CPT code 72193: Pelvic CT, contrast-enhanced2026 Medicare rate & RVUs in Washington, DC area
Reports CT imaging of the pelvis performed with contrast, commonly to evaluate pelvic pain, a suspected mass, infection, or other soft-tissue findings.
In Washington, DC area, Medicare pays $261.11 for 72193 in the office.
Check a contract rate as a % of Medicare · 72193 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 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.
How Washington, DC area compares for 72193
Across 109 of 109 payment localities, the office rate for 72193 runs from $198.24 in Arkansas to $310.34 in San Benito County, CA. Washington, DC area pays $261.11. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$261.11
- Los Angeles, CA · California$260.19−$0.92
- Miami, FL · Florida$237.97−$23.14
- Chicago, IL · Illinois$230.87−$30.24
- Manhattan, NY · New York$259.94−$1.17
- Alaska · Alaska$255.34−$5.77
- Alabama · Alabama$201.36−$59.75
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $198.24 | — |
| ArizonaArizona | $219.62 | — |
| Bakersfield, CACalifornia | $243.10 | — |
| Chico, CACalifornia | $242.80 | — |
| El Centro, CACalifornia | $242.82 | — |
| Fresno, CACalifornia | $242.80 | — |
| Hanford, CACalifornia | $242.80 | — |
| Madera, CACalifornia | $242.80 | — |
| Merced, CACalifornia | $242.80 | — |
| Modesto, CACalifornia | $242.80 | — |
| Napa, CACalifornia | $285.53 | — |
| Oxnard, CACalifornia | $259.39 | — |
| Redding, CACalifornia | $242.80 | — |
| Rest of CaliforniaCalifornia | $242.80 | — |
| Riverside, CACalifornia | $243.79 | — |
| Sacramento, CACalifornia | $255.92 | — |
| Salinas, CACalifornia | $254.99 | — |
| San Diego, CACalifornia | $261.81 | — |
| Marin County, CACalifornia | $303.62 | — |
| San Francisco, CACalifornia | $303.51 | — |
| San Benito County, CACalifornia | $310.34 | — |
| Santa Clara County, CACalifornia | $309.92 | — |
| San Luis Obispo, CACalifornia | $250.76 | — |
| Santa Cruz, CACalifornia | $264.97 | — |
| Santa Maria, CACalifornia | $256.17 | — |
| Santa Rosa, CACalifornia | $267.72 | — |
| Stockton, CACalifornia | $242.80 | — |
| Vallejo, CACalifornia | $285.38 | — |
| Visalia, CACalifornia | $242.80 | — |
| Yuba City, CACalifornia | $242.80 | — |
| ColoradoColorado | $237.43 | — |
| ConnecticutConnecticut | $241.42 | — |
| DelawareDelaware | $223.45 | — |
| Fort Lauderdale, FLFlorida | $230.62 | — |
| Rest of FloridaFlorida | $219.16 | — |
| Atlanta, GAGeorgia | $229.47 | — |
| Rest of GeorgiaGeorgia | $206.38 | — |
| Hawaii, Guam, HIHawaii | $249.88 | — |
| IowaIowa | $208.25 | — |
| IdahoIdaho | $209.40 | — |
