How To Use CPT Code 72192

CPT 72192 describes the procedure of performing computed tomography (CT) imaging of the pelvis without using contrast material. This article will cover the description, official details, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 72192?

CPT 72192 can be used to describe the procedure of performing CT imaging of the pelvis without the use of contrast material. This code is used when a healthcare provider rotates an X-ray tube and X-ray detectors around a patient in a supine position to produce cross-sectional images of the pelvic area. The images are then analyzed and interpreted by the provider to diagnose, manage, and treat diseases or injuries related to the pelvis.

2. Official Description

The official description of CPT code 72192 is: ‘Computed tomography, pelvis; without contrast material.’

3. Procedure

1. The patient is positioned in a supine position on the scanner table.
2. The healthcare provider supervises the image acquisition as the scanner moves around the patient’s body and captures pictures of the pelvic area.
3. The images are displayed on a monitor screen for the provider to review and analyze.
4. The provider interprets the results and prepares a report of their findings.

4. Qualifying circumstances

CPT 72192 is used when a healthcare provider performs CT imaging of the pelvis without the use of contrast material. This procedure is typically done to diagnose, manage, and treat diseases or injuries related to the pelvis, such as tumors or trauma. The provider must ensure that the patient meets the necessary criteria for the procedure and that it is medically necessary.

5. When to use CPT code 72192

CPT code 72192 should be used when a healthcare provider performs CT imaging of the pelvis without the use of contrast material. It is important to note that if contrast material is used during the procedure, a different CPT code should be used (such as CPT code 72193 for CT imaging of the pelvis with contrast). CPT code 72192 is specifically for procedures performed without contrast material.

6. Documentation requirements

To support a claim for CPT code 72192, the healthcare provider must document the following information:

• Indication for the procedure
• Details of the procedure performed (CT imaging of the pelvis without contrast material)
• Date and time of the procedure
• Analysis and interpretation of the images
• Report of the findings

7. Billing guidelines

When billing for CPT code 72192, ensure that the procedure performed is CT imaging of the pelvis without contrast material. It is important to follow payer guidelines and append the appropriate modifiers if necessary. If only the physician’s interpretation is being reported, append modifier 26 to the radiology code. If only the technical component is being reported, append modifier TC to the radiology code. However, note that payer policies may exempt hospitals from appending modifier TC. It is also important to consider payer policies regarding the reporting of contrast material separately.

8. Historical information

CPT code 72192 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A radiologist performing CT imaging of the pelvis without contrast material to diagnose a suspected pelvic tumor.
2. An orthopedic surgeon ordering CT imaging of the pelvis without contrast material to assess a patient’s pelvic fracture.
3. A urologist using CT imaging of the pelvis without contrast material to evaluate a patient with urinary tract symptoms.
4. An oncologist utilizing CT imaging of the pelvis without contrast material to monitor the response to pelvic radiation therapy.
5. A gynecologist performing CT imaging of the pelvis without contrast material to evaluate a patient with pelvic pain.
6. A trauma surgeon ordering CT imaging of the pelvis without contrast material to assess for pelvic fractures in a patient involved in a motor vehicle accident.
7. An emergency medicine physician utilizing CT imaging of the pelvis without contrast material to evaluate a patient with acute pelvic pain.
8. A pediatrician ordering CT imaging of the pelvis without contrast material to assess a child with suspected developmental hip dysplasia.
9. A reproductive endocrinologist performing CT imaging of the pelvis without contrast material to evaluate a patient with infertility.
10. A general surgeon utilizing CT imaging of the pelvis without contrast material to assess a patient with suspected appendicitis.