Billing code 72192: Pelvic CTMedicare rate & RVUs in Utah
Reports a noncontrast CT examination of the pelvis for evaluation of pelvic bones, soft tissues, or other findings when cross-sectional imaging is needed.
Medicare pays $126.67 for 72192 in the office in Utah (Utah). 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 72192 covers
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.
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 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $126.67 | Unavailable |
How the 72192 rate is calculated
Each of 72192’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 · 72192
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.06Practice expense 2.84Malpractice 0.07
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 72192
The CMS indicators that decide how 72192 is paid alongside other services.
CMS payment indicators · 72192
Pelvic CT
| 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
72192 without 26 · national office
$132.60
Pelvic CT
72192-26 · Professional component
$49.77
Pays only the interpretation and report.
72192 compared with similar codes
Compare codes
72192 vs 72193 vs 72194 vs 72191 vs 72195: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 72193Pelvic CT
- 72193 is for a pelvic CT performed with contrast; 72192 is for the noncontrast examination.
- 72194Ct 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.
- 72191Ct 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.
- 72195Pelvic MRI
- 72195 is a noncontrast MRI of the pelvis. 72192 is a CT examination; select according to the modality actually performed and documented.
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 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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