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CPT code 74022: Abdominal X-ray, complete acute abdomen series2026 Medicare rate & RVUs

Reports a complete acute abdomen radiographic series, including abdominal views and a chest view, for evaluation of acute abdominal symptoms.

CMS RVU26DEffective Oct 1, 2026109 payment localities90.5K Medicare services in 2024

Medicare pays $49.43 for 74022 nationally in the office. Local office rates run $43.58–$66.94.

Medicare rate · 74022

Abdominal X-ray, complete acute abdomen series

Office or facility?

Work RVUs
0.31
Total RVUs
1.48
Global days
XXX

National rate · 2026

$49.43

Office setting, before claim adjustments.

See every locality for 74022 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 74022 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 74022 covers

This service is a multi-image radiographic evaluation used when acute abdominal symptoms call for assessment of the abdomen along with a chest image. The abdominal views can help evaluate findings such as bowel obstruction or abnormal abdominal gas; the chest image can help identify findings such as air beneath the diaphragm. Radiology departments and imaging centers commonly perform the study, with a radiologist or other qualified practitioner providing the interpretation.

Report 74022 for the complete acute abdomen series, not for an abdominal study selected solely by the number of abdominal views. The record should support the clinical reason for the series, the images obtained, and the interpretation. CMS recognizes a professional component for interpretation, reportable with modifier 26, and a technical component for equipment and staff, reportable with modifier TC. Without either modifier, the claim represents the global service. The chest image is part of this series; do not report it again as a separate chest study when it is the image included in 74022.

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 74022 pays more and less

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

109 payment localities

$43.58 to $66.94

$43.58$55.26$66.94
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

74022 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$44.24Unavailable
Alaska$56.64Unavailable
Arizona$48.11Unavailable
Arkansas$43.58Unavailable
Atlanta, GA$50.28Unavailable
Austin, TX$51.55Unavailable
Bakersfield, CA$52.89Unavailable
Baltimore area, MD$52.62Unavailable
Beaumont, TX$45.94Unavailable
Brazoria, TX$48.95Unavailable

74022 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$43.58

$59.87

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
74022 office rate range by state
State / territoryOffice rate rangeLocalities
AK$56.641
AL$44.241
AR$43.581
AZ$48.111
CA$52.80–$66.9429
CO$51.781
CT$52.781
DC$56.881
DE$48.931
FL$48.26–$52.533
GA$45.51–$50.282
GU$54.231
HI$54.231
IA$45.591
ID$45.861
IL$46.68–$51.314
IN$46.141
KS$45.281
KY$45.121
LA$45.01–$47.322
MA$51.41–$57.132
MD$49.91–$56.883
ME$46.01–$48.722
MI$46.25–$48.792
MN$49.831
MO$44.15–$47.613
MS$43.881
MT$49.431
NC$46.521
ND$48.841
NE$45.881
NH$50.871
NJ$53.45–$56.252
NM$46.471
NV$49.301
NY$47.23–$58.155
OH$46.131
OK$45.141
OR$48.98–$53.572
PA$46.26–$51.372
PR$49.841
RI$50.781
SC$46.391
SD$48.771
TN$45.501
TX$45.94–$51.558
UT$47.051
VA$48.49–$56.882
VI$49.841
VT$48.561
WA$51.35–$58.412
WI$47.141
WV$44.881
WY$49.171

How the 74022 rate is calculated

Each of 74022’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 · 74022

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.31

0.31 RVUs× 1.000 GPCI

Practice expense1.14

1.14 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

1.4800

Conversion factor

$33.4009

Medicare rate

$49.43

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 74022

The CMS indicators that decide how 74022 is paid alongside other services.

CMS payment indicators · 74022

Abdominal X-ray, complete acute abdomen series

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

74022 without 26 · national office

$49.43

Abdominal X-ray, complete acute abdomen series

74022-26 · Professional component

$15.03

Pays only the interpretation and report.

When to use modifier 26

74022 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 74022

    Abdominal X-ray, complete acute abdomen series0.31 wRVU

    $49.43

  • 74018

    Abdomen X-ray, single view (KUB)0.18 wRVU

    $29.73−$19.70

  • 74019

    Abdominal X-ray, two views0.22 wRVU

    $36.07−$13.36

  • 74021

    Abdominal X-ray, three or more views0.26 wRVU

    $42.09−$7.34

How to choose

74018Abdomen X-raySingle view (KUB)
Use 74018 for a one-view abdominal radiograph. It does not represent the complete acute abdomen series or its included chest image.
74019Abdominal X-rayTwo views
Use 74019 for a two-view abdominal examination when the complete acute abdomen series is not performed.
74021Abdominal X-rayThree or more views
Use 74021 for an abdominal examination with three or more views when it is not the complete acute abdomen series that includes a chest image.

Codes related to 74022

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

Codes related to 74022
CodeHow it relatesNational office range
Same family
74018Abdomen X-ray, single view (KUB)One-view abdominal radiograph; a narrower abdominal study than the complete acute abdomen series.$26.15–$40.26
74019Abdominal X-ray, two viewsTwo-view abdominal radiograph; does not identify the complete acute abdomen series.$31.79–$48.97
74021Abdominal X-ray, three or more viewsAbdominal radiograph with three or more views, without the complete-series designation.$37.15–$57.20

74022 billing questions

When should 74022 be chosen instead of 74021?

Choose 74022 when the complete acute abdomen series, including a chest image, is performed. Code 74021 describes an abdominal examination based on three or more views and does not identify that complete series.

Can the chest image in the series be billed separately?

The chest image is included in 74022 when it is the image obtained as part of the series. Do not report it again as a separate chest study.

How are modifiers 26 and TC used?

Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff. Report 74022 without either modifier for the global service.

Should each image in the series be reported as a separate unit?

No. Report the complete series as one service rather than billing 74022 once for each image.

What documentation supports reporting 74022?

Document the acute abdominal indication, the images obtained as part of the series, and the interpretation. The record should support that the complete acute abdomen study was 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

Show the CMS file lines behind this rate
RVUs for 74022PPRRVU2026_Oct_nonQPP.csv, line 8,297 (RVU26D)

Open CMS sourceHow we calculate rates

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