FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

74440 in Delaware

Office / nonfacility

$99.81

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 74440: Radiologic vas deferens examination

Vasography documents the radiographic evaluation of the vas deferens after contrast introduction, commonly to investigate suspected obstruction during a male infertility workup.

This code represents the radiologic service for imaging the vas deferens after contrast is introduced into the duct. Vasography may be performed during a urologic evaluation of male infertility when obstruction or vasal patency is a clinical question. A urologist may access and cannulate the vas deferens, while radiology staff acquire the images and a qualified practitioner interprets them. The study is distinct from imaging the urethra, bladder, or penis because its target is the vas deferens.

Report the service when the record supports a vasography examination and includes the clinical indication, images or imaging record, and interpretation. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment-and-staff portion, and an unmodified claim represents the global service. The documentation and claim should reflect which portion the billing entity furnished; do not report the global service when billing only one component.

CMS billing rules for 74440

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 RVU0.37 · 12%
  • Practice expense (office) RVU2.63 · 87%
  • Malpractice RVU0.02 · 1%

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.

74440 compared with similar codes

Office rates for Delaware, from the same CMS release.

74450

X-ray urethra/bladder

No office rate

74440 evaluates the vas deferens; 74450 is used for retrograde imaging of the urethra and bladder.

74455

Voiding study

Urethra and bladder

$104.37

Choose 74455 for voiding imaging of the urethra and bladder, not for a contrast study of the vas deferens.

74445

X-ray exam of penis

No office rate

74445 concerns radiographic examination of the penis, including cavernosography; 74440 concerns the vas deferens.

74430

Bladder imaging

Retrograde contrast

$41.34

74430 is a bladder contrast examination. It does not describe imaging of the vas deferens.

The same code, a different location

How does Delaware compare?

74440 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $99.81

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $117.23

    $17.42 higher than Delaware

  3. Dc + Md/Va Suburbs

    $117.25

    $17.44 higher than Delaware

  4. Miami

    $105.49

    $5.68 higher than Delaware

  5. Chicago

    $102.26

    $2.45 higher than Delaware

  6. Manhattan

    $116.28

    $16.47 higher than Delaware

  7. Alaska*

    $112.46

    $12.65 higher than Delaware

Other payment areas listed in Delaware 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, 74440 ranges from $88.16 in Arkansas to $140.75 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

  • Alabama

    Alabama · 74440

    Office

    $89.60

    Facility

    Unavailable

    $10.21 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 74440

    Office

    $88.16

    Facility

    Unavailable

    $11.65 lower than Delaware for the office setting.

  • Arizona

    Arizona · 74440

    Office

    $98.05

    Facility

    Unavailable

    $1.76 lower than Delaware for the office setting.

  • Bakersfield

    California · 74440

    Office

    $109.28

    Facility

    Unavailable

    $9.47 higher than Delaware for the office setting.

  • Chico

    California · 74440

    Office

    $109.20

    Facility

    Unavailable

    $9.39 higher than Delaware for the office setting.

  • El Centro

    California · 74440

    Office

    $109.21

    Facility

    Unavailable

    $9.40 higher than Delaware for the office setting.

  • Fresno

    California · 74440

    Office

    $109.20

    Facility

    Unavailable

    $9.39 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 74440

    Office

    $109.20

    Facility

    Unavailable

    $9.39 higher than Delaware for the office setting.

  • Madera

    California · 74440

    Office

    $109.20

    Facility

    Unavailable

    $9.39 higher than Delaware for the office setting.

  • Merced

    California · 74440

    Office

    $109.20

    Facility

    Unavailable

    $9.39 higher than Delaware for the office setting.

  • Modesto

    California · 74440

    Office

    $109.20

    Facility

    Unavailable

    $9.39 higher than Delaware for the office setting.

  • Napa

    California · 74440

    Office

    $129.26

    Facility

    Unavailable

    $29.45 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 74440

    Office

    $116.95

    Facility

    Unavailable

    $17.14 higher than Delaware for the office setting.

  • Redding

    California · 74440

    Office

    $109.20

    Facility

    Unavailable

    $9.39 higher than Delaware for the office setting.

