$119.45–$128.05
72192 is for pelvic CT without contrast; 72193 is for the contrast-enhanced protocol.
On this page
CMS RVU26D · Effective 2026-10-01
72193 Pelvic CT Medicare reimbursement rates in Missouri
Reports CT imaging of the pelvis performed with contrast, commonly to evaluate pelvic pain, a suspected mass, infection, or other soft-tissue findings. Compare 72193 office and facility rates across CMS payment localities in Missouri.
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 72193 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$200.18–$216.91
3 of 3 localities have a supported rate.
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.
Where 72193 pays more and less in Missouri
3 payment localities
$200.18 to $216.91
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 Missouri, from the same CMS release.
72194
No office rateCt 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.
$239.44–$258.25
72196 reports pelvic MRI with contrast, not CT. The modality documented and performed determines which code applies.
72191
No office rateCt 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.
Compare 72193 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$214.43
Facility
Unavailable
Metropolitan St. Louis →
Office / nonfacility
$216.91
Facility
Unavailable
Rest Of Missouri →
Office / nonfacility
$200.18
Facility
Unavailable
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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.
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
8,05572193,26,Ct pelvis w/dye,A,,1.13,0.40,,0.40,,0.07,1.60,1.60,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,05672193,TC,Ct pelvis w/dye,A,,0.00,5.14,,5.14,NA,0.02,5.16,5.16,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,5.34,5.34,0.02
8,05772194,,Ct pelvis w/o & w/dye,A,,1.19,6.22,,6.22,NA,0.09,7.50,7.50,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,5.77,5.77,0.09