Imaging plays a vital role in diagnosing spinal conditions, and X-rays are often the first step when evaluating back or chest-related spine issues. One code that frequently appears on medical bills and insurance statements is CPT Code 72070, which refers to a thoracic spine X-ray with two views.
Understanding this code helps patients know what the test includes, why it is ordered, and how it contributes to their overall care plan. In this article, Healthsure Hub explores what CPT code 72070 covers, how the procedure is performed, and what patients can expect from the imaging process.
What Is CPT Code 72070?
CPT Code 72070 is a diagnostic radiology code for a thoracic spine X-ray, specifically designed to capture two standard views: anteroposterior (AP) and lateral.
This X-ray is specifically designed to evaluate the thoracic vertebrae. Unlike other spine X-rays that may focus on the cervical (neck) or lumbar (lower back) regions, CPT code 72070 is limited to the thoracic section of the spine.
Common clinical uses include:
- Detecting fractures or dislocations of the thoracic vertebrae
- Identifying degenerative changes or diseases of the thoracic spine
- Evaluating deformities such as scoliosis or kyphosis
- Investigating persistent mid-back pain or trauma
By standardizing the reporting of complete spine X-rays, CPT 72070 allows providers and radiologists to bill consistently while ensuring insurance coverage aligns with medical necessity.
What Does CPT Code 72070 Include?
A thoracic spine X-ray under CPT 72070 typically includes:
- Two views: anteroposterior (AP) and lateral
- Evaluation for fractures, dislocations, or degenerative changes in the thoracic spine
- Comparison with prior imaging if available to track progression
This is different from limited X-rays (which may capture only a single view) or other spine X-rays that target cervical or lumbar regions.
Why CPT 72070 Is Ordered
Providers typically order CPT 72070 when patients experience persistent back pain or neck pain that is not explained by initial exams, or when there is suspicion of spinal trauma or fracture.
It is also commonly used to evaluate spinal deformities such as scoliosis or kyphosis, and to monitor the progression of degenerative conditions like osteoarthritis or spondylosis.
By performing a complete spinal X-ray, clinicians gain a comprehensive view that supports accurate diagnosis and helps guide effective treatment planning.
How CPT 72070 Is Performed
The procedure for x-ray under CPT 72070 is typically carried out in a radiology department or imaging center. Patients may be asked to remove clothing or accessories that could interfere with the imaging, and they may need to stand, sit, or lie in specific positions to capture the two standard views of the thoracic spine — anteroposterior (AP) and lateral.
It is important for patients to remain still while the images are taken. The procedure is generally quick, usually taking 5 to 15 minutes depending on the patient’s mobility and comfort. Once the images are captured, a radiologist reviews them and provides a detailed report to the ordering physician, which is then used to guide diagnosis and treatment.
How CPT 72070 Appears on Medical Bills
Patients may notice CPT 72070 listed on their medical statements in several places. This code represents a thoracic spine X-ray with two standard views, helping clarify exactly what type of imaging was performed. It commonly appears on insurance Explanation of Benefits (EOBs), showing coverage and any patient responsibility; on clinic or hospital billing statements, detailing the services provided; and in online patient portals, where patients can review their medical records and charges.
The code may also appear alongside other imaging procedures if additional X-rays were performed. Understanding what CPT 72070 represents helps patients recognize that the charge reflects a diagnostic evaluation of the thoracic spine, not multiple separate X-rays or a full spine study.
Medical Necessity and Insurance Coverage
Insurance coverage for CPT Code 72070 generally requires a documented medical reason for the complete spinal study. Documentation should include:
- Thoracic spine trauma or injury
- Persistent mid-back pain
- Suspected disease, deformity, or degenerative condition
Meeting these criteria ensures that the study is covered, protects patients from unnecessary charges, and allows radiologists and providers to deliver high-quality care.
Why CPT 72070 Matters
CPT Code 72070 provides essential information for diagnosing and managing spinal conditions. An X-ray study can:
- Identify fractures or injuries that may require urgent treatment
- Reveal degenerative changes guiding therapy or surgical planning
- Track progression of chronic conditions over time
By providing a comprehensive view of the spine, CPT 72070 helps clinicians make informed decisions, improve patient outcomes, and reduce the risk of misdiagnosis or incomplete treatment.
Conclusion
CPT Code 72070 represents a thoracic spine X-ray with two standard views, a simple yet essential tool for diagnosing fractures, dislocations, degenerative conditions, and deformities of the thoracic vertebrae.
Understanding this code helps patients know exactly what the test involves, why it is ordered, and what to expect during the procedure.
By being informed, patients can actively participate in their care, communicate effectively with healthcare providers, and feel confident that this imaging plays a vital role in accurate diagnosis and safe, effective treatment planning for spinal health.
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