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CMS RVU26D · Effective 2026-10-01

74425 in El Centro

Office / nonfacility

$144.73

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 74425: Antegrade urinary tract contrast study

Reports radiologic imaging and interpretation of the urinary collecting system after contrast is introduced in an antegrade direction through percutaneous access.

Antegrade urography uses radiographic imaging to show the renal collecting system and ureter after contrast is injected through percutaneous urinary access, commonly a nephrostomy catheter. A radiologist or interventional radiologist evaluates how contrast fills and passes through the urinary tract, including in patients being assessed for obstruction, narrowing, or a leak. The service is typically performed in a hospital or imaging department where fluoroscopic equipment and the existing access route are available.

Report 74425 for the antegrade contrast examination and its radiologic supervision and interpretation, rather than for catheter placement or exchange alone. The record should identify the access route, describe contrast flow and the images obtained, and include the interpreting clinician’s findings. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for the equipment and staff, or no component modifier when billing the global service. The components are separately priced by CMS.

CMS billing rules for 74425

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 RVU0.50 · 12%
  • Practice expense (office) RVU3.47 · 87%
  • Malpractice RVU0.04 · 1%

966

Medicare services in 2024 · #3000 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.

74425 compared with similar codes

Office rates for El Centro, from the same CMS release.

74420

Retrograde urography

With or without KUB

$87.05

74420 describes retrograde urography, in which contrast is introduced from below. Choose 74425 when contrast enters the urinary tract through percutaneous access in an antegrade direction.

74400

Urography

Intravenous contrast

$142.41

74400 is intravenous urography, with contrast administered into the bloodstream for excretory imaging. 74425 involves direct antegrade contrast injection through percutaneous urinary access.

74410

Intravenous urography

Infusion and/or bolus

$156.50

74410 describes infusion urography using a drip or bolus technique. 74425 is distinguished by antegrade contrast introduction through percutaneous access.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 74425 is $144.86—$0.13 higher than the $144.73 rate in El Centro. Both use the same code, release and participation basis.

74425 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $144.73

  2. Bakersfield

    $144.86

    $0.13 higher than El Centro

  3. Chico

    $144.73

    The same base rate than El Centro

  4. Fresno

    $144.73

    The same base rate than El Centro

  5. Hanford-Corcoran

    $144.73

    The same base rate than El Centro

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

    $155.38

    $10.65 higher than El Centro

  7. Madera

    $144.73

    The same base rate than El Centro

Other payment areas listed in California 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, 74425 ranges from $116.95 in Arkansas to $186.38 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

  • Merced

    California · 74425

    Office

    $144.73

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Modesto

    California · 74425

    Office

    $144.73

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Napa

    California · 74425

    Office

    $171.19

    Facility

    Unavailable

    $26.46 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 74425

    Office

    $155.00

    Facility

    Unavailable

    $10.27 higher than El Centro for the office setting.

  • Redding

    California · 74425

    Office

    $144.73

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Rest Of California

    California · 74425

    Office

    $144.73

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 74425

    Office

    $145.17

    Facility

    Unavailable

    $0.44 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 74425

    Office

    $152.81

    Facility

    Unavailable

    $8.08 higher than El Centro for the office setting.

  • Salinas

    California · 74425

    Office

    $152.26

    Facility

    Unavailable

    $7.53 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 74425

    Office

    $156.54

    Facility

    Unavailable

    $11.81 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 74425

    Office

    $182.32

    Facility

    Unavailable

    $37.59 higher than El Centro for the office setting.

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

    California · 74425

    Office

    $182.28

    Facility

    Unavailable

    $37.55 higher than El Centro for the office setting.

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

    California · 74425

    Office

    $186.38

    Facility

    Unavailable

    $41.65 higher than El Centro for the office setting.

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

    California · 74425

    Office

    $186.20

    Facility

    Unavailable

    $41.47 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 74425

    Office

    $149.71

    Facility

    Unavailable

    $4.98 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 74425

    Office

    $158.59

    Facility

    Unavailable

    $13.86 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 74425

    Office

    $153.02

    Facility

    Unavailable

    $8.29 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 74425

    Office

    $160.24

    Facility

    Unavailable

    $15.51 higher than El Centro for the office setting.

