CPT 74150
Global XXX ActiveCt abdomen w/o contrast
CPT 74150 Billing & Documentation Guide
CPT code 74150 (Ct abdomen w/o contrast) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.16, a non-facility practice expense RVU of 2.84, and a malpractice RVU of 0.08, a total non-facility RVU of 4.08 and facility RVU of 4.08. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $140.82, though rates vary from $121.6 to $181.23 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 74150, 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 74150 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 1 units of 74150 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 74150
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.16 | 1.16 |
| Practice Expense RVU | 2.84 | 2.84 |
| Malpractice RVU | 0.08 | 0.08 |
| Total RVU | 4.08 | 4.08 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 74150
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 | $153.83 | $153.83 | $144.8 - $181.23 | 29 |
| Florida | $139.12 | $139.12 | $133.45 - $144.25 | 3 |
| Georgia | $132.5 | $132.5 | $126.54 - $138.45 | 2 |
| Illinois | $135.64 | $135.64 | $129.53 - $141.17 | 4 |
| Michigan | $131.58 | $131.58 | $128.37 - $134.79 | 2 |
| North Carolina | $128.96 | $128.96 | $128.96 - $128.96 | 1 |
| New York | $150.04 | $150.04 | $130.74 - $158.97 | 5 |
| Ohio | $128.04 | $128.04 | $128.04 - $128.04 | 1 |
| Pennsylvania | $134.87 | $134.87 | $128.35 - $141.38 | 2 |
| Texas | $134.83 | $134.83 | $127.55 - $141.55 | 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 74150
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 74150 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0066T | Column 1 (primary), can be billed with modifier | 9 | CPT Manual or CMS manual coding instruction |
| 0067T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 01922 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0558T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 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 |
| 72192 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 72192 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 72193 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 72193 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 74150
What does CPT code 74150 mean? +
CPT code 74150 represents: Ct abdomen w/o contrast. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 74150? +
The 2026 Medicare national average non-facility payment for CPT 74150 is $140.82. Rates range from $121.6 to $181.23 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 74150? +
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 74150? +
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 June 1, 2026.
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