CPT code 72194: CT pelvis, without and with contrast2026 Medicare rate & RVUs

Medicare pays $250.51 for 72194 nationally in the office.

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

What 72194 covers

This examination acquires CT images of the pelvis without contrast material and again after contrast administration, allowing the radiologist to assess pelvic anatomy across both phases. It may be ordered to evaluate a pelvic mass, inflammatory or infectious process, or another abnormality when the clinician needs both noncontrast and enhanced images. A CT technologist performs the scan in a hospital or imaging center; a radiologist interprets the study and issues the report.

Report 72194 when the documented examination includes both noncontrast and contrast-enhanced pelvic acquisitions. A study performed in just one phase maps to the corresponding single-phase code. The order, protocol, and report should support the pelvic region examined and both phases, rather than a dedicated pelvic CT angiogram. CMS recognizes separate professional and technical components: report modifier 26 for interpretation, TC for equipment and staff, or neither for the global service. The diagnostic imaging multiple procedure reduction applies to both 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 72194 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

72194 rates by state

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

How the 72194 rate is calculated

Each of 72194’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 72194

The CMS indicators that decide how 72194 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

72194 compared with similar codes

How to choose

72192Pelvic CTWithout contrast

72192 is for pelvic CT without contrast only; 72194 requires acquisitions both without and with contrast.

72193Pelvic CTContrast-enhanced

72193 covers pelvic CT with contrast only. Choose 72194 when the examination also includes a noncontrast acquisition.

72191Pelvic CT angiographyWith contrast

72191 is for pelvic CT angiography, a dedicated vascular examination; 72194 is routine pelvic CT imaging in two contrast phases.

72197MRI pelvisWithout and with contrast

72197 is pelvic MRI without and with contrast. It uses MRI rather than CT, so select by the modality actually performed.

Codes related to 72194

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