CPT 74185
Global XXXMra abd w or w/o cntrst
CPT 74185 Billing & Documentation Guide
CPT code 74185 (Mra abd w or w/o cntrst) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.76, a non-facility practice expense RVU of 8.14, and a malpractice RVU of 0.15, a total non-facility RVU of 10.05 and facility RVU of 10.05. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $348.02, though rates vary from $294.91 to $459.99 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 74185, 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 74185 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Restricted coverage (special situations)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 74185 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 74185
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.76 | 1.76 |
| Practice Expense RVU | 8.14 | 8.14 |
| Malpractice RVU | 0.15 | 0.15 |
| Total RVU | 10.05 | 10.05 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 74185
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 | $385.32 | $385.32 | $360.45 - $459.99 | 29 |
| Florida | $341.33 | $341.33 | $326.24 - $354.49 | 3 |
| Georgia | $324.25 | $324.25 | $307.28 - $341.21 | 2 |
| Illinois | $331.28 | $331.28 | $314.85 - $347.3 | 4 |
| Michigan | $321.14 | $321.14 | $312.67 - $329.6 | 2 |
| North Carolina | $315.65 | $315.65 | $315.65 - $315.65 | 1 |
| New York | $371.7 | $371.7 | $320.6 - $395.12 | 5 |
| Ohio | $312.07 | $312.07 | $312.07 - $312.07 | 1 |
| Pennsylvania | $330.98 | $330.98 | $313.11 - $348.85 | 2 |
| Texas | $331.43 | $331.43 | $310.85 - $350.99 | 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 74185
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 74185 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01916 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01922 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01924 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01925 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01926 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0694T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36000 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36000 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 74185
What does CPT code 74185 mean? +
CPT code 74185 represents: Mra abd w or w/o cntrst. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 74185? +
The 2026 Medicare national average non-facility payment for CPT 74185 is $348.02. Rates range from $294.91 to $459.99 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 74185? +
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 74185? +
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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