$42.58
72190 requires at least three dedicated pelvis views, such as AP, inlet, and outlet views for pelvic ring trauma. One or two pelvis views support 72170.
On this page
CMS RVU26D · Effective 2026-10-01
72170 Pelvis X-ray Medicare reimbursement rates in Vermont
Plain radiograph of the pelvis limited to one or two views, often a single AP image, obtained for falls, pelvic pain, or arthroplasty follow-up. Compare 72170 office and facility rates across CMS payment localities in Vermont.
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 72170 in Vermont?
Vermont 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
$27.51
1 of 1 localities have a supported rate.
Payment area: Vermont
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 72170: Pelvis radiograph, one or two views
Plain radiograph of the pelvis limited to one or two views, often a single AP image, obtained for falls, pelvic pain, or arthroplasty follow-up.
This limited plain-film study images the pelvis, typically with a single anteroposterior (AP) view; an inlet or outlet view may provide a second projection. It is obtained in emergency departments after falls or trauma, in orthopedic and primary care offices for pelvic or groin pain, and after hip arthroplasty to assess component position. A radiologic technologist acquires the images. A radiologist, or a treating physician in some office settings, provides the written interpretation.
Select 72170 for a dedicated pelvic study with one or two pelvis views; three or more pelvis views support 72190. Dedicated hip projections do not increase the pelvis view count. Documentation should identify the views obtained and include a signed report with findings and an impression. CMS recognizes a professional component for interpretation, billed with modifier 26, and a technical component for equipment and staff, billed with modifier TC. An entity providing both components bills the global service without either modifier. For a hospital study, the interpreting radiologist generally bills with modifier 26; the hospital bills for the imaging services it provides.
CMS billing rules for 72170
- 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 RVU0.17 · 20%
- Practice expense (office) RVU0.65 · 77%
- Malpractice RVU0.02 · 2%
730.7K
Medicare services in 2024 · #178 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.
72170 compared with similar codes
Office rates for Vermont, from the same CMS release.
$48.02
When the study targets one hip and includes dedicated hip views, use the hip code, which includes the pelvis when performed. Use 72170 for a dedicated pelvis study with one or two pelvis views.
$41.08
73521 covers a two-view bilateral hip study, with pelvis when performed. Do not add 72170 solely for a pelvis view included in that hip study.
$130.50
72192 is cross-sectional CT imaging of the pelvis without contrast; 72170 is a conventional radiograph with one or two pelvis views.
Compare 72170 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
Vermont →
Office / nonfacility
$27.51
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 72170 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
8,042
- Code
- 72170
- Physician work
- 0.17
- Practice expense
- 0.65
- Malpractice
- 0.02
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.000 | 0.1700 |
| Practice expense | 0.65 | × 0.990 | 0.6435 |
| Malpractice | 0.02 | × 0.506 | 0.0101 |
| Total RVUs | 0.8236 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$27.51
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.17 | 1 |
| Practice expense | 0.65 | 0.99 |
| Malpractice | 0.02 | 0.506 |
(0.17 × 1 + 0.65 × 0.99 + 0.02 × 0.506) × $33.4009 = $27.51
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.
72170 billing questions
How do I choose between 72170 and 72190?
Count the dedicated pelvis views obtained and documented. One or two support 72170; at least three support 72190.
Can 72170 be billed along with hip X-rays on the same date?
Do not bill 72170 separately for a pelvis view included in a unilateral or bilateral hip study. A separately ordered, distinct pelvis examination needs its own supporting images and medical necessity.
Which modifier does the reading radiologist use for an emergency department study?
The radiologist appends modifier 26 when billing only the interpretation of a hospital-performed pelvis radiograph.
When should modifier TC be used?
Use TC when the billing entity provides the equipment and technologist but a separate provider performs the interpretation, such as an imaging center using an outside reading group.
What documentation supports billing the professional component?
A signed written report should identify the views obtained and document findings and an impression. A brief visit note stating that the film was reviewed does not substitute for the interpretation report.
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.
8,03972159,,Mr angio spine w/o&w/dye,R,,1.76,8.21,,8.21,NA,0.13,10.10,10.10,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.23,11.23,0.15
8,04072159,26,Mr angio spine w/o&w/dye,R,,1.76,0.62,,0.62,,0.09,2.47,2.47,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,04172159,TC,Mr angio spine w/o&w/dye,R,,0.00,7.59,,7.59,NA,0.04,7.63,7.63,1,XXX,0.00,0.00,0.00,4,0,9,0,0,9,,33.4009,02,0,88,10.61,10.61,0.06
8,04272170,,X-ray exam of pelvis,A,,0.17,0.65,,0.65,NA,0.02,0.84,0.84,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.21,3.21,0.06
8,04372170,26,X-ray exam of pelvis,A,,0.17,0.07,,0.07,,0.01,0.25,0.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,04472170,TC,X-ray exam of pelvis,A,,0.00,0.58,,0.58,NA,0.01,0.59,0.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,3.14,3.14,0.05
8,04572190,,X-ray exam of pelvis,A,,0.24,1.03,,1.03,NA,0.03,1.30,1.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.27,3.27,0.05
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817