CPT code 74283: Intussusception reduction, fluoroscopic therapeutic procedure2026 Medicare rate & RVUs in Massachusetts
Reports fluoroscopy-guided therapeutic treatment of intussusception or another intestinal obstruction, commonly using air or contrast to reduce the blockage.
Medicare pays $291.54–$323.21 for 74283 in the office in Massachusetts, from Rest of Massachusetts to Metropolitan Boston, MA. Which amount applies depends on the service address.
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 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 in Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston, MA | $323.21 | Unavailable |
| Rest of Massachusetts | $291.54 | Unavailable |
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.
How the rate is built · 74283
RVUs × geographic indexes × conversion factor
Work1.97
1.97 RVUs× 1.000 GPCI
Practice expense6.29
6.29 RVUs× 1.000 GPCI
Malpractice0.13
0.13 RVUs× 1.000 GPCI
Adjusted RVUs
8.3900
Conversion factor
$33.4009
Medicare rate
$280.23
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 74283
The CMS indicators that decide how 74283 is paid alongside other services.
CMS payment indicators · 74283
Intussusception reduction, fluoroscopic therapeutic procedure
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| 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
74283 without 26 · national office
$280.23
Intussusception reduction, fluoroscopic therapeutic procedure
74283-26 · Professional component
$102.87
Pays only the interpretation and report.
74283 compared with similar codes
Compare codes · National
4 codes, side by side
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.
74283 billing questions
When should this code be chosen instead of a contrast enema code?
Use this code when fluoroscopy guides a therapeutic procedure for intussusception or another intestinal obstruction. A contrast enema performed to evaluate the colon without therapeutic intent is a diagnostic study instead.
Can the professional and technical components be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical component, including equipment and staff. Without either modifier, the claim represents the global service.
Is fluoroscopic guidance included in this service?
Yes. The code covers the therapeutic radiologic procedure with fluoroscopy, so the fluoroscopic guidance for that procedure is not reported as a separate service.
What documentation supports reporting this code?
Record the obstruction or intussusception being treated, the therapeutic technique and material used, the fluoroscopic findings, and the outcome of the attempt.
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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