CPT code 74262: CT colonography, diagnostic with contrast2026 Medicare rate & RVUs in Massachusetts
Report this diagnostic CT colonography when the colon is evaluated with CT using contrast, rather than for a screening examination or noncontrast study.
CMS doesn’t publish an office rate for 74262 in Massachusetts.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston, MA | Unavailable | Unavailable |
| Rest of Massachusetts | Unavailable | Unavailable |
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
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
| 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
74262 without 26 · national office
$459.60
CT colonography, diagnostic with contrast
74262-26 · Professional component
$115.57
Pays only the interpretation and report.
74262 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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