CPT code 74445: Penile X-ray2026 Medicare rate & RVUs in Missouri
This radiographic service reports an X-ray examination of the penis, with global, professional, or technical billing based on the work performed.
CMS doesn’t publish an office rate for 74445 in Missouri.
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 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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | Unavailable |
| Metropolitan St. Louis, MO | Unavailable | Unavailable |
| Rest of Missouri | Unavailable | Unavailable |
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.
How the rate is built · 74445
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 74445
The CMS indicators that decide how 74445 is paid alongside other services.
CMS payment indicators · 74445
Penile X-ray
| 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
74445 without 26 · national facility
$0.00
Penile X-ray
74445-26 · Professional component
$53.78
Pays only the interpretation and report.
74445 compared with similar codes
Compare codes · National
4 codes, side by side
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.
74445 billing questions
When should this code be chosen instead of 74440?
Use 74445 for an X-ray examination of the penis. Code 74440 is for radiographic examination of the male genital tract, such as vasography, vesiculography, or epididymography.
How are the professional and technical portions reported?
Report the global service without a modifier. Use modifier 26 for the professional interpretation or TC for the technical work when billing those portions separately.
Does Medicare set a national payment for this code?
No. This code has carrier-priced status, so the Medicare Administrative Contractor sets payment for each claim.
What should the imaging documentation identify?
Document the penile examination performed and the interpreting physician’s findings.
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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