, 11120, 11351, 11352 and others . Every ZIP in this locality is priced the same under the Physician Fee Schedule.