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CPT code 74262: CT colonography, diagnostic with contrast2026 Medicare rate & RVUs

Report this diagnostic CT colonography when the colon is evaluated with CT using contrast, rather than for a screening examination or noncontrast study.

CMS RVU26DEffective Oct 1, 2026109 payment localities485 Medicare services in 2024

Medicare pays $459.60 for 74262 nationally in the office.

Medicare rate · 74262

CT colonography, diagnostic with contrast

Office or facility?

Work RVUs
2.44
Total RVUs
13.76
Global days
XXX

National rate · 2026

$459.60

Office setting, before claim adjustments.

See every locality for 74262 →Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 74262 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 74262 covers

This study uses CT to examine the colon after bowel preparation and gas insufflation, with contrast used as part of the diagnostic imaging protocol. A radiologist interprets the images, commonly to evaluate suspected colorectal disease or when conventional colonoscopy is incomplete or cannot be completed. It may be performed in a hospital or outpatient imaging center equipped for CT colonography.

Choose this code for a diagnostic examination performed with contrast; a noncontrast diagnostic study and a screening study have distinct codes. The record should support the diagnostic indication, contrast use, image acquisition, and interpretation. CMS allows separate professional and technical component billing: modifier 26 identifies interpretation, modifier TC identifies the equipment and staff, and no modifier represents the global service. Diagnostic imaging multiple procedure reduction applies to both the professional and technical 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 74262 pays more and less

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

109 of 109 payment localities

74262 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

74262 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
74262 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

How the 74262 rate is calculated

Each of 74262’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 · 74262

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.44

2.44 RVUs× 1.000 GPCI

Practice expense11.15

11.15 RVUs× 1.000 GPCI

Malpractice0.17

0.17 RVUs× 1.000 GPCI

Adjusted RVUs

13.7600

Conversion factor

$33.4009

Medicare rate

$459.60

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

Payment rules and modifiers for 74262

The CMS indicators that decide how 74262 is paid alongside other services.

CMS payment indicators · 74262

CT colonography, diagnostic 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

74262 without 26 · national office

$459.60

CT colonography, diagnostic with contrast

74262-26 · Professional component

$115.57

Pays only the interpretation and report.

When to use modifier 26

74262 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 74262

    CT colonography, diagnostic with contrast2.44 wRVU

    $459.60

  • 74261

    CT colonography, diagnostic, without contrast2.34 wRVU

    $409.16−$50.44

  • 74263

    CT colonography, screening examination2.22 wRVU

    $835.02+$375.42

  • 74280

    Colon X-ray, double-contrast study1.23 wRVU

    $211.43−$248.17

How to choose

74261CT colonographyDiagnostic, without contrast
Both describe diagnostic CT colonography; 74262 is for an examination with contrast, while 74261 is for one without contrast.
74263CT colonographyScreening examination
74263 identifies screening CT colonography. Choose 74262 when the study is performed for diagnostic evaluation rather than screening.
74280Colon X-rayDouble-contrast study
74280 is a conventional colon X-ray study using two contrast types. 74262 uses CT to create the colon images.

Codes related to 74262

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 74262
CodeHow it relatesNational office range
Same family
74261CT colonography, diagnostic, without contrastDiagnostic CT colonography without contrast; differs by contrast use.No office rate
Used instead
74263CT colonography, screening examinationCT colonography for screening rather than diagnostic evaluation.No office rate
74270Colon imaging, single-contrast studyConventional colon X-ray examination using contrast rather than CT colonography.$131.63–$201.01
74280Colon X-ray, double-contrast studyTwo-contrast colon X-ray examination, an alternative imaging method.$186.38–$288.52

74262 billing questions

How does this differ from 74261?

74262 is for diagnostic CT colonography performed with contrast. Use 74261 for the diagnostic study without contrast.

Can the professional and technical portions be billed separately?

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

Does the multiple procedure reduction affect only the technical portion?

No. CMS applies diagnostic imaging multiple procedure reduction to both the technical and professional components.

When is 74263 more appropriate?

74263 is the screening CT colonography code. Use 74262 when the examination is diagnostic rather than screening.

What documentation supports reporting 74262?

Document the diagnostic reason for the examination, use of contrast, CT image acquisition, and the radiologist's interpretation.

Is this the code for a conventional contrast enema?

No. 74262 describes CT colonography. Conventional colon X-ray contrast examinations are reported with codes such as 74270 or 74280, depending on the study performed.

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

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