$362.49
74178 includes diagnostic noncontrast imaging followed by contrast-enhanced imaging, as in some renal mass protocols. If the diagnostic images are acquired only after IV contrast, report 74177.
On this page
CMS RVU26D · Effective 2026-10-01
74177 in Merced
Office / nonfacility
$322.00
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 74177: CT abdomen and pelvis with IV contrast
Computed tomography of the abdomen and pelvis after intravenous contrast, without a diagnostic precontrast series, is reported for abdominal pain, infection, trauma, or cancer staging.
This study images the abdomen and pelvis, generally from the diaphragm through the pubic symphysis, during one combined examination. Diagnostic images are acquired after iodinated intravenous contrast, without a diagnostic precontrast series. Common indications include suspected appendicitis or diverticulitis, abscess, bowel obstruction, blunt trauma, and cancer staging or surveillance. Technologists perform the scan in hospital CT departments, emergency departments, and freestanding imaging centers; a radiologist interprets the images and issues a report.
Report one unit when both regions are imaged as a combined contrast-enhanced exam; do not substitute separate abdomen-only and pelvis-only CT codes. Documentation should identify the regions scanned, intravenous contrast administration, the series acquired, and the findings. On physician fee schedule claims, modifier 26 identifies the radiologist's interpretation and modifier TC identifies the equipment-and-staff portion. Report the global service without either modifier when the same billing entity provides both components. The diagnostic imaging multiple procedure reduction can affect both professional and technical components when another eligible imaging study, such as chest CT, is performed in the same session.
CMS billing rules for 74177
- 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.
- Multiple procedures
- Diagnostic imaging multiple procedure reduction applies to the technical and professional components.
Where the value comes from
- Work RVU1.77 · 20%
- Practice expense (office) RVU7.09 · 79%
- Malpractice RVU0.13 · 1%
3.6M
Medicare services in 2024 · #52 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.
74177 compared with similar codes
Office rates for Merced, from the same CMS release.
$405.91
74174 is a CT angiogram with arterial-phase timing and angiographic image post-processing for vascular questions. A routine contrast-enhanced abdomen and pelvis CT is 74177.
$194.07
74176 is the noncontrast study, used for kidney stone protocols or when IV contrast is contraindicated. Oral contrast alone still falls under 74176.
$247.27
74160 covers the abdomen only. If the pelvis is also scanned in the same combined exam, 74177 replaces separate abdomen and pelvis CT codes.
The same code, a different location
How does Merced compare?
In Bakersfield, the office rate for 74177 is $322.43—$0.43 higher than the $322.00 rate in Merced. Both use the same code, release and participation basis.
74177 across payment areas
Same release and payment basis · bars start at $0
Merced · This locality
$322.00
$322.43
$0.43 higher than Merced
$322.00
The same base rate than Merced
$322.02
$0.02 higher than Merced
$322.00
The same base rate than Merced
$322.00
The same base rate than Merced
$22.58 higher than Merced
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, 74177 ranges from $264.78 in Arkansas to $409.43 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
Madera
California · 74177
Office
$322.00
Facility
Unavailable
The same base rate than Merced for the office setting.
Modesto
California · 74177
Office
$322.00
Facility
Unavailable
The same base rate than Merced for the office setting.
Napa
California · 74177
Office
$377.17
Facility
Unavailable
$55.17 higher than Merced for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 74177
Office
$343.39
Facility
Unavailable
$21.39 higher than Merced for the office setting.
Redding
California · 74177
Office
$322.00
Facility
Unavailable
The same base rate than Merced for the office setting.
Rest Of California
California · 74177
Office
$322.00
Facility
Unavailable
The same base rate than Merced for the office setting.
Riverside-San Bernardino-Ontario
California · 74177
Office
$323.43
Facility
Unavailable
$1.43 higher than Merced for the office setting.
Sacramento-Roseville-Folsom
California · 74177
Office
$338.99
Facility
Unavailable
$16.99 higher than Merced for the office setting.
Salinas
California · 74177
Office
$337.75
Facility
Unavailable
$15.75 higher than Merced for the office setting.
San Diego-Chula Vista-Carlsbad
California · 74177
Office
$346.47
Facility
Unavailable
$24.47 higher than Merced for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 74177
Office
$400.63
Facility
Unavailable
$78.63 higher than Merced for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 74177
Office
$400.49
Facility
Unavailable
$78.49 higher than Merced for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 74177
Office
$409.43
Facility
Unavailable
$87.43 higher than Merced for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 74177
Office
$408.83
Facility
Unavailable
$86.83 higher than Merced for the office setting.