  • Rest Of California

    California · 74440

    Office

    $109.20

    Facility

    Unavailable

    $9.39 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 74440

    Office

    $109.43

    Facility

    Unavailable

    $9.62 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 74440

    Office

    $115.32

    Facility

    Unavailable

    $15.51 higher than Delaware for the office setting.

  • Salinas

    California · 74440

    Office

    $114.91

    Facility

    Unavailable

    $15.10 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 74440

    Office

    $118.15

    Facility

    Unavailable

    $18.34 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 74440

    Office

    $137.70

    Facility

    Unavailable

    $37.89 higher than Delaware for the office setting.

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

    California · 74440

    Office

    $137.68

    Facility

    Unavailable

    $37.87 higher than Delaware for the office setting.

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

    California · 74440

    Office

    $140.75

    Facility

    Unavailable

    $40.94 higher than Delaware for the office setting.

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

    California · 74440

    Office

    $140.65

    Facility

    Unavailable

    $40.84 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 74440

    Office

    $112.98

    Facility

    Unavailable

    $13.17 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 74440

    Office

    $119.71

    Facility

    Unavailable

    $19.90 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 74440

    Office

    $115.49

    Facility

    Unavailable

    $15.68 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 74440

    Office

    $120.96

    Facility

    Unavailable

    $21.15 higher than Delaware for the office setting.

  • Stockton

    California · 74440

    Office

    $109.20

    Facility

    Unavailable

    $9.39 higher than Delaware for the office setting.

  • Vallejo

    California · 74440

    Office

    $129.22

    Facility

    Unavailable

    $29.41 higher than Delaware for the office setting.

  • Visalia

    California · 74440

    Office

    $109.20

    Facility

    Unavailable

    $9.39 higher than Delaware for the office setting.

  • Yuba City

    California · 74440

    Office

    $109.20

    Facility

    Unavailable

    $9.39 higher than Delaware for the office setting.

  • Colorado

    Colorado · 74440

    Office

    $106.49

    Facility

    Unavailable

    $6.68 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 74440

    Office

    $108.02

    Facility

    Unavailable

    $8.21 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 74440

    Office

    $102.55

    Facility

    Unavailable

    $2.74 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 74440

    Office

    $97.34

    Facility

    Unavailable

    $2.47 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 74440

    Office

    $102.45

    Facility

    Unavailable

    $2.64 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 74440

    Office

    $91.51

    Facility

    Unavailable

    $8.30 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 74440

    Office

    $112.62

    Facility

    Unavailable

    $12.81 higher than Delaware for the office setting.

  • Iowa

    Iowa · 74440

    Office

    $93.00

    Facility

    Unavailable

    $6.81 lower than Delaware for the office setting.

  • Idaho

    Idaho · 74440

    Office

    $93.49

    Facility

    Unavailable

    $6.32 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 74440

    Office

    $94.52

    Facility

    Unavailable

    $5.29 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 74440

    Office

    $93.60

    Facility

    Unavailable

    $6.21 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 74440

    Office

    $103.84

    Facility

    Unavailable

    $4.03 higher than Delaware for the office setting.

  • Indiana

    Indiana · 74440

    Office

    $94.11

    Facility

    Unavailable

    $5.70 lower than Delaware for the office setting.

  • Kansas

    Kansas · 74440

    Office

    $92.11

    Facility

    Unavailable

    $7.70 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 74440

    Office

    $91.06

    Facility

    Unavailable

    $8.75 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 74440

    Office

    $95.78

    Facility

    Unavailable

    $4.03 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 74440

    Office

    $90.74

    Facility

    Unavailable

    $9.07 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 74440

    Office

    $118.35

    Facility

    Unavailable

    $18.54 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 74440

    Office

    $105.59

    Facility

    Unavailable

    $5.78 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 74440

    Office

    $107.64

    Facility

    Unavailable

    $7.83 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 74440

    Office

    $101.99

    Facility

    Unavailable

    $2.18 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 74440

    Office

    $93.59

    Facility

    Unavailable

    $6.22 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 74440

    Office

    $99.83

    Facility

    Unavailable

    $0.02 higher than Delaware for the office setting.

