CPT code 74283: Intussusception reduction, fluoroscopic therapeutic procedure2026 Medicare rate & RVUs

Medicare pays $280.23 for 74283 nationally in the office. Local office rates run $248.50–$378.32.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 74283 covers

This service uses imaging to guide a therapeutic maneuver for intussusception or another intestinal obstruction. A common example is a radiologist reducing a child’s intussusception with air or liquid contrast introduced through a rectal catheter while monitoring the bowel under fluoroscopy. The work is typically performed in a hospital radiology department, where the team can assess the response during the procedure and coordinate further care if reduction is unsuccessful.

Report the service for the therapeutic radiologic procedure, rather than for a contrast study performed only to evaluate the bowel. Documentation should identify the indication, the technique and material used, fluoroscopic findings, and the result of the therapeutic attempt. CMS recognizes separately priced professional and technical components: modifier 26 identifies the physician’s interpretation, and modifier TC identifies the equipment and staff component. A claim 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.

Where 74283 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

74283 rates by state

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

How the 74283 rate is calculated

Each of 74283’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.

Payment rules and modifiers for 74283

The CMS indicators that decide how 74283 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

74283 compared with similar codes

How to choose

74270Colon imagingSingle-contrast study

74270 is a diagnostic single-contrast colon examination. Choose 74283 when imaging guides treatment of an intestinal obstruction, not merely diagnostic evaluation.

74280Colon X-rayDouble-contrast study

74280 is a diagnostic double-contrast colon examination. It does not describe fluoroscopy-guided therapeutic reduction of intussusception or another obstruction.

74250Small-bowel X-raySingle contrast

74250 describes a diagnostic single-contrast examination of the small intestine. It is not the therapeutic radiologic procedure reported with 74283.

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