San Luis Obispo-Paso Robles
California · 74177
Office
$332.18
Facility
Unavailable
$10.18 higher than Merced for the office setting.
Santa Cruz-Watsonville
California · 74177
Office
$350.42
Facility
Unavailable
$28.42 higher than Merced for the office setting.
Santa Maria-Santa Barbara
California · 74177
Office
$339.23
Facility
Unavailable
$17.23 higher than Merced for the office setting.
Santa Rosa-Petaluma
California · 74177
Office
$354.03
Facility
Unavailable
$32.03 higher than Merced for the office setting.
Stockton
California · 74177
Office
$322.00
Facility
Unavailable
The same base rate than Merced for the office setting.
Vallejo
California · 74177
Office
$376.96
Facility
Unavailable
$54.96 higher than Merced for the office setting.
Visalia
California · 74177
Office
$322.00
Facility
Unavailable
The same base rate than Merced for the office setting.
Yuba City
California · 74177
Office
$322.00
Facility
Unavailable
The same base rate than Merced for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 74177
Office
$346.11
Facility
Unavailable
$24.11 higher than Merced for the office setting.
Miami
Florida · 74177
Office
$316.62
Facility
Unavailable
$5.38 lower than Merced for the office setting.
Chicago
Illinois · 74177
Office
$307.50
Facility
Unavailable
$14.50 lower than Merced for the office setting.
Manhattan
New York · 74177
Office
$344.97
Facility
Unavailable
$22.97 higher than Merced for the office setting.
Alaska*
Alaska · 74177
Office
$343.28
Facility
Unavailable
$21.28 higher than Merced for the office setting.
Alabama
Alabama · 74177
Office
$268.79
Facility
Unavailable
$53.21 lower than Merced for the office setting.
Arkansas
Arkansas · 74177
Office
$264.78
Facility
Unavailable
$57.22 lower than Merced for the office setting.
Arizona
Arizona · 74177
Office
$292.31
Facility
Unavailable
$29.69 lower than Merced for the office setting.
Colorado
Colorado · 74177
Office
$315.19
Facility
Unavailable
$6.81 lower than Merced for the office setting.
Connecticut
Connecticut · 74177
Office
$320.60
Facility
Unavailable
$1.40 lower than Merced for the office setting.
Delaware
Delaware · 74177
Office
$297.29
Facility
Unavailable
$24.71 lower than Merced for the office setting.
Fort Lauderdale
Florida · 74177
Office
$306.86
Facility
Unavailable
$15.14 lower than Merced for the office setting.
Rest Of Florida
Florida · 74177
Office
$292.04
Facility
Unavailable
$29.96 lower than Merced for the office setting.
Atlanta
Georgia · 74177
Office
$305.11
Facility
Unavailable
$16.89 lower than Merced for the office setting.
Rest Of Georgia
Georgia · 74177
Office
$275.53
Facility
Unavailable
$46.47 lower than Merced for the office setting.
Hawaii, Guam
Hawaii · 74177
Office
$330.89
Facility
Unavailable
$8.89 higher than Merced for the office setting.
Iowa
Iowa · 74177
Office
$277.53
Facility
Unavailable
$44.47 lower than Merced for the office setting.
Idaho
Idaho · 74177
Office
$279.04
Facility
Unavailable
$42.96 lower than Merced for the office setting.
East St. Louis
Illinois · 74177
Office
$285.73
Facility
Unavailable
$36.27 lower than Merced for the office setting.
Rest Of Illinois
Illinois · 74177
Office
$282.12
Facility
Unavailable
$39.88 lower than Merced for the office setting.
Suburban Chicago
Illinois · 74177
Office
$310.43
Facility
Unavailable
$11.57 lower than Merced for the office setting.
Indiana
Indiana · 74177
Office
$280.75
Facility
Unavailable
$41.25 lower than Merced for the office setting.
Kansas
Kansas · 74177
Office
$275.39
Facility
Unavailable
$46.61 lower than Merced for the office setting.
Kentucky
Kentucky · 74177
Office
$273.62
Facility
Unavailable
$48.38 lower than Merced for the office setting.
New Orleans
Louisiana · 74177
Office
$286.89
Facility
Unavailable
$35.11 lower than Merced for the office setting.