| East St. Louis, ILIllinois | $214.03 | — |
| Rest of IllinoisIllinois | $211.38 | — |
| Suburban Chicago, ILIllinois | $233.37 | — |
| IndianaIndiana | $210.74 | — |
| KansasKansas | $206.54 | — |
| KentuckyKentucky | $205.00 | — |
| New Orleans, LALouisiana | $215.28 | — |
| Rest of LouisianaLouisiana | $204.38 | — |
| Metropolitan Boston, MAMassachusetts | $262.90 | — |
| Rest of MassachusettsMassachusetts | $235.59 | — |
| Baltimore area, MDMaryland | $240.61 | — |
| Rest of MarylandMaryland | $228.14 | — |
| Rest of MaineMaine | $209.85 | — |
| Southern Maine, MEMaine | $223.02 | — |
| Detroit, MIMichigan | $221.38 | — |
| Rest of MichiganMichigan | $210.08 | — |
| MinnesotaMinnesota | $229.04 | — |
| Metropolitan Kansas City, MOMissouri | $214.43 | — |
| Metropolitan St. Louis, MOMissouri | $216.91 | — |
| Rest of MissouriMissouri | $200.18 | — |
| MississippiMississippi | $199.28 | — |
| MontanaMontana | $225.78 | — |
| North CarolinaNorth Carolina | $212.31 | — |
| North DakotaNorth Dakota | $224.00 | — |
| NebraskaNebraska | $209.67 | — |
| New HampshireNew Hampshire | $233.00 | — |
| Northern New JerseyNew Jersey | $257.98 | — |
| Rest of New JerseyNew Jersey | $244.62 | — |
| New MexicoNew Mexico | $211.04 | — |
| NevadaNevada | $225.47 | — |
| NYC suburbs and Long Island, NYNew York | $265.75 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $245.70 | — |
| Queens, NYNew York | $263.21 | — |
| Rest of New YorkNew York | $215.65 | — |
| OhioOhio | $209.72 | — |
| OklahomaOklahoma | $205.32 | — |
| Portland, OROregon | $246.16 | — |
| Rest of OregonOregon | $224.16 | — |
| Metropolitan Philadelphia, PAPennsylvania | $234.64 | — |
| Rest of PennsylvaniaPennsylvania | $210.45 | — |
| Puerto RicoPuerto Rico | $227.78 | — |
| Rhode IslandRhode Island | $232.29 | — |
| South CarolinaSouth Carolina | $211.28 | — |
| South DakotaSouth Dakota | $223.79 | — |
| TennesseeTennessee | $207.56 | — |
| Austin, TXTexas | $236.26 | — |
| Beaumont, TXTexas | $208.92 | — |
| Brazoria, TXTexas | $223.77 | — |
| Dallas, TXTexas | $224.96 | — |
| Fort Worth, TXTexas | $223.15 | — |
| Galveston, TXTexas | $224.28 | — |
| Houston, TXTexas | $225.93 | — |
| Rest of TexasTexas | $216.06 | — |
| UtahUtah | $214.38 | — |
| VirginiaVirginia | $221.76 | — |
| Virgin Islands, VIUnited States Virgin Islands | $227.78 | — |
| VermontVermont | $222.45 | — |
| Rest of WashingtonWashington | $235.37 | — |
| King County, WAWashington | $269.13 | — |
| WisconsinWisconsin | $215.94 | — |
| West VirginiaWest Virginia | $202.85 | — |
| WyomingWyoming | $225.01 | — |
72193 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.
