2025 CPT code 72195
Effective Date: N/A Radiology - Diagnostic Radiology Feed
Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)
Modifiers may be applicable to this code. For example, modifier 26 is used to indicate that only the professional component (interpretation) of the service was provided. Modifier TC is used to indicate that only the technical component (performance of the scan) was provided.
Medical necessity must be established for this procedure. This means the MRI must be ordered for a specific diagnostic purpose related to the patient's symptoms, physical findings, or other medical conditions, not for screening or general health check-ups.
The physician's role includes reviewing the patient's medical history, determining the need for the MRI, explaining the procedure to the patient, interpreting the images obtained from the scan, and formulating a diagnosis or treatment plan based on the findings.
In simple words: An MRI of your pelvis uses a powerful magnet and radio waves to take detailed pictures of the area between your hip bones. This helps doctors see the structures inside your pelvis, like your bladder, reproductive organs (uterus, ovaries, prostate), and blood vessels, without using any dyes.
This code represents a magnetic resonance imaging (MRI) scan of the pelvis without the use of contrast material. The procedure involves using magnetic fields and radio waves to create detailed images of the pelvic area, including bones, organs, blood vessels, and other tissues. It's used to diagnose various conditions affecting the pelvic region.
Example 1: A 45-year-old female patient presents with chronic pelvic pain. An MRI of the pelvis without contrast is ordered to evaluate for possible causes, such as uterine fibroids, endometriosis, or ovarian cysts., A 60-year-old male patient experiences difficulty urinating and has an elevated PSA level. A pelvic MRI without contrast is requested to assess the prostate for potential enlargement or malignancy., A 25-year-old athlete suffers a groin injury during a soccer game. A pelvic MRI without contrast is performed to examine the muscles, tendons, and ligaments in the pelvic area for tears or other damage.
Documentation should include the patient's medical history, reason for the MRI, the area of the pelvis scanned, the findings of the scan, and the interpretation by the radiologist. Any relevant previous imaging studies should also be mentioned.
- Specialties:Radiology, Urology, Gynecology, Orthopedics, Gastroenterology
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital, Independent Clinic, Radiology Center, and other places where MRI services can be offered.