  • Detroit

    Michigan · 74440

    Office

    $98.25

    Facility

    Unavailable

    $1.56 lower than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 74440

    Office

    $93.31

    Facility

    Unavailable

    $6.50 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 74440

    Office

    $102.95

    Facility

    Unavailable

    $3.14 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 74440

    Office

    $95.50

    Facility

    Unavailable

    $4.31 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 74440

    Office

    $96.66

    Facility

    Unavailable

    $3.15 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 74440

    Office

    $88.73

    Facility

    Unavailable

    $11.08 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 74440

    Office

    $88.49

    Facility

    Unavailable

    $11.32 lower than Delaware for the office setting.

  • Montana**

    Montana · 74440

    Office

    $100.87

    Facility

    Unavailable

    $1.06 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 74440

    Office

    $94.74

    Facility

    Unavailable

    $5.07 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 74440

    Office

    $100.47

    Facility

    Unavailable

    $0.66 higher than Delaware for the office setting.

  • Nebraska

    Nebraska · 74440

    Office

    $93.69

    Facility

    Unavailable

    $6.12 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 74440

    Office

    $104.39

    Facility

    Unavailable

    $4.58 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 74440

    Office

    $115.75

    Facility

    Unavailable

    $15.94 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 74440

    Office

    $109.51

    Facility

    Unavailable

    $9.70 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 74440

    Office

    $93.71

    Facility

    Unavailable

    $6.10 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 74440

    Office

    $100.85

    Facility

    Unavailable

    $1.04 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 74440

    Office

    $118.84

    Facility

    Unavailable

    $19.03 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 74440

    Office

    $109.91

    Facility

    Unavailable

    $10.10 higher than Delaware for the office setting.

  • Queens

    New York · 74440

    Office

    $117.94

    Facility

    Unavailable

    $18.13 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 74440

    Office

    $96.28

    Facility

    Unavailable

    $3.53 lower than Delaware for the office setting.

  • Ohio

    Ohio · 74440

    Office

    $93.23

    Facility

    Unavailable

    $6.58 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 74440

    Office

    $91.32

    Facility

    Unavailable

    $8.49 lower than Delaware for the office setting.

  • Portland

    Oregon · 74440

    Office

    $110.65

    Facility

    Unavailable

    $10.84 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 74440

    Office

    $100.32

    Facility

    Unavailable

    $0.51 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 74440

    Office

    $104.82

    Facility

    Unavailable

    $5.01 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 74440

    Office

    $93.63

    Facility

    Unavailable

    $6.18 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 74440

    Office

    $101.83

    Facility

    Unavailable

    $2.02 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 74440

    Office

    $103.93

    Facility

    Unavailable

    $4.12 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 74440

    Office

    $94.09

    Facility

    Unavailable

    $5.72 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 74440

    Office

    $100.43

    Facility

    Unavailable

    $0.62 higher than Delaware for the office setting.

  • Tennessee

    Tennessee · 74440

    Office

    $92.57

    Facility

    Unavailable

    $7.24 lower than Delaware for the office setting.

  • Austin

    Texas · 74440

    Office

    $105.91

    Facility

    Unavailable

    $6.10 higher than Delaware for the office setting.

  • Beaumont

    Texas · 74440

    Office

    $92.92

    Facility

    Unavailable

    $6.89 lower than Delaware for the office setting.

  • Brazoria

    Texas · 74440

    Office

    $100.03

    Facility

    Unavailable

    $0.22 higher than Delaware for the office setting.

  • Dallas

    Texas · 74440

    Office

    $100.54

    Facility

    Unavailable

    $0.73 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 74440

    Office

    $99.67

    Facility

    Unavailable

    $0.14 lower than Delaware for the office setting.

  • Galveston

    Texas · 74440

    Office

    $100.24

    Facility

    Unavailable

    $0.43 higher than Delaware for the office setting.

  • Houston

    Texas · 74440

    Office

    $100.61

    Facility

    Unavailable

    $0.80 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 74440

    Office

    $96.33

    Facility

    Unavailable

    $3.48 lower than Delaware for the office setting.

  • Utah

    Utah · 74440

    Office

    $95.53

    Facility

    Unavailable

    $4.28 lower than Delaware for the office setting.