$198.24
$276.57
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $255.34 | 1 |
| AL | $201.36 | 1 |
| AR | $198.24 | 1 |
| AZ | $219.62 | 1 |
| CA | $242.80–$310.34 | 29 |
| CO | $237.43 | 1 |
| CT | $241.42 | 1 |
| DC | $261.11 | 1 |
| DE | $223.45 | 1 |
| FL | $219.16–$237.97 | 3 |
| GA | $206.38–$229.47 | 2 |
| GU | $249.88 | 1 |
| HI | $249.88 | 1 |
| IA | $208.25 | 1 |
| ID | $209.40 | 1 |
| IL | $211.38–$233.37 | 4 |
| IN | $210.74 | 1 |
| KS | $206.54 | 1 |
| KY | $205.00 | 1 |
| LA | $204.38–$215.28 | 2 |
| MA | $235.59–$262.90 | 2 |
| MD | $228.14–$261.11 | 3 |
| ME | $209.85–$223.02 | 2 |
| MI | $210.08–$221.38 | 2 |
| MN | $229.04 | 1 |
| MO | $200.18–$216.91 | 3 |
| MS | $199.28 | 1 |
| MT | $225.78 | 1 |
| NC | $212.31 | 1 |
| ND | $224.00 | 1 |
| NE | $209.67 | 1 |
| NH | $233.00 | 1 |
| NJ | $244.62–$257.98 | 2 |
| NM | $211.04 | 1 |
| NV | $225.47 | 1 |
| NY | $215.65–$265.75 | 5 |
| OH | $209.72 | 1 |
| OK | $205.32 | 1 |
| OR | $224.16–$246.16 | 2 |
| PA | $210.45–$234.64 | 2 |
| PR | $227.78 | 1 |
| RI | $232.29 | 1 |
| SC | $211.28 | 1 |
| SD | $223.79 | 1 |
| TN | $207.56 | 1 |
| TX | $208.92–$236.26 | 8 |
| UT | $214.38 | 1 |
| VA | $221.76–$261.11 | 2 |
| VI | $227.78 | 1 |
| VT | $222.45 | 1 |
| WA | $235.37–$269.13 | 2 |
| WI | $215.94 | 1 |
| WV | $202.85 | 1 |
| WY | $225.01 | 1 |
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.
How the rate is built · 72193
RVUs × geographic indexes × conversion factor
Work1.13
1.13 RVUs× 1.000 GPCI
Practice expense5.54
5.54 RVUs× 1.000 GPCI
Malpractice0.09
0.09 RVUs× 1.000 GPCI
Adjusted RVUs
6.7600
Conversion factor
$33.4009
Medicare rate
$225.79
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,054
- Code
- 72193
- Physician work
- 1.13
- Practice expense
- 5.54
- Malpractice
- 0.09
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.13 | × 1.054 | 1.1910 |
| Practice expense | 5.54 | × 1.178 | 6.5261 |
| Malpractice | 0.09 | × 1.113 | 0.1002 |
| Total RVUs | 7.8173 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Washington, DC area$261.11
Office: (1.13 × 1.054 + 5.54 × 1.178 + 0.09 × 1.113) × $33.4009 = $261.11
Payment rules and modifiers for 72193
The CMS indicators that decide how 72193 is paid alongside other services.
CMS payment indicators · 72193
Pelvic CT, contrast-enhanced
| 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
72193 without 26 · national office
$225.79
Pelvic CT, contrast-enhanced
72193-26 · Professional component
$53.44
Pays only the interpretation and report.
How 72193 has changed in Washington, DC area
72193 · Office / nonfacility
$261.11
Effective 2026-10-01
The base rate is $0.19 higher than on 2025-10-01, moving from $260.92 to $261.11 (0.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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, 2026
RVU26A
$260.92changed to$261.11
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.16 changed to 1.13
- Practice expense RVU 5.67 changed to 5.54
- Malpractice RVU 0.07 changed to 0.09
- Work GPCI 1.057 changed to 1.054
- Practice expense GPCI 1.192 changed to 1.178
- Malpractice GPCI 1.168 changed to 1.113
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
No ratechanged to$260.92
Held through RVU25B, RVU25C, RVU25D.
January 1, 2020
RVU20A
$279.66changed toNo rate
Held through RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D.
January 1, 2019
RVU19A
$270.67changed to$279.66
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 5.15 changed to 5.35
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$269.56changed to$270.67
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 5.14 changed to 5.15
- Work GPCI 1.048 changed to 1.045
- Malpractice GPCI 1.271 changed to 1.261
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$268.22changed to$269.56
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 5.12 changed to 5.14
- Work GPCI 1.051 changed to 1.048
- Malpractice GPCI 1.280 changed to 1.271
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$267.42changed to$268.22
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 5.09 changed to 5.12
- Malpractice RVU 0.07 changed to 0.08
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$266.09changed to$267.42
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$279.60changed to$266.09
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 5.40 changed to 5.09
- Malpractice RVU 0.08 changed to 0.07
- Work GPCI 1.050 changed to 1.051
- Practice expense GPCI 1.202 changed to 1.205
- Malpractice GPCI 1.205 changed to 1.280
Held through RVU15B.
