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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | 23 - Emergency Room 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 72193 |
| Medicaid Fee Schedule | View Medicaid rates for 72193 |
National average reimbursement for CPT 72193 by major payers:

$276.66

$302.66

$347.22

$370.97
Choose a payer to see a sample of rates for CPT 72193.
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Slocum Dickson Medical Group PLLC
Slocum Dickson Medical Group PLLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 72193 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 72193 code is part of the Radiology Procedures services used for Diagnostic Radiology (Diagnostic Imaging) Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 72193 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 72170-CPT | Low | Radiologic Examination Pelvis, Radiologic Examination Pelvis Anteroposterior On Ly |
| 72190-CPT | Low | X-Ray Pelvis;Complete Minimum Of 3 Views |
| 72191-CPT | Moderate | Ct Of Blood Vessels In Pelvis, A Ct (Computed Tomography) Angiogram Produces Images Of The Blood Vessels In The Pelvis. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Contrast Dye May Be Injected To Highlight A Specific Area. |
| 72193-CPT | Moderate | Ct Scan Of Pelvis, Ct (Computed Tomography) Of The Pelvis. The Scanner Circles The Body Taking X-Rays And Assembles Them Into A 3-D Image. Dye May Be Injected To Make The Area Easier To See. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 72193. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 72193 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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