CPT code 74019: Abdominal X-ray, two views2026 Medicare rate & RVUs in Rhode Island
Report this abdominal radiographic examination when two views are obtained to assess findings such as bowel obstruction, ileus, or suspected free air.
In Rhode Island, Medicare pays $37.07 for 74019 in the office.
Check a contract rate as a % of Medicare · 74019 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How Rhode Island compares for 74019
Across 109 of 109 payment localities, the office rate for 74019 runs from $31.79 in Arkansas to $48.97 in San Benito County, CA. Rhode Island pays $37.07. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Rhode Island · this page$37.07
- Los Angeles, CA · California$41.28+$4.21
- Washington, DC area · District of Columbia$41.54+$4.47
- Miami, FL · Florida$38.24+$1.17
- Chicago, IL · Illinois$37.13+$0.06
- Manhattan, NY · New York$41.48+$4.41
- Alaska · Alaska$41.27+$4.20
Other areas in Rhode Island first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $32.28 | — |
| ArkansasArkansas | $31.79 | — |
| ArizonaArizona | $35.11 | — |
| Bakersfield, CACalifornia | $38.64 | — |
| Chico, CACalifornia | $38.58 | — |
| El Centro, CACalifornia | $38.58 | — |
| Fresno, CACalifornia | $38.58 | — |
| Hanford, CACalifornia | $38.58 | — |
| Madera, CACalifornia | $38.58 | — |
| Merced, CACalifornia | $38.58 | — |
| Modesto, CACalifornia | $38.58 | — |
| Napa, CACalifornia | $45.13 | — |
| Oxnard, CACalifornia | $41.13 | — |
| Redding, CACalifornia | $38.58 | — |
| Rest of CaliforniaCalifornia | $38.58 | — |
| Riverside, CACalifornia | $38.80 | — |
| Sacramento, CACalifornia | $40.60 | — |
| Salinas, CACalifornia | $40.45 | — |
| San Diego, CACalifornia | $41.49 | — |
| Marin County, CACalifornia | $47.91 | — |
| San Francisco, CACalifornia | $47.89 | — |
| San Benito County, CACalifornia | $48.97 | — |
| Santa Clara County, CACalifornia | $48.88 | — |
| San Luis Obispo, CACalifornia | $39.79 | — |
| Santa Cruz, CACalifornia | $41.95 | — |
| Santa Maria, CACalifornia | $40.63 | — |
| Santa Rosa, CACalifornia | $42.38 | — |
| Stockton, CACalifornia | $38.58 | — |
| Vallejo, CACalifornia | $45.10 | — |
| Visalia, CACalifornia | $38.58 | — |
| Yuba City, CACalifornia | $38.58 | — |
| ColoradoColorado | $37.81 | — |
| ConnecticutConnecticut | $38.52 | — |
| DelawareDelaware | $35.71 | — |
| Fort Lauderdale, FLFlorida | $36.98 | — |
| Rest of FloridaFlorida | $35.17 | — |
| Atlanta, GAGeorgia | $36.68 | — |
| Rest of GeorgiaGeorgia | $33.17 | — |
| Hawaii, Guam, HIHawaii | $39.64 | — |
| IowaIowa | $33.29 | — |
| IdahoIdaho | $33.48 | — |
| East St. Louis, ILIllinois | $34.51 | — |
| Rest of IllinoisIllinois | $34.01 | — |
| Suburban Chicago, ILIllinois | $37.40 | — |
| IndianaIndiana | $33.68 | — |
| KansasKansas | $33.05 | — |
| KentuckyKentucky | $32.90 | — |
| New Orleans, LALouisiana | $34.51 | — |
| Rest of LouisianaLouisiana | $32.82 | — |
| Metropolitan Boston, MAMassachusetts | $41.74 | — |
| Rest of MassachusettsMassachusetts | $37.54 | — |
| Baltimore area, MDMaryland | $38.40 | — |
| Rest of MarylandMaryland | $36.43 | — |
| Rest of MaineMaine | $33.58 | — |
| Southern Maine, MEMaine | $35.57 | — |
| Detroit, MIMichigan | $35.55 | — |
