CPT code 74160: Abdominal CT, with contrast2026 Medicare rate & RVUs in Washington, DC area

Reports diagnostic CT imaging of the abdomen performed with contrast when the study covers the abdomen without including the pelvis.

CMS RVU26DEffective Oct 1, 2026One payment locality70.8K Medicare services in 2024

In Washington, DC area, Medicare pays $265.76 for 74160 in the office.

$265.76Office (non-facility)
Not available in this settingHospital or facility
+15.5%vs the national office rate ($230.13)

Check a contract rate as a % of Medicare · 74160 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 74160 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 74160 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 74160 covers

This service covers CT image acquisition of the abdomen using contrast, followed by interpretation of the images. It is commonly performed in hospital radiology departments and outpatient imaging centers. A technologist operates the scanner and supports image acquisition; a radiologist or other qualified physician interprets the examination and issues a report. Abdominal CT may be ordered to assess findings such as abdominal pain, a suspected mass, or an intra-abdominal infection.

Select this code when the documented examination is an abdominal CT with contrast, rather than a noncontrast study, a study performed both without and with contrast, or imaging that also includes the pelvis. The record should support the body region, contrast protocol, images obtained, and interpretation. The service has separately billable professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and an unmodified claim represents the global service. CMS applies the diagnostic imaging multiple procedure reduction to both components when applicable.

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 Washington, DC area compares for 74160

Across 109 of 109 payment localities, the office rate for 74160 runs from $202.49 in Arkansas to $315.38 in San Benito County, CA. Washington, DC area pays $265.76. The RVUs are the same everywhere; the geographic indexes change the dollars.

74160 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$265.76
  2. Los Angeles, CA · California$264.81−$0.95
  3. Miami, FL · Florida$242.34−$23.42
  4. Chicago, IL · Illinois$235.24−$30.52
  5. Manhattan, NY · New York$264.63−$1.13
  6. Alaska · Alaska$261.56−$4.20
  7. Alabama · Alabama$205.61−$60.15

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

74160 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$202.49—
ArizonaArizona$223.94—
Bakersfield, CACalifornia$247.57—
Chico, CACalifornia$247.27—
El Centro, CACalifornia$247.28—
Fresno, CACalifornia$247.27—
Hanford, CACalifornia$247.27—
Madera, CACalifornia$247.27—

74160 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.

$202.49

$281.33

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

View every state and territory as a table
74160 office rate range by state
State / territoryOffice rate rangeLocalities
AK$261.561
AL$205.611
AR$202.491
AZ$223.941
CA$247.27–$315.3829
CO$241.861
CT$245.891
DC$265.761
DE$227.811
FL$223.47–$242.343
GA$210.65–$233.832
GU$254.311
HI$254.311
IA$212.531
ID$213.691
IL$215.67–$237.764
IN$215.031
KS$210.811
KY$209.261
LA$208.65–$219.582
MA$240.03–$267.532
MD$232.53–$265.763
ME$214.14–$227.352
MI$214.36–$225.692
MN$233.401
MO$204.43–$221.223
MS$203.531
MT$230.131
NC$216.601
ND$228.351
NE$213.961
NH$237.371
NJ$249.17–$262.662
NM$215.321
NV$229.821
NY$219.95–$270.465
OH$214.001
OK$209.591
OR$228.50–$250.642
PA$214.74–$239.072
PR$232.131
RI$236.721
SC$215.571
SD$228.141
TN$211.841
TX$213.20–$240.648
UT$218.681
VA$226.09–$265.762
VI$232.131
VT$226.791
WA$239.79–$273.812
WI$220.251
WV$207.101
WY$229.351

See 74160 in every payment locality

How the 74160 rate is calculated

Each of 74160’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 · 74160

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.24

1.24 RVUs× 1.000 GPCI

Practice expense5.56

5.56 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

6.8900

Conversion factor

$33.4009

Medicare rate

$230.13

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,303

Code
74160
Physician work
1.24
Practice expense
5.56
Malpractice
0.09

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 74160 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.24× 1.0541.3070
Practice expense5.56× 1.1786.5497
Malpractice0.09× 1.1130.1002
Total RVUs7.9568
Conversion factor× 33.4009

Office rate, Washington, DC area$265.76

Office: (1.24 × 1.054 + 5.56 × 1.178 + 0.09 × 1.113) × $33.4009 = $265.76

Open 74160 in the RVU calculator

Payment rules and modifiers for 74160

The CMS indicators that decide how 74160 is paid alongside other services.

CMS payment indicators · 74160

Abdominal CT, with 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

74160 without 26 · national office

$230.13

Abdominal CT, with contrast

74160-26 · Professional component

$58.45

Pays only the interpretation and report.

When to use modifier 26

How 74160 has changed in Washington, DC area

74160 · Office / nonfacility

$265.76

Effective 2026-10-01

The base rate is $0.70 higher than on 2025-10-01, moving from $265.06 to $265.76 (0.3%).

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

    $265.06changed to$265.76

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.27 changed to 1.24
    • Practice expense RVU 5.67 changed to 5.56
    • Malpractice RVU 0.08 changed to 0.09
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    No ratechanged to$265.06

    Held through RVU25B, RVU25C, RVU25D.

  3. January 1, 2020

    RVU20A

    $284.67changed toNo rate

    Held through RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D.

