If you’re a provider or billing specialist navigating radiology codes, CPT code 72040 is one that pops up frequently. It’s commonly used for cervical spine X-rays with 2 or 3 views, often in emergency rooms, pain management clinics, or orthopedic settings. But despite being routine, it’s also one of the codes that can lead to billing confusion—especially when it comes to modifiers and reimbursement.
Cures Medical Billing, we’ve worked with multiple providers who’ve faced denials or underpayments simply due to incorrect coding or modifier use with 72040. So, let’s clear the fog and get into what this code means, how it’s billed, and what pitfalls to avoid.
CPT code 72040 is used to report a radiologic examination of the cervical spine involving 2 or 3 views. These views usually include:
This imaging helps identify fractures, arthritis, spinal misalignment, or degenerative disc disease.
Radiologic examination, spine, cervical; 2 or 3 views.
In simple terms: if a cervical spine X-ray includes 2 or 3 different angles, 72040 is your go-to CPT code.
This code is usually reported when a healthcare provider requires imaging to evaluate the cervical spine or upper neck area for diagnostic purposes:
How much does CPT code 72040 cost? That depends on a few things—geographic location, facility type, and payer policies. On average:
Cures Medical Billing Services always recommends verifying payer-specific fee schedules to ensure accurate claim submission.
This is unique of the most communal questions we get.
Modifiers for 72040:
Tip from experience: If you’re a facility performing the scan but not interpreting it, bill with 72040-TC. If you’re a radiologist interpreting an outside scan, use 72040-26.
Some providers ask, “Is 72040 a CPT add-on code?”
No, 72040 is not an add-on code. It’s a standalone primary diagnostic code. Still, it was billed with additional CPT codes like:
Make sure documentation supports medical necessity when multiple radiologic codes are submitted together.
To avoid confusion, here’s how 72040 CPT codes compare with others in the same family:
CPT Code | Description | Use Case |
72040 | Cervical backbone X-ray, 2-3 views | Basic trauma or pain eval |
72050 | Cervical spine X-ray, 4+ views | More detailed imaging |
72052 | Flexion & extension views | For instability diagnosis |
72010 | Entire spine, single view | Scoliosis screening |
A “view” refers to the angle or projection used during an X-ray. The most common are:
In 72040, 2 or 3 views means the provider is getting multiple perspectives to evaluate cervical structures.
It often comes before more advanced imaging like:
Start small with X-ray, then escalate if findings or symptoms require.
Billing CPT code 72040 correctly doesn’t just help you get paid—it ensures patients receive timely, accurate care. Whether you’re a radiologist, primary care provider, or medical billing specialist, knowing when and how to use this code (and its modifiers) protects your revenue and avoids unnecessary delays.
At Cures, we specialize in radiology and diagnostic billing. Our team stays up-to-date on payer policies and CPT changes, so your claims go out clean the first time.
Yes, if you’re only billing for the technical (-TC) or professional (-26) part of the service. For global billing, no modifier is needed.
It’s used for a cervical spine X-ray with 2–3 views to diagnose neck issues like fractures or arthritis.
72040 covers 2–3 views, while 72050 is for 4 or more views. Always code based on what’s documented.
Yes, but ensure medical necessity and no duplication. Common pairings include CTs or MRIs with separate anatomical focus.
It varies, but Medicare averages around $50. Without insurance, patient cost can reach $300.
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