CPT 74019
Global XXX ActiveRadex abdomen 2 views
CPT 74019 Billing & Documentation Guide
CPT code 74019 (Radex abdomen 2 views) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.22, a non-facility practice expense RVU of 0.84, and a malpractice RVU of 0.02, a total non-facility RVU of 1.08 and facility RVU of 1.08. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $37.35, though rates vary from $31.79 to $48.97 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 74019, 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 74019 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 2 units of 74019 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 74019
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.22 | 0.22 |
| Practice Expense RVU | 0.84 | 0.84 |
| Malpractice RVU | 0.02 | 0.02 |
| Total RVU | 1.08 | 1.08 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 74019
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 | $41.17 | $41.17 | $38.58 - $48.97 | 29 |
| Florida | $36.8 | $36.8 | $35.17 - $38.24 | 3 |
| Georgia | $34.93 | $34.93 | $33.17 - $36.68 | 2 |
| Illinois | $35.76 | $35.76 | $34.01 - $37.4 | 4 |
| Michigan | $34.64 | $34.64 | $33.72 - $35.55 | 2 |
| North Carolina | $33.95 | $33.95 | $33.95 - $33.95 | 1 |
| New York | $39.9 | $39.9 | $34.47 - $42.42 | 5 |
| Ohio | $33.64 | $33.64 | $33.64 - $33.64 | 1 |
| Pennsylvania | $35.61 | $35.61 | $33.74 - $37.48 | 2 |
| Texas | $35.63 | $35.63 | $33.5 - $37.64 | 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 74019
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 74019 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 |
| 74018 | Column 1 (primary), can be billed with modifier | Yes | More extensive procedure |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 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 |
| 74246 | Column 2 (secondary), bundled into primary | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 74019
What does CPT code 74019 mean? +
CPT code 74019 represents: Radex abdomen 2 views. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 74019? +
The 2026 Medicare national average non-facility payment for CPT 74019 is $37.35. Rates range from $31.79 to $48.97 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 74019? +
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 74019? +
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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