CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 72110 RVU and Medicare Payment (2026)

X-ray exam l-2 spine 4/>vws — 0.25 work RVU, about $53.44 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
0.25
PE RVU (non-facility)
1.32
PE RVU (facility)
1.32
MP RVU
0.03
Office payment
$53.44
Facility payment
$53.44

How the payment is calculated

Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 72110 in a non-facility setting with national GPCI: (0.25 + 1.32 + 0.03) × $33.4009 ≈ $53.44. The same code in a facility setting pays about $53.44 because facility PE RVU (1.32) replaces office PE RVU.

What changes by locality

GPCI moves 72110 non-facility payment from $46.74 to $73.38 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). Check your exact locality in the GPCI calculator rather than using a state average.

Related codes

Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.

Frequently asked questions

What is the 2026 work RVU for CPT 72110?

0.25. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.

How much does Medicare pay for CPT 72110 in 2026?

About $53.44 non-facility ($53.44 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.

Does the work RVU change between office and facility?

No. Work RVU (0.25) and malpractice RVU stay fixed; only practice expense changes (1.32 office vs 1.32 facility). That is the entire office-vs-facility payment gap.