  • Stockton

    California · 74425

    Office

    $144.73

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Vallejo

    California · 74425

    Office

    $171.12

    Facility

    Unavailable

    $26.39 higher than El Centro for the office setting.

  • Visalia

    California · 74425

    Office

    $144.73

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Yuba City

    California · 74425

    Office

    $144.73

    Facility

    Unavailable

    The same base rate than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 74425

    Office

    $155.62

    Facility

    Unavailable

    $10.89 higher than El Centro for the office setting.

  • Miami

    Florida · 74425

    Office

    $140.73

    Facility

    Unavailable

    $4.00 lower than El Centro for the office setting.

  • Chicago

    Illinois · 74425

    Office

    $136.36

    Facility

    Unavailable

    $8.37 lower than El Centro for the office setting.

  • Manhattan

    New York · 74425

    Office

    $154.57

    Facility

    Unavailable

    $9.84 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 74425

    Office

    $149.22

    Facility

    Unavailable

    $4.49 higher than El Centro for the office setting.

  • Alabama

    Alabama · 74425

    Office

    $118.87

    Facility

    Unavailable

    $25.86 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 74425

    Office

    $116.95

    Facility

    Unavailable

    $27.78 lower than El Centro for the office setting.

  • Arizona

    Arizona · 74425

    Office

    $130.15

    Facility

    Unavailable

    $14.58 lower than El Centro for the office setting.

  • Colorado

    Colorado · 74425

    Office

    $141.26

    Facility

    Unavailable

    $3.47 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 74425

    Office

    $143.48

    Facility

    Unavailable

    $1.25 lower than El Centro for the office setting.

  • Delaware

    Delaware · 74425

    Office

    $132.50

    Facility

    Unavailable

    $12.23 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 74425

    Office

    $136.52

    Facility

    Unavailable

    $8.21 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 74425

    Office

    $129.51

    Facility

    Unavailable

    $15.22 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 74425

    Office

    $136.11

    Facility

    Unavailable

    $8.62 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 74425

    Office

    $121.68

    Facility

    Unavailable

    $23.05 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 74425

    Office

    $149.25

    Facility

    Unavailable

    $4.52 higher than El Centro for the office setting.

  • Iowa

    Iowa · 74425

    Office

    $123.28

    Facility

    Unavailable

    $21.45 lower than El Centro for the office setting.

  • Idaho

    Idaho · 74425

    Office

    $123.96

    Facility

    Unavailable

    $20.77 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 74425

    Office

    $126.02

    Facility

    Unavailable

    $18.71 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 74425

    Office

    $124.61

    Facility

    Unavailable

    $20.12 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 74425

    Office

    $138.22

    Facility

    Unavailable

    $6.51 lower than El Centro for the office setting.

  • Indiana

    Indiana · 74425

    Office

    $124.79

    Facility

    Unavailable

    $19.94 lower than El Centro for the office setting.

  • Kansas

    Kansas · 74425

    Office

    $122.15

    Facility

    Unavailable

    $22.58 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 74425

    Office

    $120.96

    Facility

    Unavailable

    $23.77 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 74425

    Office

    $127.28

    Facility

    Unavailable

    $17.45 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 74425

    Office

    $120.55

    Facility

    Unavailable

    $24.18 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 74425

    Office

    $156.96

    Facility

    Unavailable

    $12.23 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 74425

    Office

    $140.08

    Facility

    Unavailable

    $4.65 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 74425

    Office

    $142.98

    Facility

    Unavailable

    $1.75 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 74425

    Office

    $135.39

    Facility

    Unavailable

    $9.34 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 74425

    Office

    $124.16

    Facility

    Unavailable

    $20.57 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 74425

    Office

    $132.40

    Facility

    Unavailable

    $12.33 lower than El Centro for the office setting.

