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

Reports fluoroscopy-guided therapeutic treatment of intussusception or another intestinal obstruction, commonly using air or contrast to reduce the blockage.

CMS RVU26DEffective Oct 1, 2026One payment locality863 Medicare services in 2024

In Utah, Medicare pays $267.19 for 74283 in the office.

$267.19Office (non-facility)
Not available in this settingHospital or facility
−4.7%vs the national office rate ($280.23)

Check a contract rate as a % of Medicare · 74283 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 74283 for the payment locality that covers the ZIP.

On this page 10 sections
  1. Rate in Utah
  2. What 74283 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Rate history
  8. Where it applies
  9. Billing questions
  10. Sources

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.

How Utah compares for 74283

Across 109 of 109 payment localities, the office rate for 74283 runs from $248.50 in Arkansas to $378.32 in San Benito County, CA. Utah pays $267.19. The RVUs are the same everywhere; the geographic indexes change the dollars.

74283 in Utah vs other payment areas
  1. Utah · this page$267.19
  2. Los Angeles, CA · California$319.92+$52.73
  3. Washington, DC area · District of Columbia$321.67+$54.48
  4. Miami, FL · Florida$295.49+$28.30
  5. Chicago, IL · Illinois$287.37+$20.18
  6. Manhattan, NY · New York$321.02+$53.83
  7. Alaska · Alaska$324.84+$57.65

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

Every other payment area

74283 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$252.09—
ArkansasArkansas$248.50—
ArizonaArizona$273.10—
Bakersfield, CACalifornia$299.95—
Chico, CACalifornia$299.51—
El Centro, CACalifornia$299.53—
Fresno, CACalifornia$299.51—
Hanford, CACalifornia$299.51—

74283 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.

$248.50

$338.91

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
74283 office rate range by state
State / territoryOffice rate rangeLocalities
AK$324.841
AL$252.091
AR$248.501
AZ$273.101
CA$299.51–$378.3229
CO$293.521
CT$298.641
DC$321.671
DE$277.601
FL$273.17–$295.493
GA$258.38–$284.672
GU$307.191
HI$307.191
IA$259.761
ID$261.141
IL$264.40–$289.724
IN$262.671
KS$257.911
KY$256.541
LA$255.89–$268.432
MA$291.54–$323.212
MD$283.06–$321.673
ME$261.78–$276.742
MI$262.52–$275.862
MN$283.271
MO$251.13–$270.163
MS$249.901
MT$280.221
NC$264.591
ND$277.651
NE$261.361
NH$288.301
NJ$302.62–$318.292
NM$263.671
NV$279.721
NY$268.44–$327.875
OH$261.991
OK$256.791
OR$278.10–$303.492
PA$262.77–$290.872
PR$282.481
RI$287.951
SC$263.621
SD$277.351
TN$259.101
TX$261.02–$292.068
UT$267.191
VA$275.39–$321.672
VI$282.481
VT$275.991
WA$291.19–$330.422
WI$268.401
WV$254.581
WY$279.101

See 74283 in every payment locality

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

Office or facility?

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.

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

8,384

Code
74283
Physician work
1.97
Practice expense
6.29
Malpractice
0.13

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 74283 in Utah
ComponentRVULocality factorAdjusted
Physician work1.97× 1.0001.9700
Practice expense6.29× 0.9405.9126
Malpractice0.13× 0.8980.1167
Total RVUs7.9993
Conversion factor× 33.4009

Office rate, Utah$267.19

Office: (1.97 × 1 + 6.29 × 0.94 + 0.13 × 0.898) × $33.4009 = $267.19

Open 74283 in the RVU calculator

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

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

74283 without 26 · national office

$280.23

Intussusception reduction, fluoroscopic therapeutic procedure

74283-26 · Professional component

$102.87

Pays only the interpretation and report.

When to use modifier 26

How 74283 has changed in Utah

74283 · Office / nonfacility

$267.19

Effective 2026-10-01

The base rate is $27.73 higher than on 2025-10-01, moving from $239.46 to $267.19 (11.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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
  1. January 1, 2026

    RVU26A

    $239.46changed to$267.19

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.02 changed to 1.97
    • Practice expense RVU 5.66 changed to 6.29
    • Malpractice RVU 0.11 changed to 0.13
    • Practice expense GPCI 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $241.77changed to$239.46

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.51 changed to 5.66

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $237.83changed to$241.77

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $246.44changed to$237.83

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.56 changed to 5.51
    • Malpractice RVU 0.12 changed to 0.11
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930
  5. January 1, 2023

