CPT code 74248: Small bowel follow-through, add-on to upper GI2026 Medicare rate & RVUs in North Dakota
Add-on fluoroscopic imaging tracks oral contrast through the small bowel during an upper gastrointestinal examination to assess transit and small-intestinal abnormalities.
In North Dakota, Medicare pays $78.50 for 74248 in the office.
Check a contract rate as a % of Medicare · 74248 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 74248 covers
This add-on covers serial radiographic imaging as orally administered contrast passes through the small bowel during an upper gastrointestinal examination. A radiologic technologist obtains the images, and a radiologist interprets them. The added small-bowel evaluation can help assess transit and identify abnormalities in the small intestine, such as suspected narrowing or obstruction.
Report 74248 only with the primary upper GI examination, such as 74240 or 74246; it is not a stand-alone small-bowel study. The report should support that the examination included follow-through imaging into the small bowel, not just imaging of the esophagus or stomach. CMS treats it as an add-on paid within the primary procedure’s global period. For the diagnostic test, the global service is billed without a component modifier; modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff portion.
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 North Dakota compares for 74248
Across 109 of 109 payment localities, the office rate for 74248 runs from $70.91 in Arkansas to $105.58 in San Benito County, CA. North Dakota pays $78.50. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$78.50
- Los Angeles, CA · California$89.95+$11.45
- Washington, DC area · District of Columbia$90.72+$12.22
- Miami, FL · Florida$84.31+$5.81
- Chicago, IL · Illinois$82.09+$3.59
- Manhattan, NY · New York$90.85+$12.35
- Alaska · Alaska$93.68+$15.18
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $71.88 | — |
| ArkansasArkansas | $70.91 | — |
| ArizonaArizona | $77.55 | — |
| Bakersfield, CACalifornia | $84.56 | — |
| Chico, CACalifornia | $84.40 | — |
| El Centro, CACalifornia | $84.40 | — |
| Fresno, CACalifornia | $84.40 | — |
| Hanford, CACalifornia | $84.40 | — |
| Madera, CACalifornia | $84.40 | — |
| Merced, CACalifornia | $84.40 | — |
| Modesto, CACalifornia | $84.40 | — |
| Napa, CACalifornia | $97.63 | — |
| Oxnard, CACalifornia | $89.53 | — |
| Redding, CACalifornia | $84.40 | — |
| Rest of CaliforniaCalifornia | $84.40 | — |
| Riverside, CACalifornia | $84.95 | — |
| Sacramento, CACalifornia | $88.52 | — |
| Salinas, CACalifornia | $88.19 | — |
| San Diego, CACalifornia | $90.21 | — |
| Marin County, CACalifornia | $103.34 | — |
| San Francisco, CACalifornia | $103.29 | — |
| San Benito County, CACalifornia | $105.58 | — |
| Santa Clara County, CACalifornia | $105.34 | — |
| San Luis Obispo, CACalifornia | $86.77 | — |
| Santa Cruz, CACalifornia | $91.05 | — |
| Santa Maria, CACalifornia | $88.50 | — |
| Santa Rosa, CACalifornia | $91.97 | — |
| Stockton, CACalifornia | $84.40 | — |
| Vallejo, CACalifornia | $97.55 | — |
| Visalia, CACalifornia | $84.40 | — |
| Yuba City, CACalifornia | $84.40 | — |
| ColoradoColorado | $82.93 | — |
| ConnecticutConnecticut | $84.54 | — |
| DelawareDelaware | $78.78 | — |
| Fort Lauderdale, FLFlorida | $81.56 | — |
| Rest of FloridaFlorida | $77.91 | — |
| Atlanta, GAGeorgia | $80.78 | — |
| Rest of GeorgiaGeorgia | $73.86 | — |
| Hawaii, Guam, HIHawaii | $86.34 | — |
| IowaIowa | $73.80 | — |
| IdahoIdaho | $74.21 | — |
| East St. Louis, ILIllinois | $76.78 | — |
| Rest of IllinoisIllinois | $75.64 | — |
| Suburban Chicago, ILIllinois | $82.43 | — |
| IndianaIndiana | $74.61 | — |
| KansasKansas | $73.38 | — |
| KentuckyKentucky | $73.23 | — |
| New Orleans, LALouisiana | $76.47 | — |
| Rest of LouisianaLouisiana | $73.09 | — |
| Metropolitan Boston, MAMassachusetts | $90.93 | — |
| Rest of MassachusettsMassachusetts | $82.44 | — |
| Baltimore area, MDMaryland | $84.28 | — |
| Rest of MarylandMaryland | $80.25 | — |
| Rest of MaineMaine | $74.45 | — |
| Southern Maine, MEMaine | $78.38 | — |
| Detroit, MIMichigan | $78.71 | — |
| Rest of MichiganMichigan | $74.91 | — |
| MinnesotaMinnesota | $79.92 | — |
| Metropolitan Kansas City, MOMissouri | $76.09 | — |
| Metropolitan St. Louis, MOMissouri | $76.85 | — |
| Rest of MissouriMissouri | $71.85 | — |
| MississippiMississippi | $71.40 | — |
| MontanaMontana | $79.49 | — |
| North CarolinaNorth Carolina | $75.20 | — |
| NebraskaNebraska | $74.21 | — |
| New HampshireNew Hampshire | $81.54 | — |
| Northern New JerseyNew Jersey | $89.86 | — |
| Rest of New JerseyNew Jersey | $85.63 | — |
| New MexicoNew Mexico | $75.26 | — |
| NevadaNevada | $79.27 | — |
| NYC suburbs and Long Island, NYNew York | $92.80 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $86.10 | — |
| Queens, NYNew York | $91.72 | — |
| Rest of New YorkNew York | $76.24 | — |
| OhioOhio | $74.71 | — |
| OklahomaOklahoma | $73.22 | — |
| Portland, OROregon | $85.55 | — |
| Rest of OregonOregon | $78.78 | — |
| Metropolitan Philadelphia, PAPennsylvania | $82.48 | — |
| Rest of PennsylvaniaPennsylvania | $74.88 | — |
| Puerto RicoPuerto Rico | $80.08 | — |
| Rhode IslandRhode Island | $81.56 | — |
| South CarolinaSouth Carolina | $75.06 | — |
| South DakotaSouth Dakota | $78.39 | — |
| TennesseeTennessee | $73.71 | — |
| Austin, TXTexas | $82.55 | — |
| Beaumont, TXTexas | $74.42 | — |
| Brazoria, TXTexas | $78.81 | — |
| Dallas, TXTexas | $79.24 | — |
| Fort Worth, TXTexas | $78.71 | — |
| Galveston, TXTexas | $79.00 | — |
| Houston, TXTexas | $79.92 | — |
| Rest of TexasTexas | $76.52 | — |
| UtahUtah | $76.02 | — |
| VirginiaVirginia | $78.07 | — |
| Virgin Islands, VIUnited States Virgin Islands | $80.08 | — |
| VermontVermont | $78.12 | — |
| Rest of WashingtonWashington | $82.31 | — |
| King County, WAWashington | $92.83 | — |
| WisconsinWisconsin | $76.02 | — |
| West VirginiaWest Virginia | $72.99 | — |
| WyomingWyoming | $79.06 | — |
74248 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.
$70.91
$94.99
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $93.68 | 1 |
| AL | $71.88 | 1 |
| AR | $70.91 | 1 |
| AZ | $77.55 | 1 |
| CA | $84.40–$105.58 | 29 |
| CO | $82.93 | 1 |
| CT | $84.54 | 1 |
| DC | $90.72 | 1 |
| DE | $78.78 | 1 |
| FL | $77.91–$84.31 | 3 |
| GA | $73.86–$80.78 | 2 |
| GU | $86.34 | 1 |
| HI | $86.34 | 1 |
| IA | $73.80 | 1 |
| ID | $74.21 | 1 |
| IL | $75.64–$82.43 | 4 |
| IN | $74.61 | 1 |
| KS | $73.38 | 1 |
| KY | $73.23 | 1 |
| LA | $73.09–$76.47 | 2 |
| MA | $82.44–$90.93 | 2 |
| MD | $80.25–$90.72 | 3 |
| ME | $74.45–$78.38 | 2 |
| MI | $74.91–$78.71 | 2 |
| MN | $79.92 | 1 |
| MO | $71.85–$76.85 | 3 |
| MS | $71.40 | 1 |
| MT | $79.49 | 1 |
| NC | $75.20 | 1 |
| ND | $78.50 | 1 |
| NE | $74.21 | 1 |
| NH | $81.54 | 1 |
| NJ | $85.63–$89.86 | 2 |
| NM | $75.26 | 1 |
| NV | $79.27 | 1 |
| NY | $76.24–$92.80 | 5 |
| OH | $74.71 | 1 |
| OK | $73.22 | 1 |
| OR | $78.78–$85.55 | 2 |
| PA | $74.88–$82.48 | 2 |
| PR | $80.08 | 1 |
| RI | $81.56 | 1 |
| SC | $75.06 | 1 |
| SD | $78.39 | 1 |
| TN | $73.71 | 1 |
| TX | $74.42–$82.55 | 8 |
| UT | $76.02 | 1 |
| VA | $78.07–$90.72 | 2 |
| VI | $80.08 | 1 |
| VT | $78.12 | 1 |
| WA | $82.31–$92.83 | 2 |
| WI | $76.02 | 1 |
| WV | $72.99 | 1 |
| WY | $79.06 | 1 |
How the 74248 rate is calculated
Each of 74248’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 · 74248
RVUs × geographic indexes × conversion factor
Work0.68
0.68 RVUs× 1.000 GPCI
Practice expense1.65
1.65 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
2.3800
Conversion factor
$33.4009
Medicare rate
$79.49
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
8,360
- Code
- 74248
- Physician work
- 0.68
- Practice expense
- 1.65
- Malpractice
- 0.05
GPCI2026.csv
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.68 | × 1.000 | 0.6800 |
| Practice expense | 1.65 | × 1.000 | 1.6500 |
| Malpractice | 0.05 | × 0.406 | 0.0203 |
| Total RVUs | 2.3503 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$78.50
Office: (0.68 × 1 + 1.65 × 1 + 0.05 × 0.406) × $33.4009 = $78.50
Payment rules and modifiers for 74248
The CMS indicators that decide how 74248 is paid alongside other services.
CMS payment indicators · 74248
Small bowel follow-through, add-on to upper GI
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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
74248 without 26 · national office
$79.49
Small bowel follow-through, add-on to upper GI
74248-26 · Professional component
$32.06
Pays only the interpretation and report.
How 74248 has changed in North Dakota
74248 · Office / nonfacility
$78.50
Effective 2026-10-01
The base rate is $0.36 higher than on 2025-10-01, moving from $78.14 to $78.50 (0.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$78.14changed to$78.50
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.70 changed to 0.68
- Practice expense RVU 1.69 changed to 1.65
- Malpractice GPCI 0.517 changed to 0.406
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$81.42changed to$78.14
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.72 changed to 1.69
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$80.09changed to$81.42
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$84.17changed to$80.09
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.76 changed to 1.72
- Malpractice GPCI 0.474 changed to 0.517
January 1, 2023
RVU23A
$86.92changed to$84.17
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.79 changed to 1.76
- Malpractice GPCI 0.431 changed to 0.474
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$86.09changed to$86.92
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.75 changed to 1.79
- Malpractice RVU 0.04 changed to 0.05
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$83.17changed to$86.09
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.59 changed to 1.75
- Malpractice RVU 0.03 changed to 0.04
- Malpractice GPCI 0.485 changed to 0.431
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
No ratechanged to$83.17
Held through RVU20B, RVU20C, RVU20D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $78.50 | Not available in this setting | RVU26D |
| 2026-07-01 | $78.50 | Not available in this setting | RVU26C |
| 2026-04-01 | $78.50 | Not available in this setting | RVU26B |
| 2026-01-01 | $78.50 | Not available in this setting | RVU26A |
| 2025-10-01 | $78.14 | Not available in this setting | RVU25D |
| 2025-07-01 | $78.14 | Not available in this setting | RVU25C |
| 2025-04-01 | $78.14 | Not available in this setting | RVU25B |
| 2025-01-01 | $78.14 | Not available in this setting | RVU25A |
| 2024-10-01 | $81.42 | Not available in this setting | RVU24D |
| 2024-07-01 | $81.42 | Not available in this setting | RVU24C |
| 2024-04-01 | $81.42 | Not available in this setting | RVU24B |
| 2024-03-09 | $81.42 | Not available in this setting | RVU24AR |
| 2024-01-01 | $80.09 | Not available in this setting | RVU24A |
| 2023-10-01 | $84.17 | Not available in this setting | RVU23D |
| 2023-07-01 | $84.17 | Not available in this setting | RVU23C |
| 2023-04-01 | $84.17 | Not available in this setting | RVU23B |
| 2023-01-01 | $84.17 | Not available in this setting | RVU23A |
| 2022-10-01 | $86.92 | Not available in this setting | RVU22D |
| 2022-07-01 | $86.92 | Not available in this setting | RVU22C |
| 2022-04-01 | $86.92 | Not available in this setting | RVU22B |
| 2022-01-01 | $86.92 | Not available in this setting | RVU22A |
| 2021-10-01 | $86.09 | Not available in this setting | RVU21D |
| 2021-07-01 | $86.09 | Not available in this setting | RVU21C |
| 2021-04-01 | $86.09 | Not available in this setting | RVU21B |
| 2021-01-01 | $86.09 | Not available in this setting | RVU21A |
| 2020-10-01 | $83.17 | Not available in this setting | RVU20D |
| 2020-07-01 | $83.17 | Not available in this setting | RVU20C |
| 2020-04-01 | $83.17 | Not available in this setting | RVU20B |
| 2020-01-01 | $83.17 | Not available in this setting | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
74248 billing questions
Can 74248 be reported by itself?
No. It is an add-on and must be reported with a primary upper GI examination, such as 74240 or 74246.
How is 74248 different from 74250?
74248 is for small-bowel follow-through performed with a primary upper GI examination. 74250 describes a standalone small-intestine examination using single contrast.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the radiologist’s interpretation, and modifier TC identifies the technical portion. Without either modifier, the claim represents the global service.
What documentation supports reporting 74248?
The record should show the primary upper GI examination and that serial imaging followed contrast through the small bowel. Imaging limited to the upper GI tract does not support this add-on.
Does the add-on have its own global period?
CMS specifies that 74248 is paid within the primary procedure’s global period. Submit it only with the primary procedure.
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
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