72191
No office rateCt angiograph pelv w/o&w/dye
This is pelvic CT angiography. Use 72198 for MR angiography of pelvic vessels; the documented modality determines the code.
On this page
CMS RVU26D · Effective 2026-10-01
72198 Pelvic MRA Medicare reimbursement rates in Alabama
Pelvic MR angiography performed before and after contrast evaluates pelvic vessels when a vascular question calls for magnetic resonance imaging. Compare 72198 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 72198 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$300.02
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Radiology
About 72198: Pelvic magnetic resonance angiography with and without contrast
Pelvic MR angiography performed before and after contrast evaluates pelvic vessels when a vascular question calls for magnetic resonance imaging.
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.
CMS billing rules for 72198
- 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 RVU1.76 · 17%
- Practice expense (office) RVU8.17 · 81%
- Malpractice RVU0.13 · 1%
2.5K
Medicare services in 2024 · #2288 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.
72198 compared with similar codes
Office rates for Alabama, from the same CMS release.
$299.88
This is a routine pelvic MRI performed before and after contrast. Use 72198 when the study is an angiographic evaluation of pelvic vessels.
$240.50
This is a routine pelvic MRI with contrast, not an MR angiogram. The vascular purpose and angiographic protocol distinguish 72198.
Compare 72198 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$300.02
Facility
Unavailable
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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 72198 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
8,069
- Code
- 72198
- Physician work
- 1.76
- Practice expense
- 8.17
- Malpractice
- 0.13
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.76 | × 1.000 | 1.7600 |
| Practice expense | 8.17 | × 0.875 | 7.1487 |
| Malpractice | 0.13 | × 0.566 | 0.0736 |
| Total RVUs | 8.9823 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$300.02
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.76 | 1 |
| Practice expense | 8.17 | 0.875 |
| Malpractice | 0.13 | 0.566 |
(1.76 × 1 + 8.17 × 0.875 + 0.13 × 0.566) × $33.4009 = $300.02
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.
72198 billing questions
How is this different from a routine pelvic MRI?
This code is for MR angiographic imaging of pelvic vessels, such as the iliac arteries. A routine pelvic MRI code is used when the study evaluates pelvic organs or soft tissues rather than vessels.
Can the before-contrast and after-contrast imaging be billed as separate studies?
No. The code represents one MR angiographic examination that includes imaging before and after contrast.
How should the professional and technical portions be reported?
Use modifier 26 for the radiologist’s interpretation and modifier TC for the equipment and staff portion. Without either modifier, the claim represents the global service.
Does the multiple procedure reduction affect only the technical portion?
No. CMS applies the diagnostic imaging multiple procedure reduction to both the professional and technical components.
When would 72191 be used instead?
72191 describes pelvic CT angiography, while 72198 is MR angiography. Choose according to the imaging method documented and 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 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.
8,06672197,,Mri pelvis w/o & w/dye,A,,2.15,7.70,,7.70,NA,0.16,10.01,10.01,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.38,11.38,0.18
8,06772197,26,Mri pelvis w/o & w/dye,A,,2.15,0.76,,0.76,,0.13,3.04,3.04,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,06872197,TC,Mri pelvis w/o & w/dye,A,,0.00,6.94,,6.94,NA,0.03,6.97,6.97,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,10.62,10.62,0.05
8,06972198,,Mr angio pelvis w/o & w/dye,A,,1.76,8.17,,8.17,NA,0.13,10.06,10.06,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.21,11.21,0.15
8,07072198,26,Mr angio pelvis w/o & w/dye,A,,1.76,0.60,,0.60,,0.09,2.45,2.45,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,07172198,TC,Mr angio pelvis w/o & w/dye,A,,0.00,7.57,,7.57,NA,0.04,7.61,7.61,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,10.61,10.61,0.06
8,07272200,,X-ray exam si joints,A,,0.17,0.82,,0.82,NA,0.02,1.01,1.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.23,3.23,0.05
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515