X-ray for pancreas endoscopy
CPT 74329 covers X-ray imaging performed during an endoscopic procedure on the pancreas, typically using contrast material to visualize the pancreatic ducts and surrounding structures.
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
Always verify whether you are billing globally or splitting professional/technical components with modifier 26 or TC
Impact: Incorrect component billing can result in overpayment recovery or underpayment of 40-60% of the $22.32 fee
Bill 74329 separately from the ERCP procedure code (43260-43278) as it represents radiological supervision, not the endoscopic procedure
Impact: Ensures full payment of $22.32 rather than bundled denial; some payers auto-bundle without proper modifier use
Document whether cholangiography was also performed; if both bile and pancreatic ducts visualized, code 74328 may be more appropriate
Impact: CPT 74328 has higher reimbursement; using wrong code could result in $5-10 underpayment or denial for incorrect coding
Ensure documentation includes a separately identifiable written report of the radiological findings, not just procedure notes
Impact: Missing interpretation report is the most common reason for modifier 26 denials, resulting in 100% denial of professional component
Verify the procedure was performed with fluoroscopic guidance and contrast; without these elements, code is not billable
Impact: Billing without proper technique documentation leads to medical necessity denials and potential recovery of all $22.32
Check facility vs non-facility status; this code pays the same ($22.32) in both settings, but component splits may differ by contract
Impact: Understanding setting-specific policies prevents surprise denials on component billing
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