CPT code 74150: CT abdomen, without contrast2026 Medicare rate & RVUs in California

Reports a CT examination of the abdomen performed without contrast, such as imaging for suspected urinary stones or other abdominal findings.

CMS RVU26DEffective Oct 1, 202629 payment localities54.1K Medicare services in 2024

Medicare pays $144.80–$181.23 for 74150 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.

$144.80–$181.23Office (non-facility)
—Hospital or facility

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 9 sections
  1. Rate in California
  2. What 74150 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 74150 covers

This service uses computed tomography to produce cross-sectional images of the abdomen without contrast material. A radiologic technologist typically acquires the images in a hospital or imaging center, and a radiologist interprets them. It may be selected when the clinical question calls for noncontrast abdominal imaging, including evaluation for suspected urinary calculi. The documented study must cover the abdomen rather than both the abdomen and pelvis as a combined examination.

Report 74150 when the performed study is limited to the abdomen and uses no contrast; the imaging order and report should support the anatomy examined and contrast protocol. The professional component represents the physician’s interpretation, while the technical component represents the equipment and staff used to perform the scan. Bill without a component modifier for the global service, or use modifier 26 or TC for the respective component. CMS applies the diagnostic imaging multiple procedure reduction to both the technical and professional components.

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 74150 pays more and less in California

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

29 payment localities

$144.80 to $181.23

$144.80$163.01$181.23
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

29 of 29 payment localities

74150 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CA$145.07Unavailable
Chico, CA$144.80Unavailable
El Centro, CA$144.81Unavailable
Fresno, CA$144.80Unavailable
Hanford, CA$144.80Unavailable
Los Angeles, CA$154.33Unavailable
Madera, CA$144.80Unavailable
Marin County, CA$177.40Unavailable
Merced, CA$144.80Unavailable
Modesto, CA$144.80Unavailable

How the 74150 rate is calculated

Each of 74150’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 · 74150

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.16

1.16 RVUs× 1.000 GPCI

Practice expense2.84

2.84 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

4.0800

Conversion factor

$33.4009

Medicare rate

$136.28

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

Payment rules and modifiers for 74150

The CMS indicators that decide how 74150 is paid alongside other services.

CMS payment indicators · 74150

CT abdomen, without contrast

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures4Diagnostic imaging reduction applies to the technical component (and professional component) of additional services.
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

74150 without 26 · national office

$136.28

CT abdomen, without contrast

74150-26 · Professional component

$54.78

Pays only the interpretation and report.

When to use modifier 26

74150 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 74150

    CT abdomen, without contrast1.16 wRVU

    $136.28

  • 74160

    Abdominal CT, with contrast1.24 wRVU

    $230.13+$93.85

  • 74170

    Abdominal CT, without and with contrast1.37 wRVU

    $258.86+$122.58

  • 74176

    CT abdomen and pelvis, without contrast1.7 wRVU

    $183.04+$46.76

  • 74181

    Abdominal MRI, without contrast1.42 wRVU

    $193.73+$57.45

How to choose

74160Abdominal CTWith contrast
74160 is for abdominal CT performed with contrast; 74150 is for the abdomen without contrast.
74170Abdominal CTWithout and with contrast
Choose 74170 when the abdominal CT includes imaging without contrast followed by imaging with contrast. Use 74150 for the noncontrast examination alone.
74176CT abdomen and pelvisWithout contrast
74176 covers CT of both the abdomen and pelvis without contrast. 74150 describes an abdomen-only examination.
74181Abdominal MRIWithout contrast
74181 describes MRI of the abdomen without contrast, while 74150 describes CT of the abdomen without contrast.

74150 billing questions

When should 74150 be used instead of 74160?

Use 74150 for an abdominal CT performed without contrast. Use 74160 when the abdominal CT is performed with contrast.

How does 74150 differ from 74170?

74150 represents an abdomen CT without contrast. 74170 is for an abdomen CT performed without contrast followed by imaging with contrast.

Can the professional and technical portions be billed separately?

Yes. Report modifier 26 for the interpretation or modifier TC for the technical service; billing without either modifier represents the global service.

Does the multiple procedure reduction apply to 74150?

Yes. CMS applies the diagnostic imaging multiple procedure reduction to both the professional and technical components.

Should 74150 be reported when the scan covers the abdomen and pelvis?

No. For a combined abdomen and pelvis CT performed without contrast, compare the study with 74176; 74150 describes the abdomen examination.

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 74150PPRRVU2026_Oct_nonQPP.csv, line 8,300 (RVU26D)

Open CMS sourceHow we calculate rates

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