Billing code 74410: Intravenous urographyMedicare rate & RVUs

Medicare pays $144.63 for 74410 nationally in the office. Local office rates run $126.03–$202.02.

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

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

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

74410 rates by state

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

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.

Payment rules and modifiers for 74410

The CMS indicators that decide how 74410 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

74410 compared with similar codes

How to choose

74400Urography

Choose 74410 when intravenous contrast is given by infusion and/or bolus; 74400 describes intravenous urography without that feature.

74415IV urography

74415 is the option when nephrotomography is performed. 74410 covers infusion and/or bolus administration without nephrotomography.

74420Retrograde urography

74420 is retrograde urography, with contrast introduced through the urinary tract. 74410 uses intravenous contrast.

74425Antegrade urography

74425 describes antegrade urography, not intravenous contrast administration. Use 74410 for the infusion and/or bolus intravenous study.

Codes related to 74410

Related codes aren’t interchangeable: bill the code that matches the service performed.

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