CPT 74415
Global XXX ActiveUrography nfs drip&/bls w/nf
CPT 74415 Billing & Documentation Guide
CPT code 74415 (Urography nfs drip&/bls w/nf) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.48, a non-facility practice expense RVU of 4.01, and a malpractice RVU of 0.05, a total non-facility RVU of 4.54 and facility RVU of 4.54. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $157.57, though rates vary from $131.94 to $211.83 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 74415, 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 74415 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 74415 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 74415
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.48 | 0.48 |
| Practice Expense RVU | 4.01 | 4.01 |
| Malpractice RVU | 0.05 | 0.05 |
| Total RVU | 4.54 | 4.54 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 74415
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 | $176 | $176 | $164 - $211.83 | 29 |
| Florida | $153.67 | $153.67 | $146.59 - $159.69 | 3 |
| Georgia | $145.83 | $145.83 | $137.5 - $154.17 | 2 |
| Illinois | $148.7 | $148.7 | $140.93 - $156.66 | 4 |
| Michigan | $144.15 | $144.15 | $140.2 - $148.1 | 2 |
| North Carolina | $142.06 | $142.06 | $142.06 - $142.06 | 1 |
| New York | $168.48 | $168.48 | $144.45 - $179.41 | 5 |
| Ohio | $140 | $140 | $140 - $140 | 1 |
| Pennsylvania | $149.16 | $149.16 | $140.57 - $157.74 | 2 |
| Texas | $149.53 | $149.53 | $139.47 - $159.25 | 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 74415
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 74415 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 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 |
| 36011 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36406 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36410 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36425 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 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 |
| 53670 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 74415
What does CPT code 74415 mean? +
CPT code 74415 represents: Urography nfs drip&/bls w/nf. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 74415? +
The 2026 Medicare national average non-facility payment for CPT 74415 is $157.57. Rates range from $131.94 to $211.83 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 74415? +
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 74415? +
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 June 2, 2026.
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