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

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

CMS RVU26DEffective Oct 1, 2026One payment locality90.5K Medicare services in 2024

In New Mexico, Medicare pays $46.47 for 74022 in the office.

$46.47Office (non-facility)
Not available in this settingHospital or facility
−6.0%vs the national office rate ($49.43)

Check a contract rate as a % of Medicare · 74022 nationwide

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

We’ll open 74022 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 74022 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How New Mexico compares for 74022

Across 109 of 109 payment localities, the office rate for 74022 runs from $43.58 in Arkansas to $66.94 in San Benito County, CA. New Mexico pays $46.47. The RVUs are the same everywhere; the geographic indexes change the dollars.

74022 in New Mexico vs other payment areas
  1. New Mexico · this page$46.47
  2. Los Angeles, CA · California$56.49+$10.02
  3. Washington, DC area · District of Columbia$56.88+$10.41
  4. Miami, FL · Florida$52.53+$6.06
  5. Chicago, IL · Illinois$50.99+$4.52
  6. Manhattan, NY · New York$56.85+$10.38
  7. Alaska · Alaska$56.64+$10.17

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

74022 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$44.24—
ArkansasArkansas$43.58—
ArizonaArizona$48.11—
Bakersfield, CACalifornia$52.89—
Chico, CACalifornia$52.80—
El Centro, CACalifornia$52.80—
Fresno, CACalifornia$52.80—
Hanford, CACalifornia$52.80—

74022 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.

$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

See 74022 in every payment locality

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.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,297

Code
74022
Physician work
0.31
Practice expense
1.14
Malpractice
0.03

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 74022 in New Mexico
ComponentRVULocality factorAdjusted
Physician work0.31× 1.0000.3100
Practice expense1.14× 0.9171.0454
Malpractice0.03× 1.2010.0360
Total RVUs1.3914
Conversion factor× 33.4009

Office rate, New Mexico$46.47

Office: (0.31 × 1 + 1.14 × 0.917 + 0.03 × 1.201) × $33.4009 = $46.47

Open 74022 in the RVU calculator

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

How 74022 has changed in New Mexico

74022 · Office / nonfacility

$46.47

Effective 2026-10-01

The base rate is $1.21 higher than on 2025-10-01, moving from $45.26 to $46.47 (2.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $45.26changed to$46.47

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.32 changed to 0.31
    • Practice expense RVU 1.15 changed to 1.14
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $46.58changed to$45.26

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $45.82changed to$46.58

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $47.18changed to$45.82

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172
  5. January 1, 2023

    RVU23A

    $47.54changed to$47.18

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.02 changed to 0.03
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $46.68changed to$47.54

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.11 changed to 1.15

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $45.84changed to$46.68

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.02 changed to 1.11
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $44.75changed to$45.84

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.96 changed to 1.02
    • Malpractice RVU 0.03 changed to 0.02
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $43.04changed to$44.75

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.91 changed to 0.96

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $42.83changed to$43.04

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $42.32changed to$42.83

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.90 changed to 0.91
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $41.72changed to$42.32

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.89 changed to 0.90
    • Malpractice RVU 0.02 changed to 0.03

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $41.52changed to$41.72

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $47.09changed to$41.52

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.06 changed to 0.89
    • Practice expense GPCI 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $46.78changed to$47.09

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.13 changed to 1.06
    • Practice expense GPCI 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $46.78

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$46.47Not available in this settingRVU26D
2026-07-01$46.47Not available in this settingRVU26C
2026-04-01$46.47Not available in this settingRVU26B
2026-01-01$46.47Not available in this settingRVU26A
2025-10-01$45.26Not available in this settingRVU25D
2025-07-01$45.26Not available in this settingRVU25C
2025-04-01$45.26Not available in this settingRVU25B
2025-01-01$45.26Not available in this settingRVU25A
2024-10-01$46.58Not available in this settingRVU24D
2024-07-01$46.58Not available in this settingRVU24C
2024-04-01$46.58Not available in this settingRVU24B
2024-03-09$46.58Not available in this settingRVU24AR
2024-01-01$45.82Not available in this settingRVU24A
2023-10-01$47.18Not available in this settingRVU23D
2023-07-01$47.18Not available in this settingRVU23C
2023-04-01$47.18Not available in this settingRVU23B
2023-01-01$47.18Not available in this settingRVU23A
2022-10-01$47.54Not available in this settingRVU22D
2022-07-01$47.54Not available in this settingRVU22C
2022-04-01$47.54Not available in this settingRVU22B
2022-01-01$47.54Not available in this settingRVU22A
2021-10-01$46.68Not available in this settingRVU21D
2021-07-01$46.68Not available in this settingRVU21C
2021-04-01$46.68Not available in this settingRVU21B
2021-01-01$46.68Not available in this settingRVU21A
2020-10-01$45.84Not available in this settingRVU20D
2020-07-01$45.84Not available in this settingRVU20C
2020-04-01$45.84Not available in this settingRVU20B
2020-01-01$45.84Not available in this settingRVU20A
2019-10-01$44.75Not available in this settingRVU19D
2019-07-01$44.75Not available in this settingRVU19C
2019-04-01$44.75Not available in this settingRVU19B
2019-01-01$44.75Not available in this settingRVU19A
2018-10-01$43.04Not available in this settingRVU18D
2018-07-01$43.04Not available in this settingRVU18C
2018-04-01$43.04Not available in this settingRVU18B
2018-01-01$43.04Not available in this settingRVU18AR1
2017-10-01$42.83Not available in this settingRVU17D
2017-07-01$42.83Not available in this settingRVU17C
2017-04-01$42.83Not available in this settingRVU17B
2017-01-01$42.83Not available in this settingRVU17A
2016-10-01$42.32Not available in this settingRVU16D
2016-07-01$42.32Not available in this settingRVU16C
2016-04-01$42.32Not available in this settingRVU16B
2016-01-01$42.32Not available in this settingRVU16A
2015-10-01$41.72Not available in this settingRVU15D
2015-07-01$41.72Not available in this settingRVU15C
2015-04-01$41.52Not available in this settingRVU15B
2015-01-01$41.52Not available in this settingRVU15A
2014-10-01$47.09Not available in this settingRVU14D
2014-07-01$47.09Not available in this settingRVU14C
2014-04-01$47.09Not available in this settingRVU14B
2014-01-01$47.09Not available in this settingRVU14A
2013-10-01$46.78Not available in this settingRVU13D
2013-07-01$46.78Not available in this settingRVU13C
2013-04-01$46.78Not available in this settingRVU13B
2013-01-01$46.78Not available in this settingRVU13AR

Price 74022 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

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)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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