CPT 72198
Global XXX ActiveMr angio pelvis w/o & w/dye
CPT 72198 Billing & Documentation Guide
CPT code 72198 (Mr angio pelvis w/o & w/dye) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.76, a non-facility practice expense RVU of 8.17, and a malpractice RVU of 0.13, a total non-facility RVU of 10.06 and facility RVU of 10.06. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $348.5, though rates vary from $295.43 to $461.08 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 72198, 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 72198 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 72198 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 72198
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.76 | 1.76 |
| Practice Expense RVU | 8.17 | 8.17 |
| Malpractice RVU | 0.13 | 0.13 |
| Total RVU | 10.06 | 10.06 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 72198
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 | $386.14 | $386.14 | $361.19 - $461.08 | 29 |
| Florida | $341.03 | $341.03 | $326.19 - $353.84 | 3 |
| Georgia | $324.41 | $324.41 | $307.38 - $341.43 | 2 |
| Illinois | $330.97 | $330.97 | $314.72 - $347.14 | 4 |
| Michigan | $321.14 | $321.14 | $312.83 - $329.44 | 2 |
| North Carolina | $316.16 | $316.16 | $316.16 - $316.16 | 1 |
| New York | $371.91 | $371.91 | $321.08 - $395.07 | 5 |
| Ohio | $312.31 | $312.31 | $312.31 - $312.31 | 1 |
| Pennsylvania | $331.25 | $331.25 | $313.4 - $349.1 | 2 |
| Texas | $331.8 | $331.8 | $311.15 - $351.46 | 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 72198
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 72198 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01916 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01922 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01924 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0694T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0898T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 36000 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36000 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
| 36005 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 72198
What does CPT code 72198 mean? +
CPT code 72198 represents: Mr angio pelvis w/o & w/dye. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 72198? +
The 2026 Medicare national average non-facility payment for CPT 72198 is $348.5. Rates range from $295.43 to $461.08 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 72198? +
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 72198? +
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 June 1, 2026.
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