CPT code 74174: CTA abdomen/pelvis, with contrast2026 Medicare rate & RVUs in Florida
CTA of the abdomen and pelvis with contrast evaluates arterial anatomy for suspected vascular disease, aneurysm, dissection, or treatment planning.
Medicare pays $368.05–$399.45 for 74174 in the office in Florida, from Rest of Florida to Miami, FL. Which amount applies depends on the service address.
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
On this page 9 sections
What 74174 covers
This study uses CT acquisition timed to intravenous contrast to show abdominal and pelvic arteries in cross-sectional detail. Image data may be reconstructed into vascular views to assess aneurysm, dissection, narrowing, blockage, or anatomy before or after vascular treatment. Radiologists interpret the examination, commonly ordered by vascular surgeons, emergency clinicians, and other treating physicians when a vascular question involves both regions. Settings include hospital imaging departments and freestanding imaging centers.
Choose 74174 when the CTA examination includes both abdomen and pelvis; 74175 is the abdomen-only counterpart. The order and report should support the vascular indication and anatomic coverage, contrast-enhanced acquisition, and interpretation. Bill the complete service when one entity furnishes acquisition and interpretation; use modifier 26 for the professional interpretation or TC for technical performance when those components are billed separately. CMS diagnostic imaging multiple-procedure reduction applies to both technical and professional components when it applies to multiple procedures.
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 74174 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$368.05 to $399.45
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | $386.93 | Unavailable |
| Miami, FL | $399.45 | Unavailable |
| Rest of Florida | $368.05 | Unavailable |
How the 74174 rate is calculated
Each of 74174’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 · 74174
RVUs × geographic indexes × conversion factor
Work2.15
2.15 RVUs× 1.000 GPCI
Practice expense9.01
9.01 RVUs× 1.000 GPCI
Malpractice0.17
0.17 RVUs× 1.000 GPCI
Adjusted RVUs
11.3300
Conversion factor
$33.4009
Medicare rate
$378.43
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 74174
The CMS indicators that decide how 74174 is paid alongside other services.
CMS payment indicators · 74174
CTA abdomen/pelvis, with contrast
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 4 | Diagnostic imaging reduction applies to the technical component (and professional component) of additional services. |
| 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
74174 without 26 · national office
$378.43
CTA abdomen/pelvis, with contrast
74174-26 · Professional component
$100.87
Pays only the interpretation and report.
74174 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 74175Abdominal CTAContrast-enhanced, abdomen only
- 74175 is the CTA abdomen-only code. Choose 74174 when the CTA examination also covers the pelvis.
- 74177CT abdomen and pelvisWith contrast only
- 74177 represents conventional contrast CT of the abdomen and pelvis, rather than a CT angiography examination focused on vessels.
- 74178CT abdomen/pelvisWithout and with contrast
- 74178 is for conventional abdomen and pelvis CT performed without and with contrast; 74174 is the CTA service.
- 74185Abdominal MRAWith or without contrast
- 74185 is abdominal MR angiography, not CT angiography. The modality and anatomy documented in the imaging service distinguish the codes.
74174 billing questions
When should 74174 be used instead of 74175?
Use 74174 when the CTA covers both the abdomen and pelvis. Use 74175 when the vascular imaging is limited to the abdomen.
Does 74174 include image acquisition and interpretation?
The global service includes both. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical component when billed separately.
Can 74175 also be reported for the abdominal portion?
Do not report 74175 separately to represent the abdominal portion of the same CTA that covers both abdomen and pelvis.
How does the multiple-procedure reduction affect this code?
When the diagnostic imaging multiple-procedure reduction applies, CMS applies it to both the technical and professional components.
What documentation supports reporting 74174?
The record should establish the vascular indication, that the CTA covered both abdominal and pelvic regions, use of contrast, and the interpreting physician's findings.
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
Fee sheets
Put 74174 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet