Billing code 72193: Pelvic CTMedicare rate & RVUs in Georgia
Reports CT imaging of the pelvis performed with contrast, commonly to evaluate pelvic pain, a suspected mass, infection, or other soft-tissue findings.
Medicare pays $206.38–$229.47 for 72193 in the office in Georgia, from Rest Of Georgia to Atlanta. 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 72193 covers
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.
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 72193 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | $229.47 | Unavailable |
| Rest Of Georgia | $206.38 | Unavailable |
How the 72193 rate is calculated
Each of 72193’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 · 72193
RVUs × geographic indexes × conversion factor
Work1.13
1.13 RVUs× 1.000 GPCI
Practice expense5.54
5.54 RVUs× 1.000 GPCI
Malpractice0.09
0.09 RVUs× 1.000 GPCI
Adjusted RVUs
6.7600
Conversion factor
$33.4009
Medicare rate
$225.79
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 72193
The CMS indicators that decide how 72193 is paid alongside other services.
CMS payment indicators · 72193
Pelvic CT
| 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
72193 without 26 · national office
$225.79
Pelvic CT
72193-26 · Professional component
$53.44
Pays only the interpretation and report.
72193 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 72192Pelvic CT
- 72192 is for pelvic CT without contrast; 72193 is for the contrast-enhanced protocol.
- 72194Ct pelvis w/o & w/dye
- 72194 represents pelvic CT imaging both without and with contrast. Choose 72193 when the documented protocol is with contrast without that combined approach.
- 72196MRI pelvis
- 72196 reports pelvic MRI with contrast, not CT. The modality documented and performed determines which code applies.
- 72191Ct angiograph pelv w/o&w/dye
- 72191 is for pelvic CT angiography with and without contrast, a vascular imaging protocol; 72193 is a routine contrast-enhanced pelvic CT.
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 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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