CPT 74248
Global ZZZ ActiveX-ray sm int f-thru std
CPT 74248 Billing & Documentation Guide
CPT code 74248 (X-ray sm int f-thru std) is classified under Radiology with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.68, a non-facility practice expense RVU of 1.65, and a malpractice RVU of 0.05, a total non-facility RVU of 2.38 and facility RVU of 2.38. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $82.12, though rates vary from $70.91 to $105.58 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 74248, 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 74248 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 74248 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 74248
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.68 | 0.68 |
| Practice Expense RVU | 1.65 | 1.65 |
| Malpractice RVU | 0.05 | 0.05 |
| Total RVU | 2.38 | 2.38 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 74248
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 | $89.65 | $89.65 | $84.4 - $105.58 | 29 |
| Florida | $81.26 | $81.26 | $77.91 - $84.31 | 3 |
| Georgia | $77.32 | $77.32 | $73.86 - $80.78 | 2 |
| Illinois | $79.24 | $79.24 | $75.64 - $82.43 | 4 |
| Michigan | $76.81 | $76.81 | $74.91 - $78.71 | 2 |
| North Carolina | $75.2 | $75.2 | $75.2 - $75.2 | 1 |
| New York | $87.54 | $87.54 | $76.24 - $92.8 | 5 |
| Ohio | $74.71 | $74.71 | $74.71 - $74.71 | 1 |
| Pennsylvania | $78.68 | $78.68 | $74.88 - $82.48 | 2 |
| Texas | $78.65 | $78.65 | $74.42 - $82.55 | 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 74248
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 74248 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 |
| 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 |
| 74021 | 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 |
| 76000 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 77001 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 77002 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 74248
What does CPT code 74248 mean? +
CPT code 74248 represents: X-ray sm int f-thru std. It's in the Radiology category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 74248? +
The 2026 Medicare national average non-facility payment for CPT 74248 is $82.12. Rates range from $70.91 to $105.58 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 74248? +
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 74248? +
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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