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CPT Code 72148: MRI Lumbar Spine Without Contrast Billing Guide for 2026

CPT code 72148 lumbar spine MRI without contrast 2026 hero banner: Noridian TPE audit findings, LCD L34220 four-week conservative treatment rule, modifier 26 and TC split billing, $204.50 office versus $145.30 facility Medicare rates, and 72158 when both contrast sequences run.

Medical necessity documentation failures for cpt code 72148 triggered an active Noridian Target Probe and Educate review in Q4 2025, and they’ve been the top denial reason in radiology for consecutive audit cycles. The exposure isn’t small. CPT 72148 accounts for roughly 2.8 million Medicare claims annually. This guide covers the 2026 rates by site […]

CPT Code 20610: Arthrocentesis Billing, Modifiers, and 2026 RVU Guide

CPT code 20610 arthrocentesis billing 2026 hero banner: major joint or bursa one unit rule, $68.81 office versus $313.60 HOPD Medicare rates, RT/LT and modifier 50 requirements, J-code drug billing with JW/JZ modifiers, and the 20610 versus 20611 ultrasound distinction.

CPT code 20610 describes arthrocentesis, aspiration, and/or injection of a major joint or bursa (such as the shoulder, hip, knee, or subacromial bursa) without ultrasound guidance. It covers diagnostic aspiration, therapeutic injection, or both performed during the same encounter on the same joint. Per CMS NCCI Policy Manual Chapter IV effective January 1, 2026, one […]