Billing code 72198: Pelvic MRAMedicare rate & RVUs in Texas
Pelvic MR angiography performed before and after contrast evaluates pelvic vessels when a vascular question calls for magnetic resonance imaging.
Medicare pays $311.15–$351.46 for 72198 in the office in Texas, from Beaumont to Austin. 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 72198 covers
This examination uses magnetic resonance imaging to depict pelvic blood vessels, with image sequences obtained before and after contrast administration. It may be ordered to assess pelvic arteries, including the iliac arteries, when the clinical question concerns vascular anatomy or disease. A radiology technologist performs the imaging, and a radiologist interprets the study. It is distinct from a routine pelvic MRI, which focuses on pelvic organs and other soft tissues rather than an angiographic assessment of vessels.
Report this code when the documented study includes both noncontrast and contrast-enhanced MR angiographic imaging of the pelvis. The order and report should support the vascular indication, the pelvic anatomy examined, and the contrast protocol performed. The radiologist may bill the professional component with modifier 26; the imaging facility may bill the technical component with modifier TC. Billing without either modifier represents the global service. When diagnostic imaging multiple procedure reduction applies, it affects both the professional and technical 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 72198 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$311.15 to $351.46
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | $351.46 | Unavailable |
| Beaumont | $311.15 | Unavailable |
| Brazoria | $333.07 | Unavailable |
| Dallas | $334.83 | Unavailable |
| Fort Worth | $332.16 | Unavailable |
| Galveston | $333.83 | Unavailable |
| Houston | $336.21 | Unavailable |
| Rest Of Texas | $321.67 | Unavailable |
How the 72198 rate is calculated
Each of 72198’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 · 72198
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.76Practice expense 8.17Malpractice 0.13
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 72198
The CMS indicators that decide how 72198 is paid alongside other services.
CMS payment indicators · 72198
Pelvic MRA
| 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
72198 without 26 · national office
$336.01
Pelvic MRA
72198-26 · Professional component
$81.83
Pays only the interpretation and report.
72198 compared with similar codes
Compare codes
72198 vs 72191 vs 72197 vs 72196: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 72191Ct angiograph pelv w/o&w/dye
- This is pelvic CT angiography. Use 72198 for MR angiography of pelvic vessels; the documented modality determines the code.
- 72197MRI pelvis
- This is a routine pelvic MRI performed before and after contrast. Use 72198 when the study is an angiographic evaluation of pelvic vessels.
- 72196MRI pelvis
- This is a routine pelvic MRI with contrast, not an MR angiogram. The vascular purpose and angiographic protocol distinguish 72198.
72198 billing questions
How is this different from a routine pelvic MRI?
This code is for MR angiographic imaging of pelvic vessels, such as the iliac arteries. A routine pelvic MRI code is used when the study evaluates pelvic organs or soft tissues rather than vessels.
Can the before-contrast and after-contrast imaging be billed as separate studies?
No. The code represents one MR angiographic examination that includes imaging before and after contrast.
How should the professional and technical portions be reported?
Use modifier 26 for the radiologist’s interpretation and modifier TC for the equipment and staff portion. Without either modifier, the claim represents the global service.
Does the multiple procedure reduction affect only the technical portion?
No. CMS applies the diagnostic imaging multiple procedure reduction to both the professional and technical components.
When would 72191 be used instead?
72191 describes pelvic CT angiography, while 72198 is MR angiography. Choose according to the imaging method documented and performed.
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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