CPT 74410Radiology

Urography nfs drip&/bolus

CPT 74410 covers urography using drip infusion or bolus injection techniques—a specialized X-ray examination of the urinary tract using contrast material administered intravenously to visualize the kidneys, ureters, and bladder.

Showing rates for

National Average

Base Medicare rate

$134.88

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

Work RVU

0.49

PE RVU (NF)

3.64

MP RVU

0.04

Total RVU

4.17

Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High

NCCI bundling edits

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Billing tips

Verify the specific contrast administration method (drip vs bolus) is clearly documented in the operative/procedure report to justify 74410 over standard IVP codes
Impact: Prevents downcoding to lower-paying codes or denials for insufficient documentation; maintains full $134.88 reimbursement
Review medical necessity documentation for why non-standard urography technique was chosen over conventional IVP (74400)
Impact: Reduces denial rate by 30-40% when clinical justification is explicit in the medical record
Confirm contrast type, volume, and administration rate are documented as these distinguish 74410 from other urography procedures
Impact: Strengthens claims against audits and provides evidence for proper code selection versus alternative urography codes
Bill professional and technical components separately in split-billing scenarios to maximize appropriate reimbursement
Impact: Ensures both facility and physician receive correct payment portions; prevents revenue loss from incorrect global billing
Check for bundling issues with same-day abdominal or pelvic imaging studies; append modifier 59 when procedures are distinct and medically necessary
Impact: Recovers $134.88 that would otherwise be bundled and denied, representing 100% revenue preservation on second procedure
Verify timing of pre-procedure and post-procedure images are documented to demonstrate the complete study was performed
Impact: Prevents modifier 52 reductions (20-50% payment decrease) and supports full procedural reimbursement

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Frequently asked questions

What is the Medicare reimbursement rate for CPT 74410 in 2025?

The 2025 Medicare national average reimbursement for CPT 74410 is $134.88 for both facility and non-facility settings. This rate is based on a total RVU of 4.17 and the 2025 conversion factor of 32.3465.

What is the difference between CPT 74410 and 74400?

CPT 74410 is for urography performed with drip infusion or bolus injection techniques, while 74400 represents standard intravenous pyelography (IVP). The key distinction is the contrast administration method—74410 uses alternative delivery techniques (continuous drip or rapid bolus) versus the conventional IVP protocol coded with 74400.

How many RVUs is CPT code 74410 worth?

CPT 74410 has a total RVU value of 4.17, consisting of 0.49 work RVU, 3.64 practice expense RVU, and 0.04 malpractice RVU. The facility and non-facility PE RVUs are identical at 3.64 for this code.

Can CPT 74410 be billed with modifier 26?

Yes, CPT 74410 can be billed with modifier 26 for the professional component only when the physician provides interpretation and report but does not own the equipment or employ the technical staff. The facility would separately bill the technical component (modifier TC).

What documentation is required to bill CPT 74410?

Required documentation includes the specific clinical indication, explicit description of drip infusion or bolus injection technique with rate/timing, contrast type and volume, number and timing of images obtained, complete radiological interpretation, and justification for using non-standard urography technique over conventional IVP when applicable.

Is prior authorization required for CPT 74410?

Prior authorization requirements vary by payer. Medicare typically does not require prior authorization for 74410, but many Medicare Advantage plans and commercial insurers do require pre-approval for urography studies. Always verify specific payer requirements before scheduling the procedure to avoid denials.

What are common denial reasons for CPT 74410?

The most common denials include lack of medical necessity documentation, insufficient evidence of drip/bolus technique in the procedure report, bundling with same-day imaging studies, and downcoding to standard IVP (74400) when documentation doesn't clearly distinguish the alternative contrast administration method used.