CPT code 72196 represents magnetic resonance imaging (MRI) of the pelvis performed with intravenous contrast. This diagnostic imaging code is widely used across hospital radiology departments, outpatient imaging centers, and ambulatory settings to evaluate pelvic organs, soft tissues, and vascular structures. Nationally, contrast-enhanced pelvic MRI plays a central role in oncologic staging, assessment of complex pelvic pain, and characterization of indeterminate lesions identified on other imaging modalities.

Key payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical indications and service settings tied to the code, plus how common payer coverage patterns and pricing benchmarks typically relate to contrast-enhanced pelvic MRI. The publication outlines typical charges and reimbursement considerations, common modifier usage, and coding relationships relevant to billing and claims processing. Policy updates and payer-specific payment policies that affect utilization and prior authorization practices are summarized to inform billing operations and compliance teams.

This national-level summary is intended to provide clinicians, coding professionals, and revenue cycle staff with a focused reference on the clinical context, billing implications, and payer considerations associated with CPT code 72196.