CPT code 72193: Pelvic CT, contrast-enhanced2026 Medicare rate & RVUs

Medicare pays $225.79 for 72193 nationally in the office. Local office rates run $198.24–$310.34.

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

What 72193 covers

This service is a computed tomography examination focused on the pelvis, performed with contrast material to help distinguish organs, soft tissues, vessels, and abnormal findings. A technologist acquires the images, and a radiologist or other qualified physician interprets them and documents the findings. Common clinical questions include whether a pelvic mass, inflammatory process, or collection is present; the ordering indication and imaging protocol determine the examination performed.

Select this code when the documented pelvic CT protocol uses contrast without the combined precontrast-and-postcontrast approach represented by 72194. The order, technologist record, and final report should support the pelvic anatomy examined and the contrast protocol actually performed. The service has professional and technical components: report modifier 26 for the interpretation, modifier TC for the equipment and staff service, or neither modifier when billing the global service. 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 72193 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

72193 rates by state

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

How the 72193 rate is calculated

Each of 72193’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 72193

The CMS indicators that decide how 72193 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

72193 compared with similar codes

How to choose

72192Pelvic CTWithout contrast

72192 is for pelvic CT without contrast; 72193 is for the contrast-enhanced protocol.

72194CT pelvisWithout and with contrast

72194 represents pelvic CT imaging both without and with contrast. Choose 72193 when the documented protocol is with contrast without that combined approach.

72196MRI pelvisContrast only

72196 reports pelvic MRI with contrast, not CT. The modality documented and performed determines which code applies.

72191Pelvic CT angiographyWith contrast

72191 is for pelvic CT angiography with and without contrast, a vascular imaging protocol; 72193 is a routine contrast-enhanced pelvic CT.

Codes related to 72193

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