CPT 74178
Global XXX ActiveCt abd&plv wo cntr flwd cntr
CPT 74178 Billing & Documentation Guide
CPT code 74178 (Ct abd&plv wo cntr flwd cntr) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.96, a non-facility practice expense RVU of 8.01, and a malpractice RVU of 0.15, a total non-facility RVU of 10.12 and facility RVU of 10.12. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $350.31, though rates vary from $297.86 to $461.15 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 74178, 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 74178 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 74178 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 74178
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.96 | 1.96 |
| Practice Expense RVU | 8.01 | 8.01 |
| Malpractice RVU | 0.15 | 0.15 |
| Total RVU | 10.12 | 10.12 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 74178
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 | $387.1 | $387.1 | $362.49 - $461.15 | 29 |
| Florida | $343.65 | $343.65 | $328.77 - $356.65 | 3 |
| Georgia | $326.79 | $326.79 | $310.08 - $343.5 | 2 |
| Illinois | $333.78 | $333.78 | $317.56 - $349.57 | 4 |
| Michigan | $323.74 | $323.74 | $315.39 - $332.09 | 2 |
| North Carolina | $318.28 | $318.28 | $318.28 - $318.28 | 1 |
| New York | $373.85 | $373.85 | $323.15 - $397.07 | 5 |
| Ohio | $314.78 | $314.78 | $314.78 - $314.78 | 1 |
| Pennsylvania | $333.47 | $333.47 | $315.8 - $351.13 | 2 |
| Texas | $333.87 | $333.87 | $313.58 - $353.09 | 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 74178
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 74178 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 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 |
| 36000 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36005 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 36011 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36410 | Column 1 (primary), can be billed with modifier | Yes | CPT Separate procedure definition |
| 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 |
| 72193 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 74178
What does CPT code 74178 mean? +
CPT code 74178 represents: Ct abd&plv wo cntr flwd cntr. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 74178? +
The 2026 Medicare national average non-facility payment for CPT 74178 is $350.31. Rates range from $297.86 to $461.15 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 74178? +
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 74178? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team