  • Detroit

    Michigan · 74425

    Office

    $130.80

    Facility

    Unavailable

    $13.93 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 74425

    Office

    $124.03

    Facility

    Unavailable

    $20.70 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 74425

    Office

    $136.36

    Facility

    Unavailable

    $8.37 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 74425

    Office

    $126.84

    Facility

    Unavailable

    $17.89 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 74425

    Office

    $128.38

    Facility

    Unavailable

    $16.35 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 74425

    Office

    $117.91

    Facility

    Unavailable

    $26.82 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 74425

    Office

    $117.48

    Facility

    Unavailable

    $27.25 lower than El Centro for the office setting.

  • Montana**

    Montana · 74425

    Office

    $133.93

    Facility

    Unavailable

    $10.80 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 74425

    Office

    $125.69

    Facility

    Unavailable

    $19.04 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 74425

    Office

    $133.14

    Facility

    Unavailable

    $11.59 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 74425

    Office

    $124.18

    Facility

    Unavailable

    $20.55 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 74425

    Office

    $138.52

    Facility

    Unavailable

    $6.21 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 74425

    Office

    $153.62

    Facility

    Unavailable

    $8.89 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 74425

    Office

    $145.40

    Facility

    Unavailable

    $0.67 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 74425

    Office

    $124.59

    Facility

    Unavailable

    $20.14 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 74425

    Office

    $133.83

    Facility

    Unavailable

    $10.90 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 74425

    Office

    $158.06

    Facility

    Unavailable

    $13.33 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 74425

    Office

    $145.98

    Facility

    Unavailable

    $1.25 higher than El Centro for the office setting.

  • Queens

    New York · 74425

    Office

    $156.69

    Facility

    Unavailable

    $11.96 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 74425

    Office

    $127.75

    Facility

    Unavailable

    $16.98 lower than El Centro for the office setting.

  • Ohio

    Ohio · 74425

    Office

    $123.86

    Facility

    Unavailable

    $20.87 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 74425

    Office

    $121.24

    Facility

    Unavailable

    $23.49 lower than El Centro for the office setting.

  • Portland

    Oregon · 74425

    Office

    $146.73

    Facility

    Unavailable

    $2.00 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 74425

    Office

    $133.08

    Facility

    Unavailable

    $11.65 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 74425

    Office

    $139.25

    Facility

    Unavailable

    $5.48 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 74425

    Office

    $124.36

    Facility

    Unavailable

    $20.37 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 74425

    Office

    $135.19

    Facility

    Unavailable

    $9.54 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 74425

    Office

    $137.94

    Facility

    Unavailable

    $6.79 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 74425

    Office

    $124.93

    Facility

    Unavailable

    $19.80 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 74425

    Office

    $133.05

    Facility

    Unavailable

    $11.68 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 74425

    Office

    $122.77

    Facility

    Unavailable

    $21.96 lower than El Centro for the office setting.

  • Austin

    Texas · 74425

    Office

    $140.54

    Facility

    Unavailable

    $4.19 lower than El Centro for the office setting.

  • Beaumont

    Texas · 74425

    Office

    $123.41

    Facility

    Unavailable

    $21.32 lower than El Centro for the office setting.

  • Brazoria

    Texas · 74425

    Office

    $132.73

    Facility

    Unavailable

    $12.00 lower than El Centro for the office setting.

  • Dallas

    Texas · 74425

    Office

    $133.43

    Facility

    Unavailable

    $11.30 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 74425

    Office

    $132.29

    Facility

    Unavailable

    $12.44 lower than El Centro for the office setting.

  • Galveston

    Texas · 74425

    Office

    $133.03

    Facility

    Unavailable

    $11.70 lower than El Centro for the office setting.

  • Houston

    Texas · 74425

    Office

    $133.76

    Facility

    Unavailable

    $10.97 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 74425

    Office

    $127.90

    Facility

    Unavailable

    $16.83 lower than El Centro for the office setting.

  • Utah

    Utah · 74425

    Office

    $126.85

    Facility

    Unavailable

    $17.88 lower than El Centro for the office setting.

  • Virginia

    Virginia · 74425

    Office

    $131.57

    Facility

    Unavailable

    $13.16 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 74425

    Office

    $135.19

    Facility

    Unavailable

    $9.54 lower than El Centro for the office setting.