  • Virginia

    Virginia · 74440

    Office

    $99.18

    Facility

    Unavailable

    $0.63 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 74440

    Office

    $101.83

    Facility

    Unavailable

    $2.02 higher than Delaware for the office setting.

  • Vermont

    Vermont · 74440

    Office

    $99.66

    Facility

    Unavailable

    $0.15 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 74440

    Office

    $105.53

    Facility

    Unavailable

    $5.72 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 74440

    Office

    $121.31

    Facility

    Unavailable

    $21.50 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 74440

    Office

    $96.72

    Facility

    Unavailable

    $3.09 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 74440

    Office

    $89.65

    Facility

    Unavailable

    $10.16 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 74440

    Office

    $100.70

    Facility

    Unavailable

    $0.89 higher than Delaware for the office setting.

See how rates vary across the country

74440 · 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.

$88.16

$124.98

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$112.461
AL$89.601
AR$88.161
AZ$98.051
CA$109.20–$140.7529
CO$106.491
CT$108.021
DC$117.251
DE$99.811
FL$97.34–$105.493
GA$91.51–$102.452
GU$112.621
HI$112.621
IA$93.001
ID$93.491
IL$93.60–$103.844
IN$94.111
KS$92.111
KY$91.061
LA$90.74–$95.782
MA$105.59–$118.352
MD$101.99–$117.253
ME$93.59–$99.832
MI$93.31–$98.252
MN$102.951
MO$88.73–$96.663
MS$88.491
MT$100.871
NC$94.741
ND$100.471
NE$93.691
NH$104.391
NJ$109.51–$115.752
NM$93.711
NV$100.851
NY$96.28–$118.845
OH$93.231
OK$91.321
OR$100.32–$110.652
PA$93.63–$104.822
PR$101.831
RI$103.931
SC$94.091
SD$100.431
TN$92.571
TX$92.92–$105.918
UT$95.531
VA$99.18–$117.252
VI$101.831
VT$99.661
WA$105.53–$121.312
WI$96.721
WV$89.651
WY$100.701

Explore 74440 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 Delaware →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 74440 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$109.79

$99.81 × 110% = $109.79

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 74440 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

8,435

Code
74440
Physician work
0.37
Practice expense
2.63
Malpractice
0.02

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 74440 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.37× 1.0050.3718
Practice expense2.63× 0.9882.5984
Malpractice0.02× 0.8990.0180
Total RVUs2.9883
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$99.81

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 74440 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.371.005
Practice expense2.630.988
Malpractice0.020.899

(0.37 × 1.005 + 2.63 × 0.988 + 0.02 × 0.899) × $33.4009 = $99.81

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

74440 · Office / nonfacility

$99.81

Effective 2026-10-01

The base rate is $7.86 higher than on 2025-10-01, moving from $91.95 to $99.81 (8.5%).

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

    $91.95changed to$99.81

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.38 changed to 0.37
    • Practice expense RVU 2.46 changed to 2.63
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $91.95

    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$99.81Not available in this settingRVU26D
2026-07-01$99.81Not available in this settingRVU26C
2026-04-01$99.81Not available in this settingRVU26B
2026-01-01$99.81Not available in this settingRVU26A
2025-10-01$91.95Not available in this settingRVU25D
2025-07-01$91.95Not available in this settingRVU25C
2025-04-01$91.95Not available in this settingRVU25B
2025-01-01$91.95Not available in this settingRVU25A

74440 billing questions

When should I choose 74440 instead of a urethrography code?

Use 74440 for radiographic imaging of the vas deferens. Urethrography codes apply when the examination targets the urethra or urethra and bladder.

What do modifiers 26 and TC identify?

Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. An unmodified claim represents the global service.

Does 74440 describe the vas deferens cannulation procedure?

The code represents the radiologic examination, not the urologic access procedure itself. The record should support the imaging service and its interpretation.

What documentation supports reporting 74440?

Document the indication for vasography, the examination performed, the images or imaging record, and the interpretation. The claim should also reflect whether the professional, technical, or global service was furnished.

Can the professional and technical portions be billed separately?

Yes. CMS identifies modifier 26 for the professional portion and modifier TC for the technical portion; an unmodified claim represents both.

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 74440PPRRVU2026_Oct_nonQPP.csv, line 8,435 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet