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CMS RVU26D · Effective 2026-10-01

74290 in Beaumont

Office / nonfacility

$74.81

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Radiology

About 74290: Oral-contrast gallbladder radiography

Reports x-ray imaging of the gallbladder after oral contrast is given to evaluate its appearance and findings such as gallstones.

This study uses oral contrast to make the gallbladder visible on x-ray images. A radiology technologist acquires the images, and a radiologist interprets the gallbladder’s filling and appearance, including findings such as calculi. It is a targeted gallbladder examination, generally performed in a hospital or imaging department when the ordered service is oral-contrast radiography rather than ultrasound or nuclear medicine imaging.

Report 74290 for the completed oral-contrast gallbladder radiographic service. It is not a general upper-GI or small-bowel contrast study, and it does not describe operative imaging of the bile ducts. Documentation should support the gallbladder indication, oral contrast and image acquisition, and a diagnostic interpretation. CMS recognizes separately billable professional and technical components: modifier 26 identifies the interpretation, and modifier TC identifies equipment and staff. Report the service without either modifier when billing the global service.

CMS billing rules for 74290

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.

Where the value comes from

  • Work RVU0.31 · 13%
  • Practice expense (office) RVU2.09 · 86%
  • Malpractice RVU0.03 · 1%

47

Medicare services in 2024 · #5395 by national volume

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.

74290 compared with similar codes

Office rates for Beaumont, from the same CMS release.

76705

Abdominal ultrasound

Targeted organ or quadrant

$80.19

Use 74290 for oral-contrast gallbladder x-ray imaging; 76705 is a limited abdominal ultrasound examination.

78226

Hepatobiliary imaging

Without drug intervention

$261.49

Code 78226 describes hepatobiliary nuclear imaging, not oral-contrast x-ray imaging of the gallbladder.

74300

X-ray bile ducts/pancreas

No office rate

Code 74300 concerns intraoperative cholangiography and/or pancreatography. Code 74290 is an oral-contrast radiographic study of the gallbladder.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 74290 is $85.12—$10.31 higher than the $74.81 rate in Beaumont. Both use the same code, release and participation basis.

74290 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $74.81

  2. Austin

    $85.12

    $10.31 higher than Beaumont

  3. Brazoria

    $80.40

    $5.59 higher than Beaumont

  4. Dallas

    $80.84

    $6.03 higher than Beaumont

  5. Fort Worth

    $80.15

    $5.34 higher than Beaumont

  6. Galveston

    $80.59

    $5.78 higher than Beaumont

  7. Houston

    $81.14

    $6.33 higher than Beaumont

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 74290 ranges from $70.84 in Arkansas to $112.69 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 74290

    Office

    $77.51

    Facility

    Unavailable

    $2.70 higher than Beaumont for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 74290

    Office

    $94.03

    Facility

    Unavailable

    $19.22 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 74290

    Office

    $94.26

    Facility

    Unavailable

    $19.45 higher than Beaumont for the office setting.

  • Miami

    Florida · 74290

    Office

    $85.56

    Facility

    Unavailable

    $10.75 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 74290

    Office

    $82.88

    Facility

    Unavailable

    $8.07 higher than Beaumont for the office setting.

  • Manhattan

    New York · 74290

    Office

    $93.72

    Facility

    Unavailable

    $18.91 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 74290

    Office

    $90.43

    Facility

    Unavailable

    $15.62 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 74290

    Office

    $72.00

    Facility

    Unavailable

    $2.81 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 74290

    Office

    $70.84

    Facility

    Unavailable

    $3.97 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 74290

    Office

    $78.86

    Facility

    Unavailable

    $4.05 higher than Beaumont for the office setting.

  • Bakersfield

    California · 74290

    Office

    $87.67

    Facility

    Unavailable

    $12.86 higher than Beaumont for the office setting.

  • Chico

    California · 74290

    Office

    $87.58

    Facility

    Unavailable

    $12.77 higher than Beaumont for the office setting.

  • El Centro

    California · 74290

    Office

    $87.58

    Facility

    Unavailable

    $12.77 higher than Beaumont for the office setting.

  • Fresno

    California · 74290

    Office

    $87.58

    Facility

    Unavailable

    $12.77 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 74290

    Office

    $87.58

    Facility

    Unavailable

    $12.77 higher than Beaumont for the office setting.

  • Madera

    California · 74290

    Office

    $87.58

    Facility

    Unavailable

    $12.77 higher than Beaumont for the office setting.

  • Merced

    California · 74290

    Office

    $87.58

    Facility

    Unavailable

    $12.77 higher than Beaumont for the office setting.

  • Modesto

    California · 74290

    Office

    $87.58

    Facility

    Unavailable

    $12.77 higher than Beaumont for the office setting.

  • Napa

    California · 74290

    Office

    $103.52

    Facility

    Unavailable

    $28.71 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 74290

    Office

    $93.78

    Facility

    Unavailable

    $18.97 higher than Beaumont for the office setting.

  • Redding

    California · 74290

    Office

    $87.58

    Facility

    Unavailable

    $12.77 higher than Beaumont for the office setting.

  • Rest Of California

    California · 74290

    Office

    $87.58

    Facility

    Unavailable

    $12.77 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 74290

    Office

    $87.90

    Facility

    Unavailable

    $13.09 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 74290

    Office

    $92.45

    Facility

    Unavailable

    $17.64 higher than Beaumont for the office setting.

  • Salinas

    California · 74290

    Office

    $92.12

    Facility

    Unavailable

    $17.31 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 74290

    Office

    $94.70

    Facility

    Unavailable

    $19.89 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 74290

    Office

    $110.23

    Facility

    Unavailable

    $35.42 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 74290

    Office

    $110.19

    Facility

    Unavailable

    $35.38 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 74290

    Office

    $112.69

    Facility

    Unavailable

    $37.88 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 74290

    Office

    $112.55

    Facility

    Unavailable

    $37.74 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 74290

    Office

    $90.58

    Facility

    Unavailable

    $15.77 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 74290

    Office

    $95.93

    Facility

    Unavailable

    $21.12 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 74290

    Office

    $92.58

    Facility

    Unavailable

    $17.77 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 74290

    Office

    $96.93

    Facility

    Unavailable

    $22.12 higher than Beaumont for the office setting.

  • Stockton

    California · 74290

    Office

    $87.58

    Facility

    Unavailable

    $12.77 higher than Beaumont for the office setting.

  • Vallejo

    California · 74290

    Office

    $103.47

    Facility

    Unavailable

    $28.66 higher than Beaumont for the office setting.

  • Visalia

    California · 74290

    Office

    $87.58

    Facility

    Unavailable

    $12.77 higher than Beaumont for the office setting.

  • Yuba City

    California · 74290

    Office

    $87.58

    Facility

    Unavailable

    $12.77 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 74290

    Office

    $85.54

    Facility

    Unavailable

    $10.73 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 74290

    Office

    $86.96

    Facility

    Unavailable

    $12.15 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 74290

    Office

    $80.28

    Facility

    Unavailable

    $5.47 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 74290

    Office

    $82.88

    Facility

    Unavailable

    $8.07 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 74290

    Office

    $78.60

    Facility

    Unavailable

    $3.79 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 74290

    Office

    $82.51

    Facility

    Unavailable

    $7.70 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 74290

    Office

    $73.82

    Facility

    Unavailable

    $0.99 lower than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 74290

    Office

    $90.31

    Facility

    Unavailable

    $15.50 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 74290

    Office

    $74.63

    Facility

    Unavailable

    $0.18 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 74290

    Office

    $75.05

    Facility

    Unavailable

    $0.24 higher than Beaumont for the office setting.

  • East St. Louis

    Illinois · 74290

    Office

    $76.60

    Facility

    Unavailable

    $1.79 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 74290

    Office

    $75.66

    Facility

    Unavailable

    $0.85 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 74290

    Office

    $83.90

    Facility

    Unavailable

    $9.09 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 74290

    Office

    $75.55

    Facility

    Unavailable

    $0.74 higher than Beaumont for the office setting.