  • Vermont

    Vermont · 74425

    Office

    $132.12

    Facility

    Unavailable

    $12.61 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 74425

    Office

    $139.98

    Facility

    Unavailable

    $4.75 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 74425

    Office

    $160.84

    Facility

    Unavailable

    $16.11 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 74425

    Office

    $128.15

    Facility

    Unavailable

    $16.58 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 74425

    Office

    $119.33

    Facility

    Unavailable

    $25.40 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 74425

    Office

    $133.59

    Facility

    Unavailable

    $11.14 lower than El Centro for the office setting.

See how rates vary across the country

74425 · 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.

$116.95

$165.56

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$149.221
AL$118.871
AR$116.951
AZ$130.151
CA$144.73–$186.3829
CO$141.261
CT$143.481
DC$155.621
DE$132.501
FL$129.51–$140.733
GA$121.68–$136.112
GU$149.251
HI$149.251
IA$123.281
ID$123.961
IL$124.61–$138.224
IN$124.791
KS$122.151
KY$120.961
LA$120.55–$127.282
MA$140.08–$156.962
MD$135.39–$155.623
ME$124.16–$132.402
MI$124.03–$130.802
MN$136.361
MO$117.91–$128.383
MS$117.481
MT$133.931
NC$125.691
ND$133.141
NE$124.181
NH$138.521
NJ$145.40–$153.622
NM$124.591
NV$133.831
NY$127.75–$158.065
OH$123.861
OK$121.241
OR$133.08–$146.732
PA$124.36–$139.252
PR$135.191
RI$137.941
SC$124.931
SD$133.051
TN$122.771
TX$123.41–$140.548
UT$126.851
VA$131.57–$155.622
VI$135.191
VT$132.121
WA$139.98–$160.842
WI$128.151
WV$119.331
WY$133.591

Explore 74425 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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 California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 74425 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$159.20

$144.73 × 110% = $159.20

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 74425 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

8,429

Code
74425
Physician work
0.50
Practice expense
3.47
Malpractice
0.04

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 74425 in El Centro
ComponentRVULocality factorAdjusted
Physician work0.50× 1.0170.5085
Practice expense3.47× 1.0963.8031
Malpractice0.04× 0.5410.0216
Total RVUs4.3333
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$144.73

Open 74425 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.51.017
Practice expense3.471.096
Malpractice0.040.541

(0.5 × 1.017 + 3.47 × 1.096 + 0.04 × 0.541) × $33.4009 = $144.73

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

74425 · Office / nonfacility

$144.73

Effective 2026-10-01

The base rate is $5.29 higher than on 2025-10-01, moving from $139.44 to $144.73 (3.8%).

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

    $139.44changed to$144.73

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.51 changed to 0.50
    • Practice expense RVU 3.45 changed to 3.47
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $139.44

    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$144.73Not available in this settingRVU26D
2026-07-01$144.73Not available in this settingRVU26C
2026-04-01$144.73Not available in this settingRVU26B
2026-01-01$144.73Not available in this settingRVU26A
2025-10-01$139.44Not available in this settingRVU25D
2025-07-01$139.44Not available in this settingRVU25C
2025-04-01$139.44Not available in this settingRVU25B
2025-01-01$139.44Not available in this settingRVU25A

74425 billing questions

When is 74425 used instead of retrograde urography?

Use 74425 when contrast is introduced in an antegrade direction through percutaneous urinary access, such as a nephrostomy catheter. Retrograde urography uses contrast introduced from the lower urinary tract.

Does 74425 report nephrostomy catheter placement or exchange?

No. It reports the radiologic examination and interpretation of the urinary tract after antegrade contrast injection, not catheter placement or exchange by itself.

How are the professional and technical components reported?

Use modifier 26 for the professional interpretation and modifier TC for the technical service. Billing without either modifier represents the global service.

What documentation supports 74425?

Document the percutaneous access route, contrast injection and resulting images, and the interpreting clinician’s findings about filling and passage through the collecting system and ureter.

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 74425PPRRVU2026_Oct_nonQPP.csv, line 8,429 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet