2025 CPT code 72192

Computed tomography (CT) scan of the pelvis without contrast material.

Follow the AMA's CPT coding guidelines and payer-specific guidelines. Ensure proper modifier usage based on the services performed (e.g., modifier 26 for professional component only).

Modifiers 26 (professional component), 59 (distinct procedural service), and TC (technical component) may be applicable depending on the specific circumstances and payer policies.

Medical necessity for a non-contrast CT scan of the pelvis is established when there is a clinical indication to assess for pelvic pathology, such as trauma, pain, suspected malignancy, or monitoring of known disease. The ordering physician should clearly document the clinical justification in the patient's medical record.

The radiologist is responsible for positioning the patient, supervising image acquisition, interpreting the images, and generating a diagnostic report.The technologist is responsible for operating the CT scanner and acquiring the images.

IMPORTANT For CT of the pelvis with contrast, use CPT code 72193.If both abdomen and pelvis are scanned, consider codes 74176 (without contrast), 74177 (with contrast), or 74178 (with and without contrast).

In simple words: A CT scan of your pelvis is performed without using any special dye. The machine takes many X-ray pictures to create detailed images of your pelvic bones and organs. A doctor then examines these images and writes a report explaining the findings.

This procedure involves obtaining cross-sectional images of the pelvic region using a computed tomography (CT) scanner without the administration of contrast material.The patient is positioned supine on the scanner table.The X-ray tube and detectors rotate around the patient, acquiring images that are processed by a computer to generate detailed cross-sectional views of the pelvic anatomy. The radiologist reviews the images, interprets the findings, and generates a report.

Example 1: A 55-year-old female patient presents with persistent pelvic pain. A non-contrast CT scan of the pelvis is ordered to evaluate for bone fractures, tumors, or other abnormalities., A 22-year-old male patient is involved in a motor vehicle accident and sustains pelvic trauma. A non-contrast CT scan is performed immediately to assess for fractures and internal bleeding., A 70-year-old male patient with a history of prostate cancer undergoes a follow-up non-contrast CT scan of the pelvis to monitor for recurrence or metastasis.

The report should include the patient's demographics, indication for the study, imaging protocol used, detailed image interpretation, and the radiologist's findings and conclusions.Relevant prior imaging studies should also be reviewed and referenced.

** Oral or rectal contrast administration alone does not qualify a study as "with contrast" according to AMA guidelines.Intravascular, intra-articular, or intrathecal contrast administration is required for codes that include "with contrast."

  • Revenue Code: I2B (ADVANCED IMAGING - CAT: OTHER)
  • Payment Status: Active
  • Modifier TC rule: Modifier TC is generally used for the technical component of radiology services. However, payer policy may vary, particularly for hospital settings.
  • Specialties:Radiology, Urology, Oncology, Trauma Surgery, Orthopedics
  • Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center, Urgent Care Facility
** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.