  • Kansas

    Kansas · 74290

    Office

    $73.97

    Facility

    Unavailable

    $0.84 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 74290

    Office

    $73.33

    Facility

    Unavailable

    $1.48 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 74290

    Office

    $77.18

    Facility

    Unavailable

    $2.37 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 74290

    Office

    $73.09

    Facility

    Unavailable

    $1.72 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 74290

    Office

    $95.02

    Facility

    Unavailable

    $20.21 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 74290

    Office

    $84.83

    Facility

    Unavailable

    $10.02 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 74290

    Office

    $86.66

    Facility

    Unavailable

    $11.85 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 74290

    Office

    $82.02

    Facility

    Unavailable

    $7.21 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 74290

    Office

    $75.20

    Facility

    Unavailable

    $0.39 higher than Beaumont for the office setting.

  • Southern Maine

    Maine · 74290

    Office

    $80.17

    Facility

    Unavailable

    $5.36 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 74290

    Office

    $79.41

    Facility

    Unavailable

    $4.60 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 74290

    Office

    $75.22

    Facility

    Unavailable

    $0.41 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 74290

    Office

    $82.48

    Facility

    Unavailable

    $7.67 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 74290

    Office

    $76.88

    Facility

    Unavailable

    $2.07 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 74290

    Office

    $77.82

    Facility

    Unavailable

    $3.01 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 74290

    Office

    $71.50

    Facility

    Unavailable

    $3.31 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 74290

    Office

    $71.20

    Facility

    Unavailable

    $3.61 lower than Beaumont for the office setting.

  • Montana**

    Montana · 74290

    Office

    $81.16

    Facility

    Unavailable

    $6.35 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 74290

    Office

    $76.13

    Facility

    Unavailable

    $1.32 higher than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 74290

    Office

    $80.57

    Facility

    Unavailable

    $5.76 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 74290

    Office

    $75.17

    Facility

    Unavailable

    $0.36 higher than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 74290

    Office

    $83.90

    Facility

    Unavailable

    $9.09 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 74290

    Office

    $93.05

    Facility

    Unavailable

    $18.24 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 74290

    Office

    $88.10

    Facility

    Unavailable

    $13.29 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 74290

    Office

    $75.57

    Facility

    Unavailable

    $0.76 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 74290

    Office

    $81.07

    Facility

    Unavailable

    $6.26 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 74290

    Office

    $95.88

    Facility

    Unavailable

    $21.07 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 74290

    Office

    $88.47

    Facility

    Unavailable

    $13.66 higher than Beaumont for the office setting.

  • Queens

    New York · 74290

    Office

    $94.97

    Facility

    Unavailable

    $20.16 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 74290

    Office

    $77.38

    Facility

    Unavailable

    $2.57 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 74290

    Office

    $75.10

    Facility

    Unavailable

    $0.29 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 74290

    Office

    $73.47

    Facility

    Unavailable

    $1.34 lower than Beaumont for the office setting.

  • Portland

    Oregon · 74290

    Office

    $88.82

    Facility

    Unavailable

    $14.01 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 74290

    Office

    $80.59

    Facility

    Unavailable

    $5.78 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 74290

    Office

    $84.41

    Facility

    Unavailable

    $9.60 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 74290

    Office

    $75.38

    Facility

    Unavailable

    $0.57 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 74290

    Office

    $81.92

    Facility

    Unavailable

    $7.11 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 74290

    Office

    $83.56

    Facility

    Unavailable

    $8.75 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 74290

    Office

    $75.71

    Facility

    Unavailable

    $0.90 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 74290

    Office

    $80.50

    Facility

    Unavailable

    $5.69 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 74290

    Office

    $74.35

    Facility

    Unavailable

    $0.46 lower than Beaumont for the office setting.

  • Utah

    Utah · 74290

    Office

    $76.87

    Facility

    Unavailable

    $2.06 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 74290

    Office

    $79.68

    Facility

    Unavailable

    $4.87 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 74290

    Office

    $81.92

    Facility

    Unavailable

    $7.11 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 74290

    Office

    $79.97

    Facility

    Unavailable

    $5.16 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 74290

    Office

    $84.76

    Facility

    Unavailable

    $9.95 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 74290

    Office

    $97.34

    Facility

    Unavailable

    $22.53 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 74290

    Office

    $77.54

    Facility

    Unavailable

    $2.73 higher than Beaumont for the office setting.

