CPT 74430
Global XXX ActiveContrast x-ray bladder
CPT 74430 Billing & Documentation Guide
CPT code 74430 (Contrast x-ray bladder) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.31, a non-facility practice expense RVU of 0.91, and a malpractice RVU of 0.03, a total non-facility RVU of 1.25 and facility RVU of 1.25. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $43.14, though rates vary from $36.98 to $55.86 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 74430, 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 74430 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 74430 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 74430
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.31 | 0.31 |
| Practice Expense RVU | 0.91 | 0.91 |
| Malpractice RVU | 0.03 | 0.03 |
| Total RVU | 1.25 | 1.25 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 74430
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 | $47.23 | $47.23 | $44.38 - $55.86 | 29 |
| Florida | $42.8 | $42.8 | $40.92 - $44.53 | 3 |
| Georgia | $40.57 | $40.57 | $38.66 - $42.47 | 2 |
| Illinois | $41.68 | $41.68 | $39.67 - $43.42 | 4 |
| Michigan | $40.31 | $40.31 | $39.24 - $41.37 | 2 |
| North Carolina | $39.35 | $39.35 | $39.35 - $39.35 | 1 |
| New York | $46.12 | $46.12 | $39.93 - $49.02 | 5 |
| Ohio | $39.11 | $39.11 | $39.11 - $39.11 | 1 |
| Pennsylvania | $41.29 | $41.29 | $39.2 - $43.38 | 2 |
| Texas | $41.27 | $41.27 | $38.94 - $43.42 | 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 74430
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 74430 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 |
| 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 |
| 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 |
| 51701 | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 51702 | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 74430
What does CPT code 74430 mean? +
CPT code 74430 represents: Contrast x-ray bladder. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 74430? +
The 2026 Medicare national average non-facility payment for CPT 74430 is $43.14. Rates range from $36.98 to $55.86 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 74430? +
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 74430? +
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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