CPT code 74445: Penile X-ray2026 Medicare rate & RVUs

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

What 74445 covers

This CPT radiology service represents an X-ray examination of the penis. The service may include the diagnostic imaging and physician interpretation when billed globally. Imaging personnel perform the technical work using radiographic equipment, and a physician provides the professional interpretation. The imaging report documents the examination and the interpreting physician’s findings.

Medicare lists this code with carrier-priced status: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. The service may be billed globally without a modifier, or split into its professional component with modifier 26 and its technical component with modifier TC. When billing separately, use the modifier that identifies the portion furnished.

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 74445 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

74445 rates by state

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

How the 74445 rate is calculated

Each of 74445’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 74445

The CMS indicators that decide how 74445 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

74445 compared with similar codes

How to choose

74440VasographyVas deferens imaging

Code 74445 is for an X-ray examination of the penis. Code 74440 covers radiographic examination of the male genital tract, including vasography, vesiculography, or epididymography.

74450UrethrocystographyRetrograde study

Code 74450 describes retrograde imaging of the urethra and bladder; 74445 is an X-ray examination of the penis.

74455Voiding studyUrethra and bladder

Code 74455 describes voiding imaging of the urethra and bladder, rather than an X-ray examination of the penis.

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