Billing code 72195: Pelvic MRIMedicare rate & RVUs in Alaska
MRI of the pelvis without contrast is reported for diagnostic evaluation of pelvic organs, soft tissues, or bones when the ordered imaging protocol uses no contrast.
Medicare pays $261.33 for 72195 in the office in Alaska (Alaska*). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
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.
72195 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | $261.33 | Unavailable |
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.
How the rate is built · 72195
RVUs × geographic indexes × conversion factor
Work1.42
1.42 RVUs× 1.000 GPCI
Practice expense5.30
5.30 RVUs× 1.000 GPCI
Malpractice0.09
0.09 RVUs× 1.000 GPCI
Adjusted RVUs
6.8100
Conversion factor
$33.4009
Medicare rate
$227.46
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 72195
The CMS indicators that decide how 72195 is paid alongside other services.
CMS payment indicators · 72195
Pelvic MRI
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 4 | Diagnostic imaging reduction applies to the technical component (and professional component) of additional services. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
72195 without 26 · national office
$227.46
Pelvic MRI
72195-26 · Professional component
$66.80
Pays only the interpretation and report.
72195 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 72196MRI pelvis
- Choose 72195 for a pelvic MRI without contrast; 72196 is for a study performed with contrast.
- 72197MRI pelvis
- Choose 72197 when the study includes imaging both without and with contrast. 72195 is limited to the noncontrast protocol.
- 72192Pelvic CT
- 72192 is CT of the pelvis without contrast. 72195 is MRI of the pelvis without contrast; select based on the modality performed.
- 72198Pelvic MRA
- 72198 describes MR angiography of the pelvis, used for vascular imaging. 72195 is a pelvic MRI rather than an angiographic study.
72195 billing questions
How does this differ from 72196?
72195 describes a pelvic MRI performed without contrast. Use 72196 when contrast is administered for the study.
When is 72197 used instead?
72197 is for a pelvic MRI performed first without and then with contrast. Do not use 72195 for 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. Without either modifier, the claim represents the global service.
Does the multiple procedure reduction affect only the technical service?
No. The diagnostic imaging multiple procedure reduction applies to both the technical and professional components.
What documentation supports reporting 72195?
The imaging order and report should identify the pelvis as the region examined and show that the study was performed without contrast.
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
Show the CMS file lines behind this rate
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