  4. January 1, 2019

    RVU19A

    $276.11changed to$284.67

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.18 changed to 5.37

    Held through RVU19B, RVU19C, RVU19D.

  5. January 1, 2018

    RVU18AR1

    $275.00changed to$276.11

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.17 changed to 5.18
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  6. January 1, 2017

    RVU17A

    $273.22changed to$275.00

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.14 changed to 5.17
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  7. January 1, 2016

    RVU16A

    $272.88changed to$273.22

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.12 changed to 5.14
    • Malpractice RVU 0.07 changed to 0.08

    Held through RVU16B, RVU16C, RVU16D.

  8. July 1, 2015

    RVU15C

    $271.52changed to$272.88

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  9. January 1, 2015

    RVU15A

    $284.60changed to$271.52

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.42 changed to 5.12
    • Malpractice RVU 0.08 changed to 0.07
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  10. January 1, 2014

    RVU14A

    $332.09changed to$284.60

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 6.96 changed to 5.42
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: $332.09

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$265.76Not available in this settingRVU26D
2026-07-01$265.76Not available in this settingRVU26C
2026-04-01$265.76Not available in this settingRVU26B
2026-01-01$265.76Not available in this settingRVU26A
2025-10-01$265.06Not available in this settingRVU25D
2025-07-01$265.06Not available in this settingRVU25C
2025-04-01$265.06Not available in this settingRVU25B
2025-01-01$265.06Not available in this settingRVU25A
2024-10-01Additional calculation requiredNot available in this settingRVU24D
2024-07-01Additional calculation requiredNot available in this settingRVU24C
2024-04-01Additional calculation requiredNot available in this settingRVU24B
2024-03-09Additional calculation requiredNot available in this settingRVU24AR
2024-01-01Additional calculation requiredNot available in this settingRVU24A
2023-10-01Additional calculation requiredNot available in this settingRVU23D
2023-07-01Additional calculation requiredNot available in this settingRVU23C
2023-04-01Additional calculation requiredNot available in this settingRVU23B
2023-01-01Additional calculation requiredNot available in this settingRVU23A
2022-10-01Additional calculation requiredNot available in this settingRVU22D
2022-07-01Additional calculation requiredNot available in this settingRVU22C
2022-04-01Additional calculation requiredNot available in this settingRVU22B
2022-01-01Additional calculation requiredNot available in this settingRVU22A
2021-10-01Additional calculation requiredNot available in this settingRVU21D
2021-07-01Additional calculation requiredNot available in this settingRVU21C
2021-04-01Additional calculation requiredNot available in this settingRVU21B
2021-01-01Additional calculation requiredNot available in this settingRVU21A
2020-10-01Additional calculation requiredNot available in this settingRVU20D
2020-07-01Additional calculation requiredNot available in this settingRVU20C
2020-04-01Additional calculation requiredNot available in this settingRVU20B
2020-01-01Additional calculation requiredNot available in this settingRVU20A
2019-10-01$284.67Not available in this settingRVU19D
2019-07-01$284.67Not available in this settingRVU19C
2019-04-01$284.67Not available in this settingRVU19B
2019-01-01$284.67Not available in this settingRVU19A
2018-10-01$276.11Not available in this settingRVU18D
2018-07-01$276.11Not available in this settingRVU18C
2018-04-01$276.11Not available in this settingRVU18B
2018-01-01$276.11Not available in this settingRVU18AR1
2017-10-01$275.00Not available in this settingRVU17D
2017-07-01$275.00Not available in this settingRVU17C
2017-04-01$275.00Not available in this settingRVU17B
2017-01-01$275.00Not available in this settingRVU17A
2016-10-01$273.22Not available in this settingRVU16D
2016-07-01$273.22Not available in this settingRVU16C
2016-04-01$273.22Not available in this settingRVU16B
2016-01-01$273.22Not available in this settingRVU16A
2015-10-01$272.88Not available in this settingRVU15D
2015-07-01$272.88Not available in this settingRVU15C
2015-04-01$271.52Not available in this settingRVU15B
2015-01-01$271.52Not available in this settingRVU15A
2014-10-01$284.60Not available in this settingRVU14D
2014-07-01$284.60Not available in this settingRVU14C
2014-04-01$284.60Not available in this settingRVU14B
2014-01-01$284.60Not available in this settingRVU14A
2013-10-01$332.09Not available in this settingRVU13D
2013-07-01$332.09Not available in this settingRVU13C
2013-04-01$332.09Not available in this settingRVU13B
2013-01-01$332.09Not available in this settingRVU13AR

Price 74160 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

74160 billing questions

When should 74160 be chosen over 74170?

Use 74160 for an abdominal CT performed with contrast. Use 74170 when the examination includes imaging both without and with contrast.

Does this code include the pelvis?

No. It represents abdominal imaging; choose a code for abdomen and pelvis when both regions are examined.

How are the professional and technical services billed?

Report modifier 26 for the physician's interpretation and modifier TC for the technical service. Reporting without either modifier represents the global service.

Does the multiple procedure reduction affect both components?

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

What documentation supports reporting 74160?

The record should identify the abdominal region examined, the contrast protocol, the images obtained, and the physician's interpretation.

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 74160PPRRVU2026_Oct_nonQPP.csv, line 8,303 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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