CPT 72192
Global XXX ActiveCt pelvis w/o dye
CPT 72192 Billing & Documentation Guide
CPT code 72192 (Ct pelvis w/o dye) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.06, a non-facility practice expense RVU of 2.84, and a malpractice RVU of 0.07, a total non-facility RVU of 3.97 and facility RVU of 3.97. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $137.13, though rates vary from $118.09 to $177.34 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 72192, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 72192 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 72192 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 72192
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.06 | 1.06 |
| Practice Expense RVU | 2.84 | 2.84 |
| Malpractice RVU | 0.07 | 0.07 |
| Total RVU | 3.97 | 3.97 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 72192
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $150.19 | $150.19 | $141.23 - $177.34 | 29 |
| Florida | $135.13 | $135.13 | $129.6 - $140.07 | 3 |
| Georgia | $128.76 | $128.76 | $122.81 - $134.7 | 2 |
| Illinois | $131.66 | $131.66 | $125.67 - $137.22 | 4 |
| Michigan | $127.77 | $127.77 | $124.65 - $130.89 | 2 |
| North Carolina | $125.4 | $125.4 | $125.4 - $125.4 | 1 |
| New York | $146.09 | $146.09 | $127.16 - $154.8 | 5 |
| Ohio | $124.37 | $124.37 | $124.37 - $124.37 | 1 |
| Pennsylvania | $131.14 | $131.14 | $124.69 - $137.58 | 2 |
| Texas | $131.16 | $131.16 | $123.9 - $137.91 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 72192
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 72192 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0066T | Column 1 (primary), can be billed with modifier | 9 | CPT Manual or CMS manual coding instruction |
| 0067T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 01922 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0558T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 76350 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 76380 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99201 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 72192
What does CPT code 72192 mean? +
CPT code 72192 represents: Ct pelvis w/o dye. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 72192? +
The 2026 Medicare national average non-facility payment for CPT 72192 is $137.13. Rates range from $118.09 to $177.34 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 72192? +
Radiology codes rely heavily on the professional/technical split: modifier 26 (professional component only) and TC (technical component only). Also common: 50 (bilateral imaging), 76 (repeat by same physician), 77 (repeat by different physician), and LT/RT for laterality.
What bundling edits apply to CPT 72192? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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