CPT code 72195: Pelvic MRI, without contrast2026 Medicare rate & RVUs

Medicare pays $227.46 for 72195 nationally in the office. Local office rates run $201.04–$309.53.

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

What 72195 covers

This service uses magnetic resonance imaging to create diagnostic images of the pelvis without administered contrast. A technologist typically performs the scan in an imaging department or hospital, and a radiologist interprets the images. Common clinical questions include the evaluation of pelvic pain, a suspected pelvic mass, or other pelvic soft-tissue or bony findings when a noncontrast protocol is appropriate.

Select this code when the completed study covers the pelvis and is performed without contrast; use the documented imaging protocol to distinguish it from a study performed with contrast or both without and with contrast. The order and report should support the pelvic region examined and contrast status. The service may be billed globally, or the interpretation may be reported with modifier 26 and the equipment and staff service with modifier TC. 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 72195 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

72195 rates by state

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

How the 72195 rate is calculated

Each of 72195’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 72195

The CMS indicators that decide how 72195 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

72195 compared with similar codes

How to choose

72196MRI pelvisContrast only

Choose 72195 for a pelvic MRI without contrast; 72196 is for a study performed with contrast.

72197MRI pelvisWithout and with contrast

Choose 72197 when the study includes imaging both without and with contrast. 72195 is limited to the noncontrast protocol.

72192Pelvic CTWithout contrast

72192 is CT of the pelvis without contrast. 72195 is MRI of the pelvis without contrast; select based on the modality performed.

72198Pelvic MRAWithout and with contrast

72198 describes MR angiography of the pelvis, used for vascular imaging. 72195 is a pelvic MRI rather than an angiographic study.

Codes related to 72195

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