Radex abdomen 2 views
CPT code 74019 covers an abdominal X-ray using two different angles or views to examine the belly area for conditions like bowel obstruction, kidney stones, or abdominal pain. This is one of the most common diagnostic imaging tests ordered in emergency rooms and primary care settings.
This calculator gives a typical-case estimate using standard Medicare modifier rules. Actual payment depends on payer policies, documentation, code-specific CMS status indicators, and locality. Verify before billing.
RVU breakdown
Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High
NCCI bundling edits
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Billing tips
Verify that exactly two views were obtained before billing 74019; if only one view was taken, use CPT 74018 instead to avoid downcoding
Impact: Prevents automatic denial or recoupment; incorrect view count is top audit trigger for abdominal X-rays
Document specific views obtained (AP, lateral, upright, decubitus) in radiology report to support the two-view requirement
Impact: Reduces audit risk and provides clear justification for 74019 versus single-view 74018
For hospital outpatient departments, bill 74019 with modifier TC for technical component only; radiologist bills 74019-26 separately
Impact: Ensures proper component billing and prevents duplicate payment issues; combined components equal full $35.90 rate
Ensure medical necessity is clearly documented with specific clinical indication (not just 'abdominal pain' but qualifying symptoms like severity, duration, associated symptoms)
Impact: LCD-compliant documentation reduces denial rate by approximately 40% for diagnostic imaging
When performed same day as CT abdomen, append modifier 59 to 74019 only if separate clinical indication exists and document distinct purpose
Impact: Prevents bundling denial; without modifier and documentation, expect 100% denial as included service
Bill globally (without modifiers) in freestanding imaging centers where facility owns equipment and employs interpreting physician
Impact: Maximizes reimbursement at full $35.90 rate rather than split component payments
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