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

Reports CT imaging of the pelvis performed with contrast, commonly to evaluate pelvic pain, a suspected mass, infection, or other soft-tissue findings.

CMS RVU26DEffective Oct 1, 2026One payment locality33.7K Medicare services in 2024

In South Carolina, Medicare pays $211.28 for 72193 in the office.

$211.28Office (non-facility)
Not available in this settingHospital or facility
−6.4%vs the national office rate ($225.79)

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.

We’ll open 72193 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Carolina
  2. What 72193 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 South Carolina 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. South Carolina pays $211.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

72193 in South Carolina vs other payment areas
  1. South Carolina · this page$211.28
  2. Los Angeles, CA · California$260.19+$48.91
  3. Washington, DC area · District of Columbia$261.11+$49.83
  4. Miami, FL · Florida$237.97+$26.69
  5. Chicago, IL · Illinois$230.87+$19.59
  6. Manhattan, NY · New York$259.94+$48.66
  7. Alaska · Alaska$255.34+$44.06

Other areas in South Carolina first, then benchmark localities. Bars start at $0.

Every other payment area

72193 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$201.36—
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—

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
72193 office rate range by state
State / territoryOffice rate rangeLocalities
AK$255.341
AL$201.361
AR$198.241
AZ$219.621
CA$242.80–$310.3429
CO$237.431
CT$241.421
DC$261.111
DE$223.451
FL$219.16–$237.973
GA$206.38–$229.472
GU$249.881
HI$249.881
IA$208.251
ID$209.401
IL$211.38–$233.374
IN$210.741
KS$206.541
KY$205.001
LA$204.38–$215.282
MA$235.59–$262.902
MD$228.14–$261.113
ME$209.85–$223.022
MI$210.08–$221.382
MN$229.041
MO$200.18–$216.913
MS$199.281
MT$225.781
NC$212.311
ND$224.001
NE$209.671
NH$233.001
NJ$244.62–$257.982
NM$211.041
NV$225.471
NY$215.65–$265.755
OH$209.721
OK$205.321
OR$224.16–$246.162
PA$210.45–$234.642
PR$227.781
RI$232.291
SC$211.281
SD$223.791
TN$207.561
TX$208.92–$236.268
UT$214.381
VA$221.76–$261.112
VI$227.781
VT$222.451
WA$235.37–$269.132
WI$215.941
WV$202.851
WY$225.011

See 72193 in every payment locality

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

Office or facility?

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 South Carolina 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

93

Locality
South Carolina
Physician work
1.000
Practice expense
0.924
Malpractice
0.850
Office calculation for 72193 in South Carolina
ComponentRVULocality factorAdjusted
Physician work1.13× 1.0001.1300
Practice expense5.54× 0.9245.1190
Malpractice0.09× 0.8500.0765
Total RVUs6.3255
Conversion factor× 33.4009

Office rate, South Carolina$211.28

Office: (1.13 × 1 + 5.54 × 0.924 + 0.09 × 0.85) × $33.4009 = $211.28

Open 72193 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures4Diagnostic imaging reduction applies to the technical component (and professional component) of additional services.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic 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.

When to use modifier 26

How 72193 has changed in South Carolina

72193 · Office / nonfacility

$211.28

Effective 2026-10-01

The base rate is $4.46 higher than on 2025-10-01, moving from $206.82 to $211.28 (2.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $206.82changed to$211.28

    • 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
    • Practice expense GPCI 0.913 changed to 0.924
    • Malpractice GPCI 0.817 changed to 0.850

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    No ratechanged to$206.82

    Held through RVU25B, RVU25C, RVU25D.

  3. January 1, 2020

    RVU20A

    $219.24changed toNo rate

    Held through RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D.

  4. January 1, 2019

    RVU19A

    $212.44changed to$219.24

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.15 changed to 5.35

    Held through RVU19B, RVU19C, RVU19D.

  5. January 1, 2018

    RVU18AR1

    $211.69changed to$212.44

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.14 changed to 5.15
    • Malpractice GPCI 0.634 changed to 0.553

    Held through RVU18B, RVU18C, RVU18D.

  6. January 1, 2017

    RVU17A

    $210.77changed to$211.69

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.12 changed to 5.14
    • Malpractice GPCI 0.715 changed to 0.634

    Held through RVU17B, RVU17C, RVU17D.

  7. January 1, 2016

    RVU16A

    $210.29changed to$210.77

    • 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.

