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How to Bill CPT Code 72070 for Thoracic Spine X-rays

A professional see on x ray about the diseses effect doctor use the cpt code 72070 for the treatment and payment process in healthcare system.

In today’s evolving healthcare landscape, accuracy in radiology billing is not just important, it’s essential for getting paid on time. At Cures Medical Billing Services, we’ve seen how even routine imaging codes like CPT code 72070 can result in delays or denials when not billed correctly. 

That’s why this blog is built from real-world experience, tailored to healthcare providers and radiology billing teams alike.

What Is CPT Code 72070?

CPT code 72070 refers to a radiologic exam of the thoracic spine using two views, typically the anteroposterior (AP) and lateral views. It falls under diagnostic radiology and helps assess spinal injuries, deformities, or diseases in the thoracic region (T1–T12 vertebrae).

CPT Code 72070 Description

Radiologic examination, spine, thoracic; 2 views

It’s a simple yet vital diagnostic tool used for:

  • Suspected fractures or dislocations
  • Chronic back pain
  • Scoliosis or kyphosis evaluation
  • Infection or tumor assessment

When to Use CPT Code 72070

This code should be used when:

  • Exactly two views of the thoracic spine are taken
  • The focus is limited to the thoracic region (not cervical or lumbar)
  • No contrast material is used (unlike CT or MRI codes)

For comparison:

  • CPT code for thoracic spine 3 views → Use 72072
  • CPT code for x-ray thoracic spine 2 views → This is 72070

At Cures, we often see errors when providers confuse 72070 with full-spine studies or combine it incorrectly with cervical or lumbar codes.

Common Modifiers for CPT Code 72070

Modifiers are crucial when billing CPT 72070 with other procedures or under specific payer policies:

  • Modifier 26 – For professional component only (reading/reporting)
  • Modifier TC – For technical component (equipment use and image capture)
  • Modifier 59 – To indicate a distinct procedural service, when billed with another radiology code

Pro tip: Always verify payer-specific guidelines. Medicare and private insurers vary in how they process global vs. component-based billing.

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How CPT 72070 Compares to CT and MRI Spine Codes

It’s easy to mix up spine imaging codes, especially when ordering or coding multiple modalities. Here’s how CPT 72070 stacks up:

Code

Imaging Type

Region

With Contrast?

72070

X-ray, 2 views

Thoracic spine

No

72146

MRI Lumbar Spine w/o

Lumbar spine

No

70450

CT Brain w/o contrast

Brain

No

71260

CT Chest w/ contrast

Chest

Yes

74177

CT Abdomen & Pelvis w/

Abd/Pelvis

Yes

Radiologic exams like 72070 are often the first line of imaging, particularly in ER or urgent care settings.

Reimbursement and Documentation Tips

The reimbursement rate for CPT code 72070 varies depending on your payer, region, and whether you’re billing the global, professional, or technical portion.

At Cures Medical Billing, we’ve noticed claims get denied or downcoded for:

  • Missing or incorrect ICD-10 diagnosis
  • Not appending modifier 26 or TC appropriately
  • Incomplete documentation for medical necessity

Common ICD-10 Codes Supporting 72070:

  • M48.06 – Spinal stenosis, thoracic region
  • S22.09XA – Fracture of thoracic vertebra
  • M54.6 – Pain in thoracic spine
  • M41.2 – Scoliosis, thoracic region

Common Billing Mistakes to Avoid

Here are the errors we’ve helped providers fix in actual practice:

  • Billing 72070 for more than two views
  • Using CT or MRI CPT codes by mistake
  • Submitting claims without a supporting diagnosis
  • Not splitting technical and professional charges

If you’re an imaging center or multi-specialty clinic, knowing when to bundle vs. separate charges using modifiers is essential for compliance and revenue recovery.

Real-World Tip From Our Team

“One of our orthopedic clients kept getting denials for CPT 72070. Turns out, their front desk was entering it as a lumbar x-ray. Just fixing the documentation and training the intake staff improved their approval rate by over 40% in one quarter.”
Billing Specialist, Cures Medical Billing

Final Thoughts

CPT code 72070 may seem simple, but getting it right can significantly affect your bottom line. Whether you’re a radiologist, orthopedic provider, or internal medicine clinic, your billing team should ensure:

  • Proper CPT and ICD-10 code pairing
  • Correct use of modifiers
  • Compliance with payer documentation requirements

At Cures Medical Billing, we help healthcare providers like you get paid faster, without the coding headaches.

Let our experts handle it. Visit our Radiology Billing Services to streamline your CPT 72070 claims and get your reimbursements on time, without denials.

Frequently Asked Questions (FAQs)

CPT code 72070 is used to report a diagnostic X-ray of the thoracic spine using exactly two views—usually anteroposterior (front) and lateral (side). It helps detect issues like fractures, deformities, or degenerative changes in the mid-back area.

Use modifiers with CPT 72070 when you’re billing for either the professional (Modifier 26) or technical (Modifier TC) components separately. Modifier 59 may be needed if the X-ray is performed alongside a different, unrelated service.

Yes, but you must avoid code overlap. If you’re performing lumbar or cervical spine imaging during the same session, you must document clearly and use the correct codes. Always ensure medical necessity is established to avoid payer denials.

CPT 72070 is for 2 views of the thoracic spine. If 3 views are taken—typically including oblique or flexion/extension views—then you should report CPT 72072 instead. Using the wrong code can lead to claim rejections or payment delays.

Common ICD-10 codes used with CPT 72070 include:

  • M54.6 – Pain in thoracic spine
  • S22.09XA – Fracture of thoracic vertebra
  • M41.2 – Scoliosis in the thoracic region
    These codes justify why the X-ray was needed and help reduce denials.

Yes. If you’re performing a thoracic X-ray to evaluate scoliosis or kyphosis, and you’re capturing two views, CPT 72070 is appropriate. Just be sure to pair it with a diagnosis like M41.2 to indicate the clinical reason for the exam.

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