  • West Virginia

    West Virginia · 74290

    Office

    $72.45

    Facility

    Unavailable

    $2.36 lower than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 74290

    Office

    $80.90

    Facility

    Unavailable

    $6.09 higher than Beaumont for the office setting.

See how rates vary across the country

74290 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$70.84

$100.13

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$90.431
AL$72.001
AR$70.841
AZ$78.861
CA$87.58–$112.6929
CO$85.541
CT$86.961
DC$94.261
DE$80.281
FL$78.60–$85.563
GA$73.82–$82.512
GU$90.311
HI$90.311
IA$74.631
ID$75.051
IL$75.66–$83.904
IN$75.551
KS$73.971
KY$73.331
LA$73.09–$77.182
MA$84.83–$95.022
MD$82.02–$94.263
ME$75.20–$80.172
MI$75.22–$79.412
MN$82.481
MO$71.50–$77.823
MS$71.201
MT$81.161
NC$76.131
ND$80.571
NE$75.171
NH$83.901
NJ$88.10–$93.052
NM$75.571
NV$81.071
NY$77.38–$95.885
OH$75.101
OK$73.471
OR$80.59–$88.822
PA$75.38–$84.412
PR$81.921
RI$83.561
SC$75.711
SD$80.501
TN$74.351
TX$74.81–$85.128
UT$76.871
VA$79.68–$94.262
VI$81.921
VT$79.971
WA$84.76–$97.342
WI$77.541
WV$72.451
WY$80.901

Explore 74290 on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 74290 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$82.29

$74.81 × 110% = $82.29

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 74290 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

8,387

Code
74290
Physician work
0.31
Practice expense
2.09
Malpractice
0.03

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 74290 in Beaumont
ComponentRVULocality factorAdjusted
Physician work0.31× 1.0000.3100
Practice expense2.09× 0.9101.9019
Malpractice0.03× 0.9290.0279
Total RVUs2.2398
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$74.81

Open 74290 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.311
Practice expense2.090.91
Malpractice0.030.929

(0.31 × 1 + 2.09 × 0.91 + 0.03 × 0.929) × $33.4009 = $74.81

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

74290 · Office / nonfacility

$74.81

Effective 2026-10-01

The base rate is $0.74 higher than on 2025-10-01, moving from $74.07 to $74.81 (1.0%).

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

    $74.07changed to$74.81

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.32 changed to 0.31
    • Practice expense RVU 2.15 changed to 2.09
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $74.07

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$74.81Not available in this settingRVU26D
2026-07-01$74.81Not available in this settingRVU26C
2026-04-01$74.81Not available in this settingRVU26B
2026-01-01$74.81Not available in this settingRVU26A
2025-10-01$74.07Not available in this settingRVU25D
2025-07-01$74.07Not available in this settingRVU25C
2025-04-01$74.07Not available in this settingRVU25B
2025-01-01$74.07Not available in this settingRVU25A

74290 billing questions

How is 74290 different from a limited abdominal ultrasound?

74290 is an x-ray examination using oral contrast to show the gallbladder. Code 76705 describes a limited abdominal ultrasound, which can be used to examine the gallbladder by a different imaging method.

When should modifier 26 or TC be reported?

Use modifier 26 for the professional interpretation and TC for the technical service, including equipment and staff. Without either modifier, 74290 represents the global service.

Does 74290 describe imaging of the bile ducts during surgery?

No. It describes oral-contrast x-ray imaging of the gallbladder. Code 74300 is used for intraoperative cholangiography and/or pancreatography supervision and interpretation.

How does 74290 differ from hepatobiliary nuclear imaging?

74290 is a radiographic study using oral contrast. Codes 78226 and 78227 describe hepatobiliary nuclear imaging; 78227 includes ejection-fraction measurement.

What documentation supports reporting 74290?

The record should identify the gallbladder indication, show that oral contrast and radiographic imaging were performed, and include the diagnostic interpretation.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 74290PPRRVU2026_Oct_nonQPP.csv, line 8,387 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet