CPT code 72190: Pelvis X-ray2026 Medicare rate & RVUs in Nebraska
Report this service for a complete plain-radiographic examination of the pelvis with at least three views, such as for suspected pelvic fracture or alignment assessment.
Medicare pays $40.15 for 72190 in the office in Nebraska (Nebraska). 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 72190 covers
This service covers a multi-view plain X-ray examination of the pelvis, with at least three images used to assess the pelvic bones and joints. It is commonly ordered for pelvic trauma, suspected fracture, pelvic pain, or assessment of bone alignment. A technologist obtains the images in an office or facility imaging department, and a qualified practitioner interprets the study and issues a report.
Select this code when the documented examination includes three or more pelvic views; a one- or two-view pelvic study is represented by a different code. The order and report should support the clinical reason for imaging and identify the views obtained. CMS separately prices the interpretation and the equipment-and-staff service: report modifier 26 for the professional component or modifier TC for the technical component. Reporting without either modifier represents the global service.
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.
72190 in Nebraska
| Payment locality | Office | Facility |
|---|---|---|
| Nebraska | $40.15 | Unavailable |
How the 72190 rate is calculated
Each of 72190’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 · 72190
RVUs × geographic indexes × conversion factor
Work0.24
0.24 RVUs× 1.000 GPCI
Practice expense1.03
1.03 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
1.3000
Conversion factor
$33.4009
Medicare rate
$43.42
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 72190
The CMS indicators that decide how 72190 is paid alongside other services.
CMS payment indicators · 72190
Pelvis X-ray
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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
72190 without 26 · national office
$43.42
Pelvis X-ray
72190-26 · Professional component
$12.36
Pays only the interpretation and report.
72190 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 72170Pelvis X-ray
- Use 72170 for a one- or two-view pelvic X-ray. Use 72190 when the documented complete pelvic examination includes at least three views.
- 72192Pelvic CT
- 72192 is a pelvic CT performed without contrast; 72190 is a plain-radiographic examination. Select according to the imaging modality actually performed.
- 73502Hip X-ray
- 73502 describes a unilateral hip radiographic examination with two or three views. 72190 is for a complete multi-view examination of the pelvis.
72190 billing questions
How does this differ from 72170?
72190 is for a complete pelvic radiographic study with at least three views. 72170 is the choice for a one- or two-view pelvic study.
What documentation supports reporting 72190?
The record should support the clinical reason for the pelvic X-ray, and the imaging documentation should show that at least three views were obtained.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and report, or TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
Can 72190 be reported for a single focused hip study?
Not based solely on the fact that the pelvis is visible in the images. Choose the code that matches the ordered and documented examination, including whether it is a complete multi-view pelvis study or a focused hip examination.
Does the view count determine whether 72190 is appropriate?
Yes. The examination must include at least three pelvic views; a study with one or two views falls under 72170.
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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