| Rest of MichiganMichigan | $33.72 | — |
| MinnesotaMinnesota | $36.42 | — |
| Metropolitan Kansas City, MOMissouri | $34.35 | — |
| Metropolitan St. Louis, MOMissouri | $34.73 | — |
| Rest of MissouriMissouri | $32.18 | — |
| MississippiMississippi | $32.00 | — |
| MontanaMontana | $36.07 | — |
| North CarolinaNorth Carolina | $33.95 | — |
| North DakotaNorth Dakota | $35.68 | — |
| NebraskaNebraska | $33.50 | — |
| New HampshireNew Hampshire | $37.14 | — |
| Northern New JerseyNew Jersey | $41.07 | — |
| Rest of New JerseyNew Jersey | $39.01 | — |
| New MexicoNew Mexico | $33.88 | — |
| NevadaNevada | $35.99 | — |
| NYC suburbs and Long Island, NYNew York | $42.42 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $39.21 | — |
| Queens, NYNew York | $41.94 | — |
| Rest of New YorkNew York | $34.47 | — |
| OhioOhio | $33.64 | — |
| OklahomaOklahoma | $32.92 | — |
| Portland, OROregon | $39.13 | — |
| Rest of OregonOregon | $35.76 | — |
| Metropolitan Philadelphia, PAPennsylvania | $37.48 | — |
| Rest of PennsylvaniaPennsylvania | $33.74 | — |
| Puerto RicoPuerto Rico | $36.37 | — |
| South CarolinaSouth Carolina | $33.84 | — |
| South DakotaSouth Dakota | $35.63 | — |
| TennesseeTennessee | $33.21 | — |
| Austin, TXTexas | $37.64 | — |
| Beaumont, TXTexas | $33.50 | — |
| Brazoria, TXTexas | $35.73 | — |
| Dallas, TXTexas | $35.93 | — |
| Fort Worth, TXTexas | $35.66 | — |
| Galveston, TXTexas | $35.82 | — |
| Houston, TXTexas | $36.19 | — |
| Rest of TexasTexas | $34.58 | — |
| UtahUtah | $34.32 | — |
| VirginiaVirginia | $35.40 | — |
| Virgin Islands, VIUnited States Virgin Islands | $36.37 | — |
| VermontVermont | $35.46 | — |
| Rest of WashingtonWashington | $37.50 | — |
| King County, WAWashington | $42.69 | — |
| WisconsinWisconsin | $34.43 | — |
| West VirginiaWest Virginia | $32.69 | — |
| WyomingWyoming | $35.90 | — |
74019 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$31.79
$43.78
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $41.27 | 1 |
| AL | $32.28 | 1 |
| AR | $31.79 | 1 |
| AZ | $35.11 | 1 |
| CA | $38.58–$48.97 | 29 |
| CO | $37.81 | 1 |
| CT | $38.52 | 1 |
| DC | $41.54 | 1 |
| DE | $35.71 | 1 |
| FL | $35.17–$38.24 | 3 |
| GA | $33.17–$36.68 | 2 |
| GU | $39.64 | 1 |
| HI | $39.64 | 1 |
| IA | $33.29 | 1 |
| ID | $33.48 | 1 |
| IL | $34.01–$37.40 | 4 |
| IN | $33.68 | 1 |
| KS | $33.05 | 1 |
| KY | $32.90 | 1 |
| LA | $32.82–$34.51 | 2 |
| MA | $37.54–$41.74 | 2 |
| MD | $36.43–$41.54 | 3 |
| ME | $33.58–$35.57 | 2 |
| MI | $33.72–$35.55 | 2 |
| MN | $36.42 | 1 |
| MO | $32.18–$34.73 | 3 |
| MS | $32.00 | 1 |
| MT | $36.07 | 1 |
| NC | $33.95 | 1 |
| ND | $35.68 | 1 |
| NE | $33.50 | 1 |
| NH | $37.14 | 1 |
| NJ | $39.01–$41.07 | 2 |
| NM | $33.88 | 1 |
| NV | $35.99 | 1 |
| NY | $34.47–$42.42 | 5 |
| OH | $33.64 | 1 |
| OK | $32.92 | 1 |
| OR | $35.76–$39.13 | 2 |
| PA | $33.74–$37.48 | 2 |
| PR | $36.37 | 1 |
| RI | $37.07 | 1 |
| SC | $33.84 | 1 |
| SD | $35.63 | 1 |
| TN | $33.21 | 1 |
| TX | $33.50–$37.64 | 8 |
| UT | $34.32 | 1 |
| VA | $35.40–$41.54 | 2 |
| VI | $36.37 | 1 |
| VT | $35.46 | 1 |
| WA | $37.50–$42.69 | 2 |
| WI | $34.43 | 1 |
| WV | $32.69 | 1 |
| WY | $35.90 | 1 |
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.
