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See a sample rate comparisonCPT 72128 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Ct Scan Of The Spine, A Ct (Computed Tomography) Scan Circles The Body Taking X-Rays Of The Middle Back (Thoracic Spine) And Assembles Them Into A 3-D Image. Dye May Be Injected Highlight An Area.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 23 - Emergency Room 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 72128 |
| Medicaid Fee Schedule | View Medicaid rates for 72128 |
National average reimbursement for CPT 72128 by major payers:
$175.00
$226.41
$255.32
$259.23
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CPT 72128
5 of 25 sample ratesHigher to lower in this preview
Edward Tang
$776.10Published rateOur Lady Of Lourdes Regional Medical Center,Inc
Our Lady Of Lourdes Regional Medical Center Inc
$245.17Published rateGrethe Mortenson
Openloop Healthcare Partners Wisconsin Sc
$158.07Published rateVhs San Antonio Partners, LLC, Northeast Baptist Hospital
$108.97Published rateRalph Pickard
Hoopeston Community Memorial Hospital
$53.90Published rate
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See a sample payer proposalCPT 72128 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 72128 code is part of the Radiology Procedures services used for Diagnostic Radiology (Diagnostic Imaging) Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 72128 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 72128-CPT | Low | Ct Scan Of The Spine, A Ct (Computed Tomography) Scan Circles The Body Taking X-Rays Of The Middle Back (Thoracic Spine) And Assembles Them Into A 3-D Image. Dye May Be Injected Highlight An Area. |
| 72129-CPT | Moderate | Ct Scan Of The Spine, A Ct (Computed Tomography) Scan Circles The Body Taking X-Rays Of The Middle Back (Thoracic Spine) And Assembles Them Into A 3-D Image. Dye May Be Injected Highlight An Area. |
| 72130-CPT | Moderate | Ct Scan Of The Back, A Ct (Computed Tomography) Scan Of The Upper Middle Or Lower Back. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. After One Set Of Images A Second Set Is Taken With Contrast Dye To Highlight Areas. |
| 72146-CPT | Moderate | Mri Inner Spine (Canal), An Mri (Magnetic Resonance Imaging) Of The Interior Of The Middle Spine (Spinal Canal). A Contrast Agent May Be Given To Enhance The Images. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 72128. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72128 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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