CPT code 72191: Pelvic CT angiography, with contrast2026 Medicare rate & RVUs in Arkansas
Reports CT angiography focused on pelvic vessels, using contrast and including noncontrast images when performed to evaluate suspected vascular disease or injury.
CMS doesn’t publish a rate for 72191 in Arkansas.
Check a contract rate as a % of Medicare · 72191 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How Arkansas compares for 72191
- Arkansas · this pageUnavailable
- Los Angeles, CA · CaliforniaUnavailable
- Washington, DC area · District of ColumbiaUnavailable
- Miami, FL · FloridaUnavailable
- Chicago, IL · IllinoisUnavailable
- Manhattan, NY · New YorkUnavailable
- Alaska · AlaskaUnavailable
Other areas in Arkansas first, then benchmark localities. Bars start at $0.
Every other payment area
72191 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
How the rate is built · 72191
RVUs × geographic indexes × conversion factor
Work1.76
1.76 RVUs× 1.000 GPCI
Practice expense7.20
7.20 RVUs× 1.000 GPCI
Malpractice0.14
0.14 RVUs× 1.000 GPCI
Adjusted RVUs
9.1000
Conversion factor
$33.4009
Medicare rate
$303.95
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 72191
The CMS indicators that decide how 72191 is paid alongside other services.
CMS payment indicators · 72191
Pelvic CT angiography, with contrast
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 4 | Diagnostic imaging reduction applies to the technical component (and professional component) of additional services. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
72191 without 26 · national office
$303.95
Pelvic CT angiography, with contrast
72191-26 · Professional component
$82.50
Pays only the interpretation and report.
How 72191 has changed in Arkansas
72191 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2019
RVU19A
$278.49changed toNo rate
Held through RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
January 1, 2018
RVU18AR1
$276.74changed to$278.49
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 6.70 changed to 6.71
- Practice expense GPCI 0.870 changed to 0.872
- Malpractice GPCI 0.555 changed to 0.576
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$273.72changed to$276.74
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 6.65 changed to 6.70
- Practice expense GPCI 0.867 changed to 0.870
- Malpractice GPCI 0.534 changed to 0.555
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$272.96changed to$273.72
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 6.60 changed to 6.65
- Malpractice RVU 0.12 changed to 0.13
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$271.60changed to$272.96
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
No ratechanged to$271.60
Held through RVU15B.
January 1, 2014
RVU14A
$358.46changed toNo rate
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $358.46
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Additional calculation required | Not available in this setting | RVU26D |
| 2026-07-01 | Additional calculation required | Not available in this setting | RVU26C |
| 2026-04-01 | Additional calculation required | Not available in this setting | RVU26B |
| 2026-01-01 | Additional calculation required | Not available in this setting | RVU26A |
| 2025-10-01 | Additional calculation required | Not available in this setting | RVU25D |
| 2025-07-01 | Additional calculation required | Not available in this setting | RVU25C |
| 2025-04-01 | Additional calculation required | Not available in this setting | RVU25B |
| 2025-01-01 | Additional calculation required | Not available in this setting | RVU25A |
| 2024-10-01 | Additional calculation required | Not available in this setting | RVU24D |
| 2024-07-01 | Additional calculation required | Not available in this setting | RVU24C |
| 2024-04-01 | Additional calculation required | Not available in this setting | RVU24B |
| 2024-03-09 | Additional calculation required | Not available in this setting | RVU24AR |
| 2024-01-01 | Additional calculation required | Not available in this setting | RVU24A |
| 2023-10-01 | Additional calculation required | Not available in this setting | RVU23D |
| 2023-07-01 | Additional calculation required | Not available in this setting | RVU23C |
| 2023-04-01 | Additional calculation required | Not available in this setting | RVU23B |
| 2023-01-01 | Additional calculation required | Not available in this setting | RVU23A |
| 2022-10-01 | Additional calculation required | Not available in this setting | RVU22D |
