Summary & Overview
CPT 72170: Radiologic Examination of Pelvis, 1 or 2 Views
CPT code 72170 is a widely utilized billing code for radiologic examination of the pelvis, covering 1 or 2 views. This procedure is a cornerstone in diagnostic radiology, aiding clinicians in evaluating pelvic pain, trauma, and musculoskeletal conditions. The code is relevant across outpatient hospital settings and is recognized by major national payers, including Aetna, Blue Cross Blue Shield, Cigna Health, Medicare, and UnitedHealthcare.
This publication provides a comprehensive overview of CPT 72170, detailing its clinical applications, payer coverage, and associated billing practices. Readers will gain insight into typical use cases, common modifiers such as 26, TC, and 59, and related taxonomies in diagnostic and nuclear radiology. The summary also highlights key ICD-10 diagnoses frequently linked to this code, such as pain in the hip, fractures, osteoarthritis, and pelvic sprains. Additionally, related CPT codes for more extensive or alternative imaging procedures are outlined for context.
Healthcare professionals and policy analysts will find benchmarks, policy updates, and clinical context for CPT 72170, supporting informed decision-making in radiology billing and coding. The information is structured to address national trends and payer requirements, ensuring relevance for a broad audience.
CPT Code Overview
CPT 72170 represents a radiologic examination of the pelvis with 1 or 2 views. This procedure is commonly performed to assess pelvic injuries, pain, or abnormalities and is a fundamental diagnostic tool in radiology. The service type is Radiology, and the typical site of service is an outpatient hospital setting (Place of Service 22). This code is frequently used in clinical practice to provide essential imaging for a variety of pelvic conditions.
Clinical & Coding Specifications
Clinical Context
A patient presents to the outpatient hospital with complaints of hip or pelvic pain, following trauma or due to chronic conditions such as osteoarthritis. The clinician orders a radiologic examination of the pelvis with 1 or 2 views to assess for fractures, sprains, or degenerative changes. The radiology team performs the imaging, and the results are interpreted by a diagnostic radiologist. This workflow is typical for evaluating acute injuries or chronic pain in the pelvic region.
Coding Specifications
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Modifiers:
26: Professional Component – Used when only the interpretation of the radiologic images is performed by the physician.TC: Technical Component – Used when only the technical aspect (equipment, staff, etc.) of the radiologic service is provided.59: Distinct Procedural Service – Used to indicate that the procedure is distinct or separate from other services performed on the same day.
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Provider Taxonomies:
Code Specialty Name