CPT 74440Radiology

X-ray male genital tract

CPT code 74440 covers X-ray imaging of the male reproductive tract, including specialized imaging of structures like the seminal vesicles or vas deferens. This diagnostic imaging helps doctors evaluate structural abnormalities, blockages, or other conditions affecting male fertility and urogenital health.

Showing rates for

National Average

Base Medicare rate

$92.51

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

0.38

PE RVU (NF)

2.46

MP RVU

0.02

Total RVU

2.86

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

NCCI bundling edits

Loading bundling edits…

Billing tips

Verify whether facility is billing global service or split billing (26/TC modifiers) before claim submission
Impact: Prevents duplicate billing denials and ensures correct reimbursement of $92.51 for global or appropriate split
Document the specific anatomical structures visualized (vas deferens, seminal vesicles, ejaculatory ducts) and clinical indication in the radiology report
Impact: Reduces medical necessity denials by 60-70% and supports audit defense for the 2.86 total RVUs
Do not bill 74440 with routine scrotal or pelvic ultrasounds; use appropriate ultrasound codes (76870, 76856) instead for those modalities
Impact: Prevents unbundling denials and incorrect code selection that triggers automatic rejections
When contrast is administered, ensure documentation specifies type, amount, and route of contrast material used
Impact: Supports medical necessity and prevents downcoding to non-contrast studies with lower reimbursement
For Medicare patients, verify LCD (Local Coverage Determination) requirements specific to your MAC jurisdiction before scheduling
Impact: Prevents denials for non-covered indications; some MACs have specific coverage criteria for male genital tract imaging
Link appropriate ICD-10 diagnosis codes for infertility (N46.x), obstruction (N50.89), or congenital anomalies (Q55.x) to establish medical necessity
Impact: Ensures payment at full $92.51 rate; vague or unrelated diagnoses result in 80% denial rate for this code

Live Field Datano reports yet

Real billers contribute denial patterns and appeal strategies for this code. Once 5+ reports come in, you’ll see live aggregated data here — the only place this exists, free.

Working with CPT 74440?

Get the free Revenue Protection Toolkit — the denial triggers, modifier pitfalls, and bundling conflicts that quietly cost you reimbursement. Instant download.

Help build the field knowledge

MedPayIQ gets smarter as billers contribute. If you've had this code denied, share what happened so others learn from it. Anonymous, no patient info.

Related actions

Frequently asked questions

What is the Medicare reimbursement rate for CPT 74440 in 2025?

The 2025 Medicare national average reimbursement rate for CPT 74440 is $92.51 for both facility and non-facility settings. This is calculated using 2.86 total RVUs multiplied by the 2025 conversion factor of 32.3465.

What does CPT code 74440 include?

CPT 74440 includes X-ray examination of the male genital tract, typically involving contrast imaging (vesiculography or vasography) of structures such as the vas deferens, seminal vesicles, and ejaculatory ducts. It includes both the technical performance of the imaging and the professional interpretation.

Can CPT 74440 be billed with modifier 26?

Yes, CPT 74440 can be billed with modifier 26 when only the professional component (physician interpretation and report) is being billed separately. This is common when the technical component is performed at a different facility or billed separately by the facility.

What diagnosis codes support medical necessity for CPT 74440?

Common supporting diagnosis codes include male infertility codes (N46.x series), obstructive disorders of male genital organs (N50.89), congenital malformations of vas deferens or seminal vesicles (Q55.x), and post-procedural evaluation codes. The specific diagnosis must justify the need for male genital tract imaging.

How many RVUs is CPT code 74440 worth?

CPT 74440 has 2.86 total RVUs for 2025, consisting of 0.38 work RVUs, 2.46 practice expense RVUs (both facility and non-facility), and 0.02 malpractice RVUs according to the CMS Physician Fee Schedule.

What is the difference between CPT 74440 and scrotal ultrasound codes?

CPT 74440 is an X-ray examination with contrast of the internal male genital tract structures (vas deferens, seminal vesicles), while scrotal ultrasound (76870) uses sound waves to image the scrotum and its contents. They are different modalities used for different clinical indications and should not be confused when coding.

Do I need prior authorization for CPT 74440?

Prior authorization requirements vary by payer and state. Most commercial insurers and Medicare Advantage plans require prior authorization for non-emergent diagnostic imaging including CPT 74440. Traditional Medicare typically does not require prior authorization but does have Local Coverage Determinations (LCDs) that specify covered indications.