    RVU23A

    $253.59changed to$246.44

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.68 changed to 5.56
    • Malpractice RVU 0.11 changed to 0.12
    • Practice expense GPCI 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $253.17changed to$253.59

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.61 changed to 5.68
    • Malpractice RVU 0.10 changed to 0.11

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $239.00changed to$253.17

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.88 changed to 5.61
    • Practice expense GPCI 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $227.26changed to$239.00

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.46 changed to 4.88
    • Malpractice RVU 0.13 changed to 0.10
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $204.65changed to$227.26

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.79 changed to 4.46

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $202.43changed to$204.65

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.75 changed to 3.79
    • Practice expense GPCI 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $197.60changed to$202.43

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.63 changed to 3.75
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $200.17changed to$197.60

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.61 changed to 3.63
    • Malpractice RVU 0.19 changed to 0.13

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $199.17changed to$200.17

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $197.27changed to$199.17

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.72 changed to 3.61
    • Malpractice RVU 0.06 changed to 0.19
    • Practice expense GPCI 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $193.45changed to$197.27

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.93 changed to 3.72
    • Practice expense GPCI 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $193.45

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$267.19Not available in this settingRVU26D
2026-07-01$267.19Not available in this settingRVU26C
2026-04-01$267.19Not available in this settingRVU26B
2026-01-01$267.19Not available in this settingRVU26A
2025-10-01$239.46Not available in this settingRVU25D
2025-07-01$239.46Not available in this settingRVU25C
2025-04-01$239.46Not available in this settingRVU25B
2025-01-01$239.46Not available in this settingRVU25A
2024-10-01$241.77Not available in this settingRVU24D
2024-07-01$241.77Not available in this settingRVU24C
2024-04-01$241.77Not available in this settingRVU24B
2024-03-09$241.77Not available in this settingRVU24AR
2024-01-01$237.83Not available in this settingRVU24A
2023-10-01$246.44Not available in this settingRVU23D
2023-07-01$246.44Not available in this settingRVU23C
2023-04-01$246.44Not available in this settingRVU23B
2023-01-01$246.44Not available in this settingRVU23A
2022-10-01$253.59Not available in this settingRVU22D
2022-07-01$253.59Not available in this settingRVU22C
2022-04-01$253.59Not available in this settingRVU22B
2022-01-01$253.59Not available in this settingRVU22A
2021-10-01$253.17Not available in this settingRVU21D
2021-07-01$253.17Not available in this settingRVU21C
2021-04-01$253.17Not available in this settingRVU21B
2021-01-01$253.17Not available in this settingRVU21A
2020-10-01$239.00Not available in this settingRVU20D
2020-07-01$239.00Not available in this settingRVU20C
2020-04-01$239.00Not available in this settingRVU20B
2020-01-01$239.00Not available in this settingRVU20A
2019-10-01$227.26Not available in this settingRVU19D
2019-07-01$227.26Not available in this settingRVU19C
2019-04-01$227.26Not available in this settingRVU19B
2019-01-01$227.26Not available in this settingRVU19A
2018-10-01$204.65Not available in this settingRVU18D
2018-07-01$204.65Not available in this settingRVU18C
2018-04-01$204.65Not available in this settingRVU18B
2018-01-01$204.65Not available in this settingRVU18AR1
2017-10-01$202.43Not available in this settingRVU17D
2017-07-01$202.43Not available in this settingRVU17C
2017-04-01$202.43Not available in this settingRVU17B
2017-01-01$202.43Not available in this settingRVU17A
2016-10-01$197.60Not available in this settingRVU16D
2016-07-01$197.60Not available in this settingRVU16C
2016-04-01$197.60Not available in this settingRVU16B
2016-01-01$197.60Not available in this settingRVU16A
2015-10-01$200.17Not available in this settingRVU15D
2015-07-01$200.17Not available in this settingRVU15C
2015-04-01$199.17Not available in this settingRVU15B
2015-01-01$199.17Not available in this settingRVU15A
2014-10-01$197.27Not available in this settingRVU14D
2014-07-01$197.27Not available in this settingRVU14C
2014-04-01$197.27Not available in this settingRVU14B
2014-01-01$197.27Not available in this settingRVU14A
2013-10-01$193.45Not available in this settingRVU13D
2013-07-01$193.45Not available in this settingRVU13C
2013-04-01$193.45Not available in this settingRVU13B
2013-01-01$193.45Not available in this settingRVU13AR

Price 74283 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

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
RVUs for 74283PPRRVU2026_Oct_nonQPP.csv, line 8,384 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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