January 1, 2014
RVU14A
$326.94changed to$279.60
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 6.93 changed to 5.40
- Work GPCI 1.049 changed to 1.050
- Practice expense GPCI 1.198 changed to 1.202
- Malpractice GPCI 1.130 changed to 1.205
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $326.94
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $261.11 | Not available in this setting | RVU26D |
| 2026-07-01 | $261.11 | Not available in this setting | RVU26C |
| 2026-04-01 | $261.11 | Not available in this setting | RVU26B |
| 2026-01-01 | $261.11 | Not available in this setting | RVU26A |
| 2025-10-01 | $260.92 | Not available in this setting | RVU25D |
| 2025-07-01 | $260.92 | Not available in this setting | RVU25C |
| 2025-04-01 | $260.92 | Not available in this setting | RVU25B |
| 2025-01-01 | $260.92 | 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 | $279.66 | Not available in this setting | RVU19D |
| 2019-07-01 | $279.66 | Not available in this setting | RVU19C |
| 2019-04-01 | $279.66 | Not available in this setting | RVU19B |
| 2019-01-01 | $279.66 | Not available in this setting | RVU19A |
| 2018-10-01 | $270.67 | Not available in this setting | RVU18D |
| 2018-07-01 | $270.67 | Not available in this setting | RVU18C |
| 2018-04-01 | $270.67 | Not available in this setting | RVU18B |
| 2018-01-01 | $270.67 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $269.56 | Not available in this setting | RVU17D |
| 2017-07-01 | $269.56 | Not available in this setting | RVU17C |
| 2017-04-01 | $269.56 | Not available in this setting | RVU17B |
| 2017-01-01 | $269.56 | Not available in this setting | RVU17A |
| 2016-10-01 | $268.22 | Not available in this setting | RVU16D |
| 2016-07-01 | $268.22 | Not available in this setting | RVU16C |
| 2016-04-01 | $268.22 | Not available in this setting | RVU16B |
| 2016-01-01 | $268.22 | Not available in this setting | RVU16A |
| 2015-10-01 | $267.42 | Not available in this setting | RVU15D |
| 2015-07-01 | $267.42 | Not available in this setting | RVU15C |
| 2015-04-01 | $266.09 | Not available in this setting | RVU15B |
| 2015-01-01 | $266.09 | Not available in this setting | RVU15A |
| 2014-10-01 | $279.60 | Not available in this setting | RVU14D |
| 2014-07-01 | $279.60 | Not available in this setting | RVU14C |
| 2014-04-01 | $279.60 | Not available in this setting | RVU14B |
| 2014-01-01 | $279.60 | Not available in this setting | RVU14A |
| 2013-10-01 | $326.94 | Not available in this setting | RVU13D |
| 2013-07-01 | $326.94 | Not available in this setting | RVU13C |
| 2013-04-01 | $326.94 | Not available in this setting | RVU13B |
| 2013-01-01 | $326.94 | Not available in this setting | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
72193 billing questions
How does this differ from 72192?
72193 describes a pelvic CT performed with contrast. Use 72192 when the examination is performed without contrast.
When is 72194 a better fit?
Use 72194 when the pelvic CT protocol includes images both without and with contrast. This code represents the contrast-enhanced examination without that combined protocol.
Can the interpretation and scan be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Billing without either modifier represents the global service.
Does the multiple imaging reduction affect both components?
Yes. The diagnostic imaging multiple procedure reduction applies to the technical and professional components.
What documentation supports reporting 72193?
The record should establish the clinical reason for imaging, the pelvis as the examination area, and the contrast protocol performed. The imaging report should document the findings and interpretation.
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
Show the CMS file lines behind this rate
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