CPT 74246
Global XXX ActiveX-ray xm upr gi trc 2cntrst
CPT 74246 Billing & Documentation Guide
CPT code 74246 (X-ray xm upr gi trc 2cntrst) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.88, a non-facility practice expense RVU of 3.09, and a malpractice RVU of 0.06, a total non-facility RVU of 4.03 and facility RVU of 4.03. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $139.42, though rates vary from $119.08 to $182.53 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 74246, 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 74246 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 74246 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 74246
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.88 | 0.88 |
| Practice Expense RVU | 3.09 | 3.09 |
| Malpractice RVU | 0.06 | 0.06 |
| Total RVU | 4.03 | 4.03 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 74246
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 | $153.66 | $153.66 | $144.08 - $182.53 | 29 |
| Florida | $136.85 | $136.85 | $131.07 - $141.9 | 3 |
| Georgia | $130.3 | $130.3 | $123.84 - $136.75 | 2 |
| Illinois | $133.05 | $133.05 | $126.75 - $139.15 | 4 |
| Michigan | $129.13 | $129.13 | $125.88 - $132.37 | 2 |
| North Carolina | $126.97 | $126.97 | $126.97 - $126.97 | 1 |
| New York | $148.65 | $148.65 | $128.85 - $157.71 | 5 |
| Ohio | $125.64 | $125.64 | $125.64 - $125.64 | 1 |
| Pennsylvania | $132.89 | $132.89 | $126.03 - $139.75 | 2 |
| Texas | $133.02 | $133.02 | $125.17 - $140.42 | 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 74246
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 74246 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 |
| 74000 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 74010 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 74018 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 74019 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 74210 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 74220 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 74221 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 74240 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 74246
What does CPT code 74246 mean? +
CPT code 74246 represents: X-ray xm upr gi trc 2cntrst. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 74246? +
The 2026 Medicare national average non-facility payment for CPT 74246 is $139.42. Rates range from $119.08 to $182.53 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 74246? +
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 74246? +
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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