  8. July 1, 2015

    RVU15C

    $209.24changed to$210.29

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  9. January 1, 2015

    RVU15A

    $219.55changed to$209.24

    • 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
    • Practice expense GPCI 0.911 changed to 0.912
    • Malpractice GPCI 0.618 changed to 0.715

    Held through RVU15B.

  10. January 1, 2014

    RVU14A

    $255.21changed to$219.55

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 6.93 changed to 5.40
    • Practice expense GPCI 0.909 changed to 0.911
    • Malpractice GPCI 0.520 changed to 0.618

    Held through RVU14B, RVU14C, RVU14D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: $255.21

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$211.28Not available in this settingRVU26D
2026-07-01$211.28Not available in this settingRVU26C
2026-04-01$211.28Not available in this settingRVU26B
2026-01-01$211.28Not available in this settingRVU26A
2025-10-01$206.82Not available in this settingRVU25D
2025-07-01$206.82Not available in this settingRVU25C
2025-04-01$206.82Not available in this settingRVU25B
2025-01-01$206.82Not available in this settingRVU25A
2024-10-01Additional calculation requiredNot available in this settingRVU24D
2024-07-01Additional calculation requiredNot available in this settingRVU24C
2024-04-01Additional calculation requiredNot available in this settingRVU24B
2024-03-09Additional calculation requiredNot available in this settingRVU24AR
2024-01-01Additional calculation requiredNot available in this settingRVU24A
2023-10-01Additional calculation requiredNot available in this settingRVU23D
2023-07-01Additional calculation requiredNot available in this settingRVU23C
2023-04-01Additional calculation requiredNot available in this settingRVU23B
2023-01-01Additional calculation requiredNot available in this settingRVU23A
2022-10-01Additional calculation requiredNot available in this settingRVU22D
2022-07-01Additional calculation requiredNot available in this settingRVU22C
2022-04-01Additional calculation requiredNot available in this settingRVU22B
2022-01-01Additional calculation requiredNot available in this settingRVU22A
2021-10-01Additional calculation requiredNot available in this settingRVU21D
2021-07-01Additional calculation requiredNot available in this settingRVU21C
2021-04-01Additional calculation requiredNot available in this settingRVU21B
2021-01-01Additional calculation requiredNot available in this settingRVU21A
2020-10-01Additional calculation requiredNot available in this settingRVU20D
2020-07-01Additional calculation requiredNot available in this settingRVU20C
2020-04-01Additional calculation requiredNot available in this settingRVU20B
2020-01-01Additional calculation requiredNot available in this settingRVU20A
2019-10-01$219.24Not available in this settingRVU19D
2019-07-01$219.24Not available in this settingRVU19C
2019-04-01$219.24Not available in this settingRVU19B
2019-01-01$219.24Not available in this settingRVU19A
2018-10-01$212.44Not available in this settingRVU18D
2018-07-01$212.44Not available in this settingRVU18C
2018-04-01$212.44Not available in this settingRVU18B
2018-01-01$212.44Not available in this settingRVU18AR1
2017-10-01$211.69Not available in this settingRVU17D
2017-07-01$211.69Not available in this settingRVU17C
2017-04-01$211.69Not available in this settingRVU17B
2017-01-01$211.69Not available in this settingRVU17A
2016-10-01$210.77Not available in this settingRVU16D
2016-07-01$210.77Not available in this settingRVU16C
2016-04-01$210.77Not available in this settingRVU16B
2016-01-01$210.77Not available in this settingRVU16A
2015-10-01$210.29Not available in this settingRVU15D
2015-07-01$210.29Not available in this settingRVU15C
2015-04-01$209.24Not available in this settingRVU15B
2015-01-01$209.24Not available in this settingRVU15A
2014-10-01$219.55Not available in this settingRVU14D
2014-07-01$219.55Not available in this settingRVU14C
2014-04-01$219.55Not available in this settingRVU14B
2014-01-01$219.55Not available in this settingRVU14A
2013-10-01$255.21Not available in this settingRVU13D
2013-07-01$255.21Not available in this settingRVU13C
2013-04-01$255.21Not available in this settingRVU13B
2013-01-01$255.21Not available in this settingRVU13AR

Price 72193 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Abney Crossroads
  • Adams Run
  • Aiken
  • Alcolu
  • Allendale
  • Anderson
  • Andrews

Browse all communities in South Carolina

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
RVUs for 72193PPRRVU2026_Oct_nonQPP.csv, line 8,054 (RVU26D)
Geographic factors for South CarolinaGPCI2026.csv, line 93 (RVU26D)

Open CMS sourceHow we calculate rates

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