{
    "code": "72197",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/72197/2022/A",
    "release_specific_url": "https://localishealth.com/cpt/72197/2022/B",
    "description": "An MRI of the pelvis performed both without and then with contrast dye given through a vein, so the two sets of images can be compared. The pelvis here means the soft tissue contents - bladder, rectum, prostate or uterus and ovaries, and the surrounding muscle and bone. The dye highlights blood flow into abnormal tissue, which is what makes this the version chosen when a mass or an inflammatory process is the concern.",
    "answer": {
        "question": "How much did Medicare pay for CPT 72197 in Q2 2022?",
        "text": "Medicare paid $369.59 for CPT 72197 in the office (non-facility) setting and $369.59 in a facility under the Q2 2022 Physician Fee Schedule, effective April 2022. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2022, when it decreased 5.0%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2022,
        "quarter": "B",
        "label": "Q2 2022",
        "effective": "April 1 – June 30, 2022",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 369.59,
        "facility": 369.59,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 2.2,
        "practice_expense_non_facility": 8.34,
        "practice_expense_facility": 8.34,
        "malpractice": 0.14
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.6062,
    "source": {
        "label": "Physician relative value file (Q2 2022)",
        "cms_url": "https://www.cms.gov/files/zip/rvu22b.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2022/B",
        "file": "PPRRVU22_APR.csv",
        "row": 12655,
        "sha256": "7a64189403d440641280d5e90c1ebf39bbdc950a292e6d6f2a8bf8dc144ae305"
    },
    "modified_at": "2026-08-04T03:11:36+00:00"
}