When it comes to diagnostic imaging, accurate CPT coding is essential, not just for reimbursement, but also for avoiding denials and compliance issues. One of the most commonly billed radiology codes is CPT Code 72110, a procedure that plays an important role in assessing spinal disorders, injuries, and chronic back pain.
In this guide, we’ll break down everything you need to know about CPT Code 72110, including what it covers, who can bill it, when modifiers are needed, and common billing mistakes to avoid. Whether you’re a healthcare provider or a medical billing professional, this blog gives you real-world insights and billing best practices to help you stay compliant and get paid faster.
CPT Code 72110 refers to a radiologic examination of the lumbar spine with 2 or 3 views. This includes anteroposterior (AP), lateral, and oblique views. It’s primarily used to assess structural issues like scoliosis, fractures, spinal alignment, degenerative disc disease, and post-operative evaluations.
Providers who are qualified and licensed to interpret and/or perform radiologic imaging services may bill this code. These include:
Pro Tip: Always verify state-specific scope of practice rules, especially for chiropractors and mid-level providers.
This CPT code typically applies when the patient presents with:
It includes 2 or 3 radiographic views, which provide multiple angles for a more comprehensive diagnostic evaluation than a single-view X-ray like CPT code 72100.
Unlike time-based psychiatric or therapy CPT codes, CPT 72110 is not based on time. Reimbursement is per imaging session, not how long it takes. What matters most is the number of views captured and documented.
Modifiers may be necessary depending on the setting or billing component:
Tip: Use CPT Code 72110 TC for facilities that only perform the scan but don’t interpret it.
Billing errors can delay payments or trigger audits. Here’s what to look out for:
Always double-check the CPT code 72110 description to ensure alignment with the service rendered.
While reimbursement rates vary based on geographic location and payer contracts, Medicare average reimbursement is approximately:
Always refer to your local Medicare Administrative Contractor (MAC) for the most accurate rate.
Code | Description | Use Case |
Lumbar X-ray, 1 view | Minor injuries or quick checks | |
72110 | Lumbar spine, 2–3 views | Most standard back evaluations |
72114 | 4 or more views | Complex or advanced evaluations |
72120 | Bending views only | Scoliosis or post-surgical changes |
Other unrelated codes sometimes confused include:
Don’t confuse 72110 CPT codes with unrelated procedural codes during claims entry.
Accurate coding of CPT Code 72110 can significantly improve claim acceptance rates. Here’s how to stay compliant:
Whether you’re managing a busy orthopedic clinic or a medical billing company handling multispecialty claims, understanding how to properly bill for CPT Code 72110 ensures cleaner claims and fewer denials.
For more guidance on accurate billing, feel free to explore our specialized Medical Coding Services. Let our team of experts at Cures Medical Billing guide you through smart, compliant billing practices.
CPT Code 72110 includes a complete radiologic exam of the lumbar spine with 2 or 3 views. This typically means a front (AP), side (lateral), and possibly oblique or spot view to check for fractures, spinal alignment, or degenerative changes. It does not include bending or flexion/extension views, that’s a separate code (72114 or 72120 depending on views).
Yes, if you’re billing only part of the service. Use modifier -26 if you’re billing just for interpretation (professional component) or modifier -TC for the technical component (equipment and staff). If you’re billing for both, no modifier is needed.
Yes, as long as they have the appropriate imaging equipment or are supervising the imaging and meet state guidelines. Medical necessity and documentation are essential to justify the use of this code for reimbursement.
The main difference is the number of views. CPT 72100 covers only 1 view, typically used for minor issues or quick follow-ups. CPT 72110 requires 2 or 3 views, offering a more detailed evaluation of the lumbar spine, commonly used for chronic pain or trauma.
Common ICD-10 codes include M54.5 (low back pain), M51.26 (lumbar disc degeneration), or S32.XX (lumbar fracture). Always match the diagnosis to the clinical scenario, and ensure it supports the reason for imaging.
The most frequent errors include:
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