ICD code definitions

CPT® Code 72070: Radiologic Examination, Thoracic Spine, 2 Views

September 22, 2026
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3 min read
CPT® Code 72070

CPT® Code 72070 is used to report a radiologic examination of the thoracic spine, including 2 views. This X-ray study produces images of the mid-back region to evaluate the vertebrae, alignment, and surrounding bony structures.

Thoracic spine radiographs may be ordered to investigate pain, injury, suspected structural abnormalities, or other conditions affecting the thoracic spine.

Key Facts About CPT® 72070

  • Service type: Diagnostic radiology
  • Imaging study: X-ray of the thoracic spine
  • Views: 2 views
  • Anatomic site: Thoracic spine
  • Purpose: Evaluate the thoracic vertebrae, alignment, and bony structures
  • Provider type: Radiologist or qualified imaging professional

Common clinical indications:

  • Thoracic back pain
  • Suspected spinal injury or trauma
  • Suspected vertebral abnormalities
  • Degenerative changes
  • Evaluation of spinal alignment
  • Follow-up of known thoracic spine conditions

When to Use CPT® 72070

CPT 72070 may be reported when a two-view radiographic examination of the thoracic spine is performed.

Examples:

  • Evaluating persistent mid-back pain
  • Assessing the thoracic spine following an injury
  • Investigating suspected vertebral abnormalities
  • Evaluating changes in spinal alignment
  • Following a previously identified thoracic spine condition

The documentation should support the medical necessity for the imaging study and identify the relevant clinical symptoms, findings, or diagnosis.

Documentation Requirements

Documentation supporting CPT 72070 should include:

  • Patient identifiers and date of service
  • Clinical indication or diagnosis
  • Relevant symptoms, such as thoracic back pain
  • History of trauma or injury when applicable
  • Thoracic spine imaging order
  • Number and type of views obtained
  • Radiology findings and impression
  • Assessment and follow-up plan when applicable

Clear documentation helps connect the imaging study to the patient's clinical presentation and supports medical necessity.

Reimbursement and Coding Considerations

  • CPT 72070 represents a two-view thoracic spine X-ray
  • The imaging service should be reported based on the views and examination actually performed
  • Professional and technical components may be reported separately when applicable
  • Coverage and reimbursement vary by payer
  • Practices should verify payer-specific requirements before submitting claims
  • Additional imaging should be reported separately when supported by the applicable CPT code and documentation

Accurate documentation of the anatomical site, number of views, clinical indication, and imaging findings is important for appropriate coding and billing.

How OptiMantra Supports Diagnostic Imaging Documentation

OptiMantra helps practices organize imaging orders, clinical findings, diagnoses, and follow-up information within the patient chart.

With OptiMantra, providers can:

  • Document thoracic spine imaging orders and clinical indications
  • Record relevant symptoms and examination findings
  • Maintain imaging results within the patient's medical record
  • Link diagnostic findings to diagnoses and treatment plans
  • Document follow-up recommendations based on imaging findings

Keeping imaging information connected to the patient's clinical record can help providers maintain comprehensive documentation throughout the diagnostic and treatment process.

Try OptiMantra for free here!

Disclaimer: CPT® codes are maintained by the American Medical Association. This guide is for informational purposes only and does not replace official coding guidelines or payer policies.

Jessica Castro
Jessica Castro

Jessica is a Massachusetts-based LPN with 13+ years of experience in patient care, healthcare technology, and education. As the Implementation and Customer Success Manager at OptiMantra, she helps providers optimize EMR solutions for better workflows and patient outcomes. With a Bachelor's in Community Health and a Master's in Healthcare Innovation in progress, she is passionate about leveraging technology to improve care delivery. Through her writing, she shares insights on healthcare best practices, EHR optimization, and patient advocacy to support providers in delivering exceptional care.