CPT 74021
Global XXX ActiveRadex abdomen 3+ views
CPT 74021 Billing & Documentation Guide
CPT code 74021 (Radex abdomen 3+ views) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.26, a non-facility practice expense RVU of 0.98, and a malpractice RVU of 0.02, a total non-facility RVU of 1.26 and facility RVU of 1.26. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $43.6, though rates vary from $37.15 to $57.2 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 74021, 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 74021 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 74021 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 74021
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.26 | 0.26 |
| Practice Expense RVU | 0.98 | 0.98 |
| Malpractice RVU | 0.02 | 0.02 |
| Total RVU | 1.26 | 1.26 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 74021
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 | $48.09 | $48.09 | $45.07 - $57.2 | 29 |
| Florida | $42.83 | $42.83 | $40.98 - $44.45 | 3 |
| Georgia | $40.73 | $40.73 | $38.68 - $42.77 | 2 |
| Illinois | $41.62 | $41.62 | $39.61 - $43.55 | 4 |
| Michigan | $40.36 | $40.36 | $39.32 - $41.4 | 2 |
| North Carolina | $39.65 | $39.65 | $39.65 - $39.65 | 1 |
| New York | $46.52 | $46.52 | $40.25 - $49.4 | 5 |
| Ohio | $39.24 | $39.24 | $39.24 - $39.24 | 1 |
| Pennsylvania | $41.54 | $41.54 | $39.36 - $43.71 | 2 |
| Texas | $41.58 | $41.58 | $39.09 - $43.92 | 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 74021
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 74021 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 |
| 74019 | 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 |
| 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 |
| 74245 | Column 2 (secondary), bundled into primary | Yes | Standards of medical/surgical practice |
| 74248 | Column 2 (secondary), bundled into primary | Yes | Standards of medical/surgical practice |
| 74410 | Column 2 (secondary), bundled into primary | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 74021
What does CPT code 74021 mean? +
CPT code 74021 represents: Radex abdomen 3+ views. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 74021? +
The 2026 Medicare national average non-facility payment for CPT 74021 is $43.6. Rates range from $37.15 to $57.2 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 74021? +
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 74021? +
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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