CPT code 72191: Pelvic CT angiography, with contrast2026 Medicare rate & RVUs

Medicare pays $303.95 for 72191 nationally in the office.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 72191 covers

This examination uses CT angiographic imaging to assess pelvic vessels, such as when evaluating suspected arterial narrowing, aneurysm, or vascular injury. A radiology technologist acquires the images, and a radiologist interprets them, commonly in a hospital or outpatient imaging department.

Select this code for a pelvic vascular CTA, rather than a routine CT of pelvic organs and soft tissues. The order and report should support the vascular indication, identify the pelvic coverage, and document the angiographic protocol; noncontrast images are included when performed. A claim without a component modifier represents the global service. Modifier 26 identifies the interpretation, while modifier TC identifies the equipment and staff portion. When multiple diagnostic imaging procedures are performed, the diagnostic imaging multiple procedure reduction applies to both the technical and professional components.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 72191 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

72191 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 72191 rate is calculated

Each of 72191’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 72191

The CMS indicators that decide how 72191 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

72191 compared with similar codes

How to choose

72194CT pelvisWithout and with contrast

Use 72191 for pelvic arterial CTA. Use 72194 for routine pelvic CT with and without contrast when the examination is not angiographic.

72198Pelvic MRAWithout and with contrast

Both evaluate pelvic vessels, but 72198 is MR angiography; 72191 is CT angiography.

74174CTA abdomen/pelvisWith contrast

Use 74174 when CTA coverage includes both the abdomen and pelvis. Code 72191 is for pelvic CTA coverage.

Codes related to 72191

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates