CPT code 74019: Abdominal X-ray, two views2026 Medicare rate & RVUs

Medicare pays $36.07 for 74019 nationally in the office. Local office rates run $31.79–$48.97.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 74019 covers

This examination uses two abdominal X-ray views to evaluate the distribution of gas, bowel dilation, fluid levels, or other visible abdominal findings. A common approach uses a supine view with an upright or decubitus view when clinically useful. It is performed in settings such as an imaging department, emergency department, or hospital unit, with a radiologic technologist acquiring the images and a physician interpreting them.

Select the code based on the number of abdominal views obtained, not the suspected diagnosis alone. The record should support the examination performed, the views acquired, and the interpreting physician’s findings. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff portion, and billing without either modifier represents the global service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 74019 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

74019 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 74019 rate is calculated

Each of 74019’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 74019

The CMS indicators that decide how 74019 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

74019 compared with similar codes

How to choose

74018Abdomen X-raySingle view (KUB)

Choose 74018 for one abdominal view; 74019 is for two views.

74021Abdominal X-rayThree or more views

Choose 74021 when three or more abdominal views are obtained; 74019 represents two.

74022Abdominal X-rayComplete acute abdomen series

74022 is for a complete acute abdomen series that includes a chest view. Use 74019 for a two-view abdominal examination without that broader series.

Codes related to 74019

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates