CPT code 74251: Small bowel X-ray, double contrast2026 Medicare rate & RVUs in New Mexico

Reports fluoroscopic and radiographic evaluation of the small intestine using positive and negative contrast, with serial images as needed.

CMS RVU26DEffective Oct 1, 2026One payment locality271 Medicare services in 2024

CMS doesn’t publish a rate for 74251 in New Mexico.

Additional calculation requiredOffice (non-facility)
Not available in this settingHospital or facility
$343.70vs the national office rate ($343.70)

Check a contract rate as a % of Medicare · 74251 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 74251 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 74251 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 74251 covers

This examination uses fluoroscopy and radiographs to assess the small intestine after administration of positive and negative contrast, such as barium and air. The radiologist observes contrast passage and bowel detail and may obtain serial images. It is typically performed in a radiology department when a clinician requests an anatomic assessment of the small bowel using a double-contrast technique.

Select 74251 when the documented examination evaluates the small intestine with double contrast; 74250 describes a single-contrast examination, while 74248 identifies a small-bowel follow-through. The report should identify the imaged region and support the contrast technique performed. For Medicare billing, modifier 26 represents the professional interpretation, while modifier TC represents the equipment and staff portion. Billing without either modifier represents the global service.

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 74251

74251 in New Mexico vs other payment areas
  1. New Mexico · this pageUnavailable
  2. Los Angeles, CA · CaliforniaUnavailable
  3. Washington, DC area · District of ColumbiaUnavailable
  4. Miami, FL · FloridaUnavailable
  5. Chicago, IL · IllinoisUnavailable
  6. Manhattan, NY · New YorkUnavailable
  7. Alaska · AlaskaUnavailable

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

Every other payment area

74251 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama——
ArkansasArkansas——
ArizonaArizona——
Bakersfield, CACalifornia——
Chico, CACalifornia——
El Centro, CACalifornia——
Fresno, CACalifornia——
Hanford, CACalifornia——

74251 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.

View every state and territory as a table
74251 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 74251 in every payment locality

How the 74251 rate is calculated

Each of 74251’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 · 74251

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.14

1.14 RVUs× 1.000 GPCI

Practice expense9.07

9.07 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

10.2900

Conversion factor

$33.4009

Medicare rate

$343.70

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

Payment rules and modifiers for 74251

The CMS indicators that decide how 74251 is paid alongside other services.

CMS payment indicators · 74251

Small bowel X-ray, double contrast

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

74251 without 26 · national office

$343.70

Small bowel X-ray, double contrast

74251-26 · Professional component

$53.78

Pays only the interpretation and report.

When to use modifier 26

How 74251 has changed in New Mexico

74251 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Additional calculation requiredNot available in this settingRVU26D
2026-07-01Additional calculation requiredNot available in this settingRVU26C
2026-04-01Additional calculation requiredNot available in this settingRVU26B
2026-01-01Additional calculation requiredNot available in this settingRVU26A
2025-10-01Additional calculation requiredNot available in this settingRVU25D
2025-07-01Additional calculation requiredNot available in this settingRVU25C
2025-04-01Additional calculation requiredNot available in this settingRVU25B
2025-01-01Additional calculation requiredNot 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
2019-10-01Additional calculation requiredNot available in this settingRVU19D
2019-07-01Additional calculation requiredNot available in this settingRVU19C
2019-04-01Additional calculation requiredNot available in this settingRVU19B
2019-01-01Additional calculation requiredNot available in this settingRVU19A
2018-10-01Additional calculation requiredNot available in this settingRVU18D
2018-07-01Additional calculation requiredNot available in this settingRVU18C
2018-04-01Additional calculation requiredNot available in this settingRVU18B
2018-01-01Additional calculation requiredNot available in this settingRVU18AR1
2017-10-01Additional calculation requiredNot available in this settingRVU17D
2017-07-01Additional calculation requiredNot available in this settingRVU17C
2017-04-01Additional calculation requiredNot available in this settingRVU17B
2017-01-01Additional calculation requiredNot available in this settingRVU17A
2016-10-01Additional calculation requiredNot available in this settingRVU16D
2016-07-01Additional calculation requiredNot available in this settingRVU16C
2016-04-01Additional calculation requiredNot available in this settingRVU16B
2016-01-01Additional calculation requiredNot available in this settingRVU16A
2015-10-01Additional calculation requiredNot available in this settingRVU15D
2015-07-01Additional calculation requiredNot available in this settingRVU15C
2015-04-01Additional calculation requiredNot available in this settingRVU15B
2015-01-01Additional calculation requiredNot available in this settingRVU15A
2014-10-01Additional calculation requiredNot available in this settingRVU14D
2014-07-01Additional calculation requiredNot available in this settingRVU14C
2014-04-01Additional calculation requiredNot available in this settingRVU14B
2014-01-01Additional calculation requiredNot available in this settingRVU14A
2013-10-01Additional calculation requiredNot available in this settingRVU13D
2013-07-01Additional calculation requiredNot available in this settingRVU13C
2013-04-01Additional calculation requiredNot available in this settingRVU13B
2013-01-01Additional calculation requiredNot available in this settingRVU13AR

Price 74251 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

74251 billing questions

How does this differ from 74250?

74251 is for a small-intestine examination using double contrast. Use 74250 when the examination uses single contrast.

Is a small-bowel follow-through reported with this code?

A small-bowel follow-through is represented by 74248. Choose based on the examination performed and documented, not simply because images show the small intestine.

Can the professional and technical portions be billed separately?

Yes. Report modifier 26 for the professional interpretation or TC for the technical portion; without a modifier, the claim represents the global service.

What documentation supports reporting 74251?

The record should identify the small intestine as the examination target and document use of a double-contrast technique. The imaging report supports the interpretation billed.

Can this be reported with an upper GI examination?

A separately performed upper GI study evaluates a different region. For example, 74246 describes an upper GI double-contrast examination; documentation should support each service reported.

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

Open CMS sourceHow we calculate rates

Did this answer your question about what 74251 pays in New Mexico?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 74251 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist