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CMS RVU26D · Effective 2026-10-01

72193 in Modesto

Office / nonfacility

$242.80

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Diagnostic imaging

About 72193: Pelvic CT with contrast

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

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.

CMS billing rules for 72193

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Multiple procedures
Diagnostic imaging multiple procedure reduction applies to the technical and professional components.

Where the value comes from

  • Work RVU1.13 · 17%
  • Practice expense (office) RVU5.54 · 82%
  • Malpractice RVU0.09 · 1%

33.7K

Medicare services in 2024 · #935 by national volume

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.

72193 compared with similar codes

Office rates for Modesto, from the same CMS release.

72192

Pelvic CT

Without contrast

$141.23

72192 is for pelvic CT without contrast; 72193 is for the contrast-enhanced protocol.

72194

Ct pelvis w/o & w/dye

No office rate

72194 represents pelvic CT imaging both without and with contrast. Choose 72193 when the documented protocol is with contrast without that combined approach.

72196

MRI pelvis

Contrast only

$287.25

72196 reports pelvic MRI with contrast, not CT. The modality documented and performed determines which code applies.

72191

Ct angiograph pelv w/o&w/dye

No office rate

72191 is for pelvic CT angiography with and without contrast, a vascular imaging protocol; 72193 is a routine contrast-enhanced pelvic CT.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 72193 is $243.10—$0.30 higher than the $242.80 rate in Modesto. Both use the same code, release and participation basis.

72193 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $242.80

  2. $0.30 higher than Modesto

  3. Chico

    $242.80

    The same base rate than Modesto

  4. El Centro

    $242.82

    $0.02 higher than Modesto

  5. Fresno

    $242.80

    The same base rate than Modesto

  6. The same base rate than Modesto

  7. $17.39 higher than Modesto

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 72193 ranges from $198.24 in Arkansas to $310.34 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Madera

    California · 72193

    Office

    $242.80

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Merced

    California · 72193

    Office

    $242.80

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Napa

    California · 72193

    Office

    $285.53

    Facility

    Unavailable

    $42.73 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 72193

    Office

    $259.39

    Facility

    Unavailable

    $16.59 higher than Modesto for the office setting.

  • Redding

    California · 72193

    Office

    $242.80

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 72193

    Office

    $242.80

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 72193

    Office

    $243.79

    Facility

    Unavailable

    $0.99 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 72193

    Office

    $255.92

    Facility

    Unavailable

    $13.12 higher than Modesto for the office setting.

  • Salinas

    California · 72193

    Office

    $254.99

    Facility

    Unavailable

    $12.19 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 72193

    Office

    $261.81

    Facility

    Unavailable

    $19.01 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 72193

    Office

    $303.62

    Facility

    Unavailable

    $60.82 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 72193

    Office

    $303.51

    Facility

    Unavailable

    $60.71 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 72193

    Office

    $310.34

    Facility

    Unavailable

    $67.54 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 72193

    Office

    $309.92

    Facility

    Unavailable

    $67.12 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 72193

    Office

    $250.76

    Facility

    Unavailable

    $7.96 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 72193

    Office

    $264.97

    Facility

    Unavailable

    $22.17 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 72193

    Office

    $256.17

    Facility

    Unavailable

    $13.37 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 72193

    Office

    $267.72

    Facility

    Unavailable

    $24.92 higher than Modesto for the office setting.

  • Stockton

    California · 72193

    Office

    $242.80

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 72193

    Office

    $285.38

    Facility

    Unavailable

    $42.58 higher than Modesto for the office setting.

  • Visalia

    California · 72193

    Office

    $242.80

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 72193

    Office

    $242.80

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 72193

    Office

    $261.11

    Facility

    Unavailable

    $18.31 higher than Modesto for the office setting.

  • Miami

    Florida · 72193

    Office

    $237.97

    Facility

    Unavailable

    $4.83 lower than Modesto for the office setting.

  • Chicago

    Illinois · 72193

    Office

    $230.87

    Facility

    Unavailable

    $11.93 lower than Modesto for the office setting.

  • Manhattan

    New York · 72193

    Office

    $259.94

    Facility

    Unavailable

    $17.14 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 72193

    Office

    $255.34

    Facility

    Unavailable

    $12.54 higher than Modesto for the office setting.

  • Alabama

    Alabama · 72193

    Office

    $201.36

    Facility

    Unavailable

    $41.44 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 72193

    Office

    $198.24

    Facility

    Unavailable

    $44.56 lower than Modesto for the office setting.

  • Arizona

    Arizona · 72193

    Office

    $219.62

    Facility

    Unavailable

    $23.18 lower than Modesto for the office setting.

  • Colorado

    Colorado · 72193

    Office

    $237.43

    Facility

    Unavailable

    $5.37 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 72193

    Office

    $241.42

    Facility

    Unavailable

    $1.38 lower than Modesto for the office setting.

  • Delaware

    Delaware · 72193

    Office

    $223.45

    Facility

    Unavailable

    $19.35 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 72193

    Office

    $230.62

    Facility

    Unavailable

    $12.18 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 72193

    Office

    $219.16

    Facility

    Unavailable

    $23.64 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 72193

    Office

    $229.47

    Facility

    Unavailable

    $13.33 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 72193

    Office

    $206.38

    Facility

    Unavailable

    $36.42 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 72193

    Office

    $249.88

    Facility

    Unavailable

    $7.08 higher than Modesto for the office setting.

  • Iowa

    Iowa · 72193

    Office

    $208.25

    Facility

    Unavailable

    $34.55 lower than Modesto for the office setting.

  • Idaho

    Idaho · 72193

    Office

    $209.40

    Facility

    Unavailable

    $33.40 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 72193

    Office

    $214.03

    Facility

    Unavailable

    $28.77 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 72193

    Office

    $211.38

    Facility

    Unavailable

    $31.42 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 72193

    Office

    $233.37

    Facility

    Unavailable

    $9.43 lower than Modesto for the office setting.

  • Indiana

    Indiana · 72193

    Office

    $210.74

    Facility

    Unavailable

    $32.06 lower than Modesto for the office setting.

  • Kansas

    Kansas · 72193

    Office

    $206.54

    Facility

    Unavailable

    $36.26 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 72193

    Office

    $205.00

    Facility

    Unavailable

    $37.80 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 72193

    Office

    $215.28

    Facility

    Unavailable

    $27.52 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 72193

    Office

    $204.38

    Facility

    Unavailable

    $38.42 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 72193

    Office

    $262.90

    Facility

    Unavailable

    $20.10 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 72193

    Office

    $235.59

    Facility

    Unavailable

    $7.21 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 72193

    Office

    $240.61

    Facility

    Unavailable

    $2.19 lower than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 72193

    Office

    $228.14

    Facility

    Unavailable

    $14.66 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 72193

    Office

    $209.85

    Facility

    Unavailable

    $32.95 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 72193

    Office

    $223.02

    Facility

    Unavailable

    $19.78 lower than Modesto for the office setting.

  • Detroit

    Michigan · 72193

    Office

    $221.38

    Facility

    Unavailable

    $21.42 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 72193

    Office

    $210.08

    Facility

    Unavailable

    $32.72 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 72193

    Office

    $229.04

    Facility

    Unavailable

    $13.76 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 72193

    Office

    $214.43

    Facility

    Unavailable

    $28.37 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 72193

    Office

    $216.91

    Facility

    Unavailable

    $25.89 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 72193

    Office

    $200.18

    Facility

    Unavailable

    $42.62 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 72193

    Office

    $199.28

    Facility

    Unavailable

    $43.52 lower than Modesto for the office setting.

  • Montana**

    Montana · 72193

    Office

    $225.78

    Facility

    Unavailable

    $17.02 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 72193

    Office

    $212.31

    Facility

    Unavailable

    $30.49 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 72193

    Office

    $224.00

    Facility

    Unavailable

    $18.80 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 72193

    Office

    $209.67

    Facility

    Unavailable

    $33.13 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 72193

    Office

    $233.00

    Facility

    Unavailable

    $9.80 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 72193

    Office

    $257.98

    Facility

    Unavailable

    $15.18 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 72193

    Office

    $244.62

    Facility

    Unavailable

    $1.82 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 72193

    Office

    $211.04

    Facility

    Unavailable

    $31.76 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 72193

    Office

    $225.47

    Facility

    Unavailable

    $17.33 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 72193

    Office

    $265.75

    Facility

    Unavailable

    $22.95 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 72193

    Office

    $245.70

    Facility

    Unavailable

    $2.90 higher than Modesto for the office setting.

  • Queens

    New York · 72193

    Office

    $263.21

    Facility

    Unavailable

    $20.41 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 72193

    Office

    $215.65

    Facility

    Unavailable

    $27.15 lower than Modesto for the office setting.