| 2022-07-01 | Additional calculation required | Not available in this setting | RVU22C |
| 2022-04-01 | Additional calculation required | Not available in this setting | RVU22B |
| 2022-01-01 | Additional calculation required | Not available in this setting | RVU22A |
| 2021-10-01 | Additional calculation required | Not available in this setting | RVU21D |
| 2021-07-01 | Additional calculation required | Not available in this setting | RVU21C |
| 2021-04-01 | Additional calculation required | Not available in this setting | RVU21B |
| 2021-01-01 | Additional calculation required | Not available in this setting | RVU21A |
| 2020-10-01 | Additional calculation required | Not available in this setting | RVU20D |
| 2020-07-01 | Additional calculation required | Not available in this setting | RVU20C |
| 2020-04-01 | Additional calculation required | Not available in this setting | RVU20B |
| 2020-01-01 | Additional calculation required | Not available in this setting | RVU20A |
| 2019-10-01 | Additional calculation required | Not available in this setting | RVU19D |
| 2019-07-01 | Additional calculation required | Not available in this setting | RVU19C |
| 2019-04-01 | Additional calculation required | Not available in this setting | RVU19B |
| 2019-01-01 | Additional calculation required | Not available in this setting | RVU19A |
| 2018-10-01 | $278.49 | Not available in this setting | RVU18D |
| 2018-07-01 | $278.49 | Not available in this setting | RVU18C |
| 2018-04-01 | $278.49 | Not available in this setting | RVU18B |
| 2018-01-01 | $278.49 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $276.74 | Not available in this setting | RVU17D |
| 2017-07-01 | $276.74 | Not available in this setting | RVU17C |
| 2017-04-01 | $276.74 | Not available in this setting | RVU17B |
| 2017-01-01 | $276.74 | Not available in this setting | RVU17A |
| 2016-10-01 | $273.72 | Not available in this setting | RVU16D |
| 2016-07-01 | $273.72 | Not available in this setting | RVU16C |
| 2016-04-01 | $273.72 | Not available in this setting | RVU16B |
| 2016-01-01 | $273.72 | Not available in this setting | RVU16A |
| 2015-10-01 | $272.96 | Not available in this setting | RVU15D |
| 2015-07-01 | $272.96 | Not available in this setting | RVU15C |
| 2015-04-01 | $271.60 | Not available in this setting | RVU15B |
| 2015-01-01 | $271.60 | Not available in this setting | RVU15A |
| 2014-10-01 | Additional calculation required | Not available in this setting | RVU14D |
| 2014-07-01 | Additional calculation required | Not available in this setting | RVU14C |
| 2014-04-01 | Additional calculation required | Not available in this setting | RVU14B |
| 2014-01-01 | Additional calculation required | Not available in this setting | RVU14A |
| 2013-10-01 | $358.46 | Not available in this setting | RVU13D |
| 2013-07-01 | $358.46 | Not available in this setting | RVU13C |
| 2013-04-01 | $358.46 | Not available in this setting | RVU13B |
| 2013-01-01 | $358.46 | Not available in this setting | RVU13AR |
Where the Arkansas rate applies
Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.
- Acorn
- Adona
- Alexander
- Alicia
- Alix
- Alleene
- Allport
- Alma
72191 billing questions
How is this different from a routine CT pelvis?
This code is for CT angiography focused on pelvic vessels. Use a routine CT pelvis code when the examination evaluates pelvic anatomy without an angiographic protocol.
When should modifier 26 or TC be reported?
Use modifier 26 for the radiologist’s interpretation and modifier TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
Does the multiple procedure reduction affect both components?
Yes. The diagnostic imaging multiple procedure reduction applies to both the professional and technical components.
What documentation supports selecting this code?
The order and report should support a pelvic vascular question and document the CTA protocol and anatomic coverage. Noncontrast images are included when performed, but separate precontrast imaging is not required by this description.
Should this be reported for an abdomen-and-pelvis CTA?
Select the code that matches the documented anatomic coverage. When the CTA covers both the abdomen and pelvis, consider the combined abdomen-and-pelvis CTA code rather than a pelvis-only code.
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
Fee sheets
Put 72191 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet