CPT 74270
Global XXX ActiveX-ray xm colon 1cntrst std
CPT 74270 Billing & Documentation Guide
CPT code 74270 (X-ray xm colon 1cntrst std) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.01, a non-facility practice expense RVU of 3.37, and a malpractice RVU of 0.07, a total non-facility RVU of 4.45 and facility RVU of 4.45. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $153.9, though rates vary from $131.63 to $201.01 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 74270, 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 74270 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 74270 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 74270
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.01 | 1.01 |
| Practice Expense RVU | 3.37 | 3.37 |
| Malpractice RVU | 0.07 | 0.07 |
| Total RVU | 4.45 | 4.45 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 74270
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 | $169.4 | $169.4 | $158.93 - $201.01 | 29 |
| Florida | $151.22 | $151.22 | $144.86 - $156.82 | 3 |
| Georgia | $143.97 | $143.97 | $136.93 - $151.01 | 2 |
| Illinois | $147.08 | $147.08 | $140.16 - $153.71 | 4 |
| Michigan | $142.72 | $142.72 | $139.14 - $146.3 | 2 |
| North Carolina | $140.25 | $140.25 | $140.25 - $140.25 | 1 |
| New York | $164.09 | $164.09 | $142.31 - $174.07 | 5 |
| Ohio | $138.86 | $138.86 | $138.86 - $138.86 | 1 |
| Pennsylvania | $146.8 | $146.8 | $139.28 - $154.31 | 2 |
| Texas | $146.91 | $146.91 | $138.34 - $154.96 | 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 74270
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 74270 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0868T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 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 |
| 74280 | Column 1 (primary), can be billed with modifier | No | Mutually exclusive procedures |
| 74283 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 76000 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 74270
What does CPT code 74270 mean? +
CPT code 74270 represents: X-ray xm colon 1cntrst std. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 74270? +
The 2026 Medicare national average non-facility payment for CPT 74270 is $153.9. Rates range from $131.63 to $201.01 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 74270? +
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 74270? +
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 April 17, 2026.
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