CPT code 72198: Pelvic MRA, without and with contrast2026 Medicare rate & RVUs

Medicare pays $336.01 for 72198 nationally in the office. Local office rates run $295.43–$461.08.

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

What 72198 covers

This examination uses magnetic resonance imaging to depict pelvic blood vessels, with image sequences obtained before and after contrast administration. It may be ordered to assess pelvic arteries, including the iliac arteries, when the clinical question concerns vascular anatomy or disease. A radiology technologist performs the imaging, and a radiologist interprets the study. It is distinct from a routine pelvic MRI, which focuses on pelvic organs and other soft tissues rather than an angiographic assessment of vessels.

Report this code when the documented study includes both noncontrast and contrast-enhanced MR angiographic imaging of the pelvis. The order and report should support the vascular indication, the pelvic anatomy examined, and the contrast protocol performed. The radiologist may bill the professional component with modifier 26; the imaging facility may bill the technical component with modifier TC. Billing without either modifier represents the global service. When diagnostic imaging multiple procedure reduction applies, it affects both the professional and technical 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 72198 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

72198 rates by state

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

How the 72198 rate is calculated

Each of 72198’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 72198

The CMS indicators that decide how 72198 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

72198 compared with similar codes

How to choose

72191Pelvic CT angiographyWith contrast

This is pelvic CT angiography. Use 72198 for MR angiography of pelvic vessels; the documented modality determines the code.

72197MRI pelvisWithout and with contrast

This is a routine pelvic MRI performed before and after contrast. Use 72198 when the study is an angiographic evaluation of pelvic vessels.

72196MRI pelvisContrast only

This is a routine pelvic MRI with contrast, not an MR angiogram. The vascular purpose and angiographic protocol distinguish 72198.

Codes related to 72198

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