CPT 74283
Global XXX ActiveTher nma rdctj intus/obstrcj
CPT 74283 Billing & Documentation Guide
CPT code 74283 (Ther nma rdctj intus/obstrcj) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.97, a non-facility practice expense RVU of 6.29, and a malpractice RVU of 0.13, a total non-facility RVU of 8.39 and facility RVU of 8.39. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $290.12, though rates vary from $248.5 to $378.32 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 74283, 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 74283 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 74283 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 74283
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.97 | 1.97 |
| Practice Expense RVU | 6.29 | 6.29 |
| Malpractice RVU | 0.13 | 0.13 |
| Total RVU | 8.39 | 8.39 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 74283
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 | $319.11 | $319.11 | $299.51 - $378.32 | 29 |
| Florida | $285.04 | $285.04 | $273.17 - $295.49 | 3 |
| Georgia | $271.53 | $271.53 | $258.38 - $284.67 | 2 |
| Illinois | $277.33 | $277.33 | $264.4 - $289.72 | 4 |
| Michigan | $269.19 | $269.19 | $262.52 - $275.86 | 2 |
| North Carolina | $264.59 | $264.59 | $264.59 - $264.59 | 1 |
| New York | $309.2 | $309.2 | $268.44 - $327.87 | 5 |
| Ohio | $261.99 | $261.99 | $261.99 - $261.99 | 1 |
| Pennsylvania | $276.82 | $276.82 | $262.77 - $290.87 | 2 |
| Texas | $277.03 | $277.03 | $261.02 - $292.06 | 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 74283
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 74283 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 |
| 44705 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 76000 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 76001 | 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 |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99201 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
| 99202 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 74283
What does CPT code 74283 mean? +
CPT code 74283 represents: Ther nma rdctj intus/obstrcj. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 74283? +
The 2026 Medicare national average non-facility payment for CPT 74283 is $290.12. Rates range from $248.5 to $378.32 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 74283? +
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 74283? +
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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