CPT 74022
Global XXX ActiveRadex compl aqt abd series
CPT 74022 Billing & Documentation Guide
CPT code 74022 (Radex compl aqt abd series) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.31, a non-facility practice expense RVU of 1.14, and a malpractice RVU of 0.03, a total non-facility RVU of 1.48 and facility RVU of 1.48. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $51.16, though rates vary from $43.58 to $66.94 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 74022, 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 74022 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 74022 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 74022
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.31 | 0.31 |
| Practice Expense RVU | 1.14 | 1.14 |
| Malpractice RVU | 0.03 | 0.03 |
| Total RVU | 1.48 | 1.48 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 74022
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 | $56.32 | $56.32 | $52.8 - $66.94 | 29 |
| Florida | $50.51 | $50.51 | $48.26 - $52.53 | 3 |
| Georgia | $47.89 | $47.89 | $45.51 - $50.28 | 2 |
| Illinois | $49.1 | $49.1 | $46.68 - $51.31 | 4 |
| Michigan | $47.52 | $47.52 | $46.25 - $48.79 | 2 |
| North Carolina | $46.52 | $46.52 | $46.52 - $46.52 | 1 |
| New York | $54.69 | $54.69 | $47.23 - $58.15 | 5 |
| Ohio | $46.13 | $46.13 | $46.13 - $46.13 | 1 |
| Pennsylvania | $48.82 | $48.82 | $46.26 - $51.37 | 2 |
| Texas | $48.83 | $48.83 | $45.94 - $51.55 | 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 74022
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 74022 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 |
| 71010 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 71045 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 74000 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 74010 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 74018 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 74019 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 74020 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 74021 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
Frequently Asked Questions, CPT 74022
What does CPT code 74022 mean? +
CPT code 74022 represents: Radex compl aqt abd series. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 74022? +
The 2026 Medicare national average non-facility payment for CPT 74022 is $51.16. Rates range from $43.58 to $66.94 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 74022? +
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 74022? +
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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