CPT code 72191: Pelvic CT angiography, with contrast2026 Medicare rate & RVUs in Guam
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 an office rate for 72191 in Guam.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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.
72191 in Hawaii, Guam, HI
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam, HI | Unavailable | Unavailable |
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.
72191 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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