How the rate is built · 74019
RVUs × geographic indexes × conversion factor
Work0.22
0.22 RVUs× 1.000 GPCI
Practice expense0.84
0.84 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
1.0800
Conversion factor
$33.4009
Medicare rate
$36.07
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Rhode Island inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,291
- Code
- 74019
- Physician work
- 0.22
- Practice expense
- 0.84
- Malpractice
- 0.02
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.22 | × 1.019 | 0.2242 |
| Practice expense | 0.84 | × 1.033 | 0.8677 |
| Malpractice | 0.02 | × 0.892 | 0.0178 |
| Total RVUs | 1.1097 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Rhode Island$37.07
Office: (0.22 × 1.019 + 0.84 × 1.033 + 0.02 × 0.892) × $33.4009 = $37.07
Payment rules and modifiers for 74019
The CMS indicators that decide how 74019 is paid alongside other services.
CMS payment indicators · 74019
Abdominal X-ray, two views
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
74019 without 26 · national office
$36.07
Abdominal X-ray, two views
74019-26 · Professional component
$10.69
Pays only the interpretation and report.
How 74019 has changed in Rhode Island
74019 · Office / nonfacility
$37.07
Effective 2026-10-01
The base rate is $0.01 lower than on 2025-10-01, moving from $37.08 to $37.07 (0.0%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$37.08changed to$37.07
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.23 changed to 0.22
- Practice expense RVU 0.86 changed to 0.84
- Work GPCI 1.025 changed to 1.019
- Practice expense GPCI 1.039 changed to 1.033
- Malpractice GPCI 0.849 changed to 0.892
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$37.81changed to$37.08
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.85 changed to 0.86
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$37.19changed to$37.81
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$39.02changed to$37.19
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.86 changed to 0.85
- Work GPCI 1.023 changed to 1.025
- Practice expense GPCI 1.044 changed to 1.039
- Malpractice GPCI 0.915 changed to 0.849
January 1, 2023
RVU23A
$39.63changed to$39.02
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.85 changed to 0.86
- Work GPCI 1.021 changed to 1.023
- Practice expense GPCI 1.048 changed to 1.044
- Malpractice GPCI 0.981 changed to 0.915
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$39.23changed to$39.63
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.83 changed to 0.85
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$37.99changed to$39.23
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.76 changed to 0.83
- Work GPCI 1.024 changed to 1.021
- Practice expense GPCI 1.049 changed to 1.048
- Malpractice GPCI 0.990 changed to 0.981
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$36.86changed to$37.99
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.73 changed to 0.76
- Work GPCI 1.027 changed to 1.024
- Practice expense GPCI 1.050 changed to 1.049
- Malpractice GPCI 0.999 changed to 0.990
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$35.30changed to$36.86
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.69 changed to 0.73
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
No ratechanged to$35.30
Held through RVU18B, RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $37.07 | Not available in this setting | RVU26D |
| 2026-07-01 | $37.07 | Not available in this setting | RVU26C |
| 2026-04-01 | $37.07 | Not available in this setting | RVU26B |
| 2026-01-01 | $37.07 | Not available in this setting | RVU26A |
| 2025-10-01 | $37.08 | Not available in this setting | RVU25D |
| 2025-07-01 | $37.08 | Not available in this setting | RVU25C |
| 2025-04-01 | $37.08 | Not available in this setting | RVU25B |
| 2025-01-01 | $37.08 | Not available in this setting | RVU25A |
| 2024-10-01 | $37.81 | Not available in this setting | RVU24D |
| 2024-07-01 | $37.81 | Not available in this setting | RVU24C |
| 2024-04-01 | $37.81 | Not available in this setting | RVU24B |
| 2024-03-09 | $37.81 | Not available in this setting | RVU24AR |
| 2024-01-01 | $37.19 | Not available in this setting | RVU24A |
| 2023-10-01 | $39.02 | Not available in this setting | RVU23D |
| 2023-07-01 | $39.02 | Not available in this setting | RVU23C |
| 2023-04-01 | $39.02 | Not available in this setting | RVU23B |
| 2023-01-01 | $39.02 | Not available in this setting | RVU23A |
| 2022-10-01 | $39.63 | Not available in this setting | RVU22D |
| 2022-07-01 | $39.63 | Not available in this setting | RVU22C |
| 2022-04-01 | $39.63 | Not available in this setting | RVU22B |
| 2022-01-01 | $39.63 | Not available in this setting | RVU22A |
| 2021-10-01 | $39.23 | Not available in this setting | RVU21D |
| 2021-07-01 | $39.23 | Not available in this setting | RVU21C |
| 2021-04-01 | $39.23 | Not available in this setting | RVU21B |
| 2021-01-01 | $39.23 | Not available in this setting | RVU21A |
| 2020-10-01 | $37.99 | Not available in this setting | RVU20D |
| 2020-07-01 | $37.99 | Not available in this setting | RVU20C |
| 2020-04-01 | $37.99 | Not available in this setting | RVU20B |
| 2020-01-01 | $37.99 | Not available in this setting | RVU20A |
| 2019-10-01 | $36.86 | Not available in this setting | RVU19D |
| 2019-07-01 | $36.86 | Not available in this setting | RVU19C |
| 2019-04-01 | $36.86 | Not available in this setting | RVU19B |
| 2019-01-01 | $36.86 | Not available in this setting | RVU19A |
| 2018-10-01 | $35.30 | Not available in this setting | RVU18D |
| 2018-07-01 | $35.30 | Not available in this setting | RVU18C |
| 2018-04-01 | $35.30 | Not available in this setting | RVU18B |
| 2018-01-01 | $35.30 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Rhode Island rate applies
Rhode Island is a Medicare payment area, not a city. Our Census mapping connects it to 36 cities and communities in Rhode Island. Some span more than one payment area; confirm with the service ZIP.
- Ashaway
- Bradford
- Carolina
- Central Falls
- Charlestown
- Chepachet
- Clayville
- Cranston
74019 billing questions
When should 74019 be chosen over 74018?
Use 74019 when two abdominal views are obtained. Use 74018 when the examination consists of one view.
How does 74019 differ from 74021?
The distinction is the number of abdominal views: two for 74019 and three or more for 74021.
When is 74022 a better fit?
74022 describes a complete acute abdomen series that includes a chest view along with abdominal views. Choose it when that broader series is performed rather than a two-view abdominal examination alone.
Can the interpretation and image acquisition be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion. Without either modifier, the claim represents the global service.
What documentation supports reporting two views?
Document the abdominal examination and the two views obtained. The radiology report should support the physician’s interpretation of the images.
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
Show the CMS file lines behind this rate
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