CPT 74440
Global XXX ActiveX-ray male genital tract
CPT 74440 Billing & Documentation Guide
CPT code 74440 (X-ray male genital tract) is classified under Radiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.37, a non-facility practice expense RVU of 2.63, and a malpractice RVU of 0.02, a total non-facility RVU of 3.02 and facility RVU of 3.02. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $104.86, though rates vary from $88.16 to $140.75 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 74440, 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 74440 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 74440 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 74440
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.37 | 0.37 |
| Practice Expense RVU | 2.63 | 2.63 |
| Malpractice RVU | 0.02 | 0.02 |
| Total RVU | 3.02 | 3.02 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 74440
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 | $117.11 | $117.11 | $109.2 - $140.75 | 29 |
| Florida | $101.79 | $101.79 | $97.34 - $105.49 | 3 |
| Georgia | $96.98 | $96.98 | $91.51 - $102.45 | 2 |
| Illinois | $98.56 | $98.56 | $93.6 - $103.84 | 4 |
| Michigan | $95.78 | $95.78 | $93.31 - $98.25 | 2 |
| North Carolina | $94.74 | $94.74 | $94.74 - $94.74 | 1 |
| New York | $111.85 | $111.85 | $96.28 - $118.84 | 5 |
| Ohio | $93.23 | $93.23 | $93.23 - $93.23 | 1 |
| Pennsylvania | $99.23 | $99.23 | $93.63 - $104.82 | 2 |
| Texas | $99.53 | $99.53 | $92.92 - $105.91 | 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 74440
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 74440 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 36000 | 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 |
| 74000 | 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 |
| 74450 | Column 1 (primary), can be billed with modifier | Yes | More extensive procedure |
| 76000 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 74440
What does CPT code 74440 mean? +
CPT code 74440 represents: X-ray male genital tract. It's in the Radiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 74440? +
The 2026 Medicare national average non-facility payment for CPT 74440 is $104.86. Rates range from $88.16 to $140.75 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 74440? +
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 74440? +
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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