$210.74
72193 is for a pelvic CT performed with contrast; 72192 is for the noncontrast examination.
On this page
CMS RVU26D · Effective 2026-10-01
72192 Pelvic CT Medicare reimbursement rates in Indiana
Reports a noncontrast CT examination of the pelvis for evaluation of pelvic bones, soft tissues, or other findings when cross-sectional imaging is needed. Compare 72192 office and facility rates across CMS payment localities in Indiana.
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 72192 in Indiana?
Indiana 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
$124.48
1 of 1 localities have a supported rate.
Payment area: Indiana
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 72192: Pelvic CT without contrast
Reports a noncontrast CT examination of the pelvis for evaluation of pelvic bones, soft tissues, or other findings when cross-sectional imaging is needed.
This service is a computed tomography examination focused on the pelvis, performed without contrast material. A technologist acquires the images, and a radiologist typically interprets them. Common clinical situations include assessment of suspected pelvic fractures and evaluation of urinary calculi or other pelvic findings when the requested study is a noncontrast CT. The scan may be performed in a hospital or imaging center, or in an office with CT capability.
Select this code when the documented protocol is a pelvic CT without contrast; a study using contrast or both pre- and post-contrast imaging belongs to a different code in the pelvic CT series. The order and report should identify the pelvic indication, the noncontrast technique, and the interpreted findings. Report the global service without a component modifier when one entity furnishes both portions. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff. The diagnostic imaging multiple procedure reduction applies to both the professional and technical components.
CMS billing rules for 72192
- 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 RVU1.06 · 27%
- Practice expense (office) RVU2.84 · 72%
- Malpractice RVU0.07 · 2%
201K
Medicare services in 2024 · #386 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.
72192 compared with similar codes
Office rates for Indiana, from the same CMS release.
72194
No office rateCt pelvis w/o & w/dye
72194 describes pelvic CT imaging both without and with contrast. Choose 72192 when the examination is limited to noncontrast imaging.
72191
No office rateCt angiograph pelv w/o&w/dye
72191 is pelvic CT angiography, used for a vascular imaging question. 72192 is a standard pelvic CT without contrast.
$212.99
72195 is a noncontrast MRI of the pelvis. 72192 is a CT examination; select according to the modality actually performed and documented.
Compare 72192 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
Indiana →
Office / nonfacility
$124.48
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 72192 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
8,051
- Code
- 72192
- Physician work
- 1.06
- Practice expense
- 2.84
- Malpractice
- 0.07
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.06 | × 1.000 | 1.0600 |
| Practice expense | 2.84 | × 0.927 | 2.6327 |
| Malpractice | 0.07 | × 0.486 | 0.0340 |
| Total RVUs | 3.7267 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$124.48
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.06 | 1 |
| Practice expense | 2.84 | 0.927 |
| Malpractice | 0.07 | 0.486 |
(1.06 × 1 + 2.84 × 0.927 + 0.07 × 0.486) × $33.4009 = $124.48
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.
72192 billing questions
How do I choose 72192 instead of 72193 or 72194?
Use 72192 for a pelvic CT performed without contrast. Use 72193 for a study with contrast and 72194 when the examination includes imaging both without and with contrast.
When should modifier 26 or TC be reported?
Append modifier 26 when billing only the radiologist’s professional interpretation, or modifier TC for only the technical service. Report without either modifier when billing the global service.
What documentation supports 72192?
The order and imaging report should support the pelvic indication and show that the performed CT protocol was without contrast. The report should document the radiologist’s interpretation.
Does the multiple procedure reduction affect both components?
Yes. The diagnostic imaging multiple procedure reduction applies to the technical and professional components of this service.
Can pelvic radiographs be reported with this CT?
A radiograph and CT are different imaging services. The record should support that both examinations were performed and address distinct imaging needs; the CT code itself does not describe the radiograph.
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.
8,04872191,,Ct angiograph pelv w/o&w/dye,A,,1.76,7.20,,7.20,NA,0.14,9.10,9.10,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,5.94,5.94,0.13
8,04972191,26,Ct angiograph pelv w/o&w/dye,A,,1.76,0.60,,0.60,,0.11,2.47,2.47,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,05072191,TC,Ct angiograph pelv w/o&w/dye,A,,0.00,6.60,,6.60,NA,0.03,6.63,6.63,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,5.34,5.34,0.02
8,05172192,,Ct pelvis w/o dye,A,,1.06,2.84,,2.84,NA,0.07,3.97,3.97,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,3.55,3.55,0.07
8,05272192,26,Ct pelvis w/o dye,A,,1.06,0.37,,0.37,,0.06,1.49,1.49,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,05372192,TC,Ct pelvis w/o dye,A,,0.00,2.47,,2.47,NA,0.01,2.48,2.48,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,01,0,88,3.18,3.18,0.01
8,05472193,,Ct pelvis w/dye,A,,1.13,5.54,,5.54,NA,0.09,6.76,6.76,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,5.74,5.74,0.09
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915