CPT 74018
Global XXX ActiveRadex abdomen 1 view
CPT 74018 Billing & Documentation Guide
CPT code 74018 (Radex abdomen 1 view) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.18, a non-facility practice expense RVU of 0.69, and a malpractice RVU of 0.02, a total non-facility RVU of 0.89 and facility RVU of 0.89. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $30.76, though rates vary from $26.15 to $40.26 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 74018, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 74018 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 3 units of 74018 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 74018
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.18 | 0.18 |
| Practice Expense RVU | 0.69 | 0.69 |
| Malpractice RVU | 0.02 | 0.02 |
| Total RVU | 0.89 | 0.89 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 74018
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $33.86 | $33.86 | $31.73 - $40.26 | 29 |
| Florida | $30.44 | $30.44 | $29.05 - $31.69 | 3 |
| Georgia | $28.81 | $28.81 | $27.37 - $30.25 | 2 |
| Illinois | $29.58 | $29.58 | $28.1 - $30.91 | 4 |
| Michigan | $28.6 | $28.6 | $27.81 - $29.38 | 2 |
| North Carolina | $27.94 | $27.94 | $27.94 - $27.94 | 1 |
| New York | $32.92 | $32.92 | $28.38 - $35.04 | 5 |
| Ohio | $27.73 | $27.73 | $27.73 - $27.73 | 1 |
| Pennsylvania | $29.36 | $29.36 | $27.8 - $30.91 | 2 |
| Texas | $29.35 | $29.35 | $27.61 - $31 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 74018
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 74018 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 71045 | Column 2 (secondary), bundled into primary | 9 | HCPCS/CPT procedure code definition |
| 74019 | Column 2 (secondary), bundled into primary | Yes | More extensive procedure |
| 74021 | Column 2 (secondary), bundled into primary | Yes | More extensive procedure |
| 74022 | Column 2 (secondary), bundled into primary | Yes | HCPCS/CPT procedure code definition |
| 74240 | Column 2 (secondary), bundled into primary | Yes | Standards of medical/surgical practice |
| 74241 | Column 2 (secondary), bundled into primary | Yes | Standards of medical/surgical practice |
| 74245 | Column 2 (secondary), bundled into primary | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 74018
What does CPT code 74018 mean? +
CPT code 74018 represents: Radex abdomen 1 view. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 74018? +
The 2026 Medicare national average non-facility payment for CPT 74018 is $30.76. Rates range from $26.15 to $40.26 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 74018? +
Radiology codes rely heavily on the professional/technical split: modifier 26 (professional component only) and TC (technical component only). Also common: 50 (bilateral imaging), 76 (repeat by same physician), 77 (repeat by different physician), and LT/RT for laterality.
What bundling edits apply to CPT 74018? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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