CPT 74420
Global XXX ActiveUrography rtrgr +-kub
CPT 74420 Billing & Documentation Guide
CPT code 74420 (Urography rtrgr +-kub) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.51, a non-facility practice expense RVU of 1.89, and a malpractice RVU of 0.03, a total non-facility RVU of 2.43 and facility RVU of 2.43. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $84.12, though rates vary from $71.78 to $110.48 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 74420, 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 74420 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 2 units of 74420 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 74420
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.51 | 0.51 |
| Practice Expense RVU | 1.89 | 1.89 |
| Malpractice RVU | 0.03 | 0.03 |
| Total RVU | 2.43 | 2.43 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 74420
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 | $92.89 | $92.89 | $87.05 - $110.48 | 29 |
| Florida | $82.32 | $82.32 | $78.89 - $85.28 | 3 |
| Georgia | $78.49 | $78.49 | $74.54 - $82.43 | 2 |
| Illinois | $80.01 | $80.01 | $76.24 - $83.76 | 4 |
| Michigan | $77.72 | $77.72 | $75.8 - $79.64 | 2 |
| North Carolina | $76.57 | $76.57 | $76.57 - $76.57 | 1 |
| New York | $89.63 | $89.63 | $77.71 - $95.04 | 5 |
| Ohio | $75.68 | $75.68 | $75.68 - $75.68 | 1 |
| Pennsylvania | $80.09 | $80.09 | $75.93 - $84.25 | 2 |
| Texas | $80.21 | $80.21 | $75.41 - $84.75 | 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 74420
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 74420 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0596T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | More extensive procedure |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | More extensive procedure |
| 36000 | Column 1 (primary), can be billed with modifier | Yes | More extensive procedure |
| 36011 | Column 1 (primary), can be billed with modifier | Yes | More extensive procedure |
| 36410 | Column 1 (primary), can be billed with modifier | Yes | More extensive procedure |
| 36425 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 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 |
Frequently Asked Questions, CPT 74420
What does CPT code 74420 mean? +
CPT code 74420 represents: Urography rtrgr +-kub. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 74420? +
The 2026 Medicare national average non-facility payment for CPT 74420 is $84.12. Rates range from $71.78 to $110.48 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 74420? +
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 74420? +
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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