  • Ohio

    Ohio · 72193

    Office

    $209.72

    Facility

    Unavailable

    $33.08 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 72193

    Office

    $205.32

    Facility

    Unavailable

    $37.48 lower than Modesto for the office setting.

  • Portland

    Oregon · 72193

    Office

    $246.16

    Facility

    Unavailable

    $3.36 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 72193

    Office

    $224.16

    Facility

    Unavailable

    $18.64 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 72193

    Office

    $234.64

    Facility

    Unavailable

    $8.16 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 72193

    Office

    $210.45

    Facility

    Unavailable

    $32.35 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 72193

    Office

    $227.78

    Facility

    Unavailable

    $15.02 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 72193

    Office

    $232.29

    Facility

    Unavailable

    $10.51 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 72193

    Office

    $211.28

    Facility

    Unavailable

    $31.52 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 72193

    Office

    $223.79

    Facility

    Unavailable

    $19.01 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 72193

    Office

    $207.56

    Facility

    Unavailable

    $35.24 lower than Modesto for the office setting.

  • Austin

    Texas · 72193

    Office

    $236.26

    Facility

    Unavailable

    $6.54 lower than Modesto for the office setting.

  • Beaumont

    Texas · 72193

    Office

    $208.92

    Facility

    Unavailable

    $33.88 lower than Modesto for the office setting.

  • Brazoria

    Texas · 72193

    Office

    $223.77

    Facility

    Unavailable

    $19.03 lower than Modesto for the office setting.

  • Dallas

    Texas · 72193

    Office

    $224.96

    Facility

    Unavailable

    $17.84 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 72193

    Office

    $223.15

    Facility

    Unavailable

    $19.65 lower than Modesto for the office setting.

  • Galveston

    Texas · 72193

    Office

    $224.28

    Facility

    Unavailable

    $18.52 lower than Modesto for the office setting.

  • Houston

    Texas · 72193

    Office

    $225.93

    Facility

    Unavailable

    $16.87 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 72193

    Office

    $216.06

    Facility

    Unavailable

    $26.74 lower than Modesto for the office setting.

  • Utah

    Utah · 72193

    Office

    $214.38

    Facility

    Unavailable

    $28.42 lower than Modesto for the office setting.

  • Virginia

    Virginia · 72193

    Office

    $221.76

    Facility

    Unavailable

    $21.04 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 72193

    Office

    $227.78

    Facility

    Unavailable

    $15.02 lower than Modesto for the office setting.

  • Vermont

    Vermont · 72193

    Office

    $222.45

    Facility

    Unavailable

    $20.35 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 72193

    Office

    $235.37

    Facility

    Unavailable

    $7.43 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 72193

    Office

    $269.13

    Facility

    Unavailable

    $26.33 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 72193

    Office

    $215.94

    Facility

    Unavailable

    $26.86 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 72193

    Office

    $202.85

    Facility

    Unavailable

    $39.95 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 72193

    Office

    $225.01

    Facility

    Unavailable

    $17.79 lower than Modesto for the office setting.

See how rates vary across the country

72193 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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 all state and territory rates as a table
State / territoryRate 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

Explore 72193 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 72193 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$267.08

$242.80 × 110% = $267.08

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 72193 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

8,054

Code
72193
Physician work
1.13
Practice expense
5.54
Malpractice
0.09

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 72193 in Modesto
ComponentRVULocality factorAdjusted
Physician work1.13× 1.0171.1492
Practice expense5.54× 1.0966.0718
Malpractice0.09× 0.5360.0482
Total RVUs7.2693
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$242.80

Open 72193 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.131.017
Practice expense5.541.096
Malpractice0.090.536

(1.13 × 1.017 + 5.54 × 1.096 + 0.09 × 0.536) × $33.4009 = $242.80

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

72193 · Office / nonfacility

$242.80

Effective 2026-10-01

The base rate is $3.02 higher than on 2025-10-01, moving from $239.78 to $242.80 (1.3%).

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

    $239.78changed to$242.80

    • 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 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $239.78

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$242.80Not available in this settingRVU26D
2026-07-01$242.80Not available in this settingRVU26C
2026-04-01$242.80Not available in this settingRVU26B
2026-01-01$242.80Not available in this settingRVU26A
2025-10-01$239.78Not available in this settingRVU25D
2025-07-01$239.78Not available in this settingRVU25C
2025-04-01$239.78Not available in this settingRVU25B
2025-01-01$239.78Not available in this settingRVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 72193PPRRVU2026_Oct_nonQPP.csv, line 8,054 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)