CPT code 74410: Intravenous urography, infusion and/or bolus2026 Medicare rate & RVUs in Massachusetts
Reports intravenous urography using contrast infusion and/or bolus injection to image the urinary tract, with or without a KUB radiograph.
Medicare pays $151.36–$169.82 for 74410 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 74410 covers
This study uses intravenous contrast administered by infusion, bolus injection, or both, followed by radiographs of the urinary tract. The images assess the kidneys and collecting system, ureters, and bladder; a KUB may be included. It may be used to evaluate urinary tract anatomy or suspected obstruction. Radiology staff acquire the images, and a qualified physician, typically a radiologist, interprets the examination and documents the findings in an imaging setting.
Select 74410 when the intravenous urography includes infusion and/or bolus contrast administration and does not include nephrotomography; use 74415 when nephrotomography is performed. The report and imaging documentation should support the study performed, contrast administration method, and whether a KUB was obtained. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff services, and reporting 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 74410 pays more and less in Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston, MA | $169.82 | Unavailable |
| Rest of Massachusetts | $151.36 | Unavailable |
How the 74410 rate is calculated
Each of 74410’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 · 74410
RVUs × geographic indexes × conversion factor
Work0.48
0.48 RVUs× 1.000 GPCI
Practice expense3.81
3.81 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
4.3300
Conversion factor
$33.4009
Medicare rate
$144.63
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 74410
The CMS indicators that decide how 74410 is paid alongside other services.
CMS payment indicators · 74410
Intravenous urography, infusion and/or bolus
| 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
74410 without 26 · national office
$144.63
Intravenous urography, infusion and/or bolus
74410-26 · Professional component
$23.05
Pays only the interpretation and report.
74410 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 74400UrographyIntravenous contrast
- Choose 74410 when intravenous contrast is given by infusion and/or bolus; 74400 describes intravenous urography without that feature.
- 74415IV urographyWith nephrotomography
- 74415 is the option when nephrotomography is performed. 74410 covers infusion and/or bolus administration without nephrotomography.
- 74420Retrograde urographyWith or without KUB
- 74420 is retrograde urography, with contrast introduced through the urinary tract. 74410 uses intravenous contrast.
- 74425Antegrade urographyNephrostomy-route contrast imaging
- 74425 describes antegrade urography, not intravenous contrast administration. Use 74410 for the infusion and/or bolus intravenous study.
74410 billing questions
How is 74410 different from 74400?
74410 describes intravenous urography with contrast administered by infusion and/or bolus. Use 74400 for the corresponding study without that infusion or bolus feature.
When should 74415 be used instead?
Use 74415 when the intravenous urography includes nephrotomography. The presence of infusion or bolus administration alone does not make the study 74415.
Which modifier identifies the interpretation?
Append modifier 26 for the professional interpretation. Modifier TC identifies the technical service, while reporting without either modifier represents the global service.
Does the code require a KUB?
No. The study may include a KUB, but the code covers intravenous urography with or without one.
What should the imaging record support?
Documentation should establish that intravenous urography was performed, indicate whether contrast was administered by infusion, bolus, or both, and show whether a KUB was obtained.
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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