Use 72170 for a one- or two-view pelvic X-ray. Use 72190 when the documented complete pelvic examination includes at least three views.
On this page
CMS RVU26D · Effective 2026-10-01
72190 Pelvis X-ray Medicare reimbursement rates in Rhode Island
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. Compare 72190 office and facility rates across CMS payment localities in Rhode Island.
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 72190 in Rhode Island?
Rhode Island 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
$44.60
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 72190: Complete pelvis radiograph, three or more views
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.
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.
CMS billing rules for 72190
- 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.
Where the value comes from
- Work RVU0.24 · 18%
- Practice expense (office) RVU1.03 · 79%
- Malpractice RVU0.03 · 2%
68.2K
Medicare services in 2024 · #683 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.
72190 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
72192 is a pelvic CT performed without contrast; 72190 is a plain-radiographic examination. Select according to the imaging modality actually performed.
73502 describes a unilateral hip radiographic examination with two or three views. 72190 is for a complete multi-view examination of the pelvis.
Compare 72190 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
Rhode Island →
Office / nonfacility
$44.60
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 72190 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
8,045
- Code
- 72190
- Physician work
- 0.24
- Practice expense
- 1.03
- Malpractice
- 0.03
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.24 | × 1.019 | 0.2446 |
| Practice expense | 1.03 | × 1.033 | 1.0640 |
| Malpractice | 0.03 | × 0.892 | 0.0268 |
| Total RVUs | 1.3353 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$44.60
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.24 | 1.019 |
| Practice expense | 1.03 | 1.033 |
| Malpractice | 0.03 | 0.892 |
(0.24 × 1.019 + 1.03 × 1.033 + 0.03 × 0.892) × $33.4009 = $44.60
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.
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 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.