Rest Of Louisiana
Louisiana · 74177
Office
$272.86
Facility
Unavailable
$49.14 lower than Merced for the office setting.
Metropolitan Boston
Massachusetts · 74177
Office
$348.16
Facility
Unavailable
$26.16 higher than Merced for the office setting.
Rest Of Massachusetts
Massachusetts · 74177
Office
$312.89
Facility
Unavailable
$9.11 lower than Merced for the office setting.
Baltimore/Surr. Cntys
Maryland · 74177
Office
$319.54
Facility
Unavailable
$2.46 lower than Merced for the office setting.
Rest Of Maryland
Maryland · 74177
Office
$303.35
Facility
Unavailable
$18.65 lower than Merced for the office setting.
Rest Of Maine
Maine · 74177
Office
$279.69
Facility
Unavailable
$42.31 lower than Merced for the office setting.
Southern Maine
Maine · 74177
Office
$296.54
Facility
Unavailable
$25.46 lower than Merced for the office setting.
Detroit
Michigan · 74177
Office
$294.96
Facility
Unavailable
$27.04 lower than Merced for the office setting.
Rest Of Michigan
Michigan · 74177
Office
$280.23
Facility
Unavailable
$41.77 lower than Merced for the office setting.
Minnesota
Minnesota · 74177
Office
$304.08
Facility
Unavailable
$17.92 lower than Merced for the office setting.
Metropolitan Kansas City
Missouri · 74177
Office
$285.73
Facility
Unavailable
$36.27 lower than Merced for the office setting.
Metropolitan St. Louis
Missouri · 74177
Office
$288.92
Facility
Unavailable
$33.08 lower than Merced for the office setting.
Rest Of Missouri
Missouri · 74177
Office
$267.48
Facility
Unavailable
$54.52 lower than Merced for the office setting.
Mississippi
Mississippi · 74177
Office
$266.22
Facility
Unavailable
$55.78 lower than Merced for the office setting.
Montana**
Montana · 74177
Office
$300.27
Facility
Unavailable
$21.73 lower than Merced for the office setting.
North Carolina
North Carolina · 74177
Office
$282.84
Facility
Unavailable
$39.16 lower than Merced for the office setting.
North Dakota**
North Dakota · 74177
Office
$297.69
Facility
Unavailable
$24.31 lower than Merced for the office setting.
Nebraska
Nebraska · 74177
Office
$279.34
Facility
Unavailable
$42.66 lower than Merced for the office setting.
New Hampshire
New Hampshire · 74177
Office
$309.44
Facility
Unavailable
$12.56 lower than Merced for the office setting.
Northern Nj
New Jersey · 74177
Office
$342.18
Facility
Unavailable
$20.18 higher than Merced for the office setting.
Rest Of New Jersey
New Jersey · 74177
Office
$324.85
Facility
Unavailable
$2.85 higher than Merced for the office setting.
New Mexico
New Mexico · 74177
Office
$281.49
Facility
Unavailable
$40.51 lower than Merced for the office setting.
Nevada**
Nevada · 74177
Office
$299.79
Facility
Unavailable
$22.21 lower than Merced for the office setting.
Nyc Suburbs/Long Island
New York · 74177
Office
$352.54
Facility
Unavailable
$30.54 higher than Merced for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 74177
Office
$326.34
Facility
Unavailable
$4.34 higher than Merced for the office setting.
Queens
New York · 74177
Office
$349.08
Facility
Unavailable
$27.08 higher than Merced for the office setting.
Rest Of New York
New York · 74177
Office
$287.14
Facility
Unavailable
$34.86 lower than Merced for the office setting.
Ohio
Ohio · 74177
Office
$279.71
Facility
Unavailable
$42.29 lower than Merced for the office setting.
Oklahoma
Oklahoma · 74177
Office
$273.97
Facility
Unavailable
$48.03 lower than Merced for the office setting.
Portland
Oregon · 74177
Office
$326.39
Facility
Unavailable
$4.39 higher than Merced for the office setting.
Rest Of Oregon
Oregon · 74177
Office
$298.04
Facility
Unavailable
$23.96 lower than Merced for the office setting.
Metropolitan Philadelphia
Pennsylvania · 74177
Office
$311.89
Facility
Unavailable
$10.11 lower than Merced for the office setting.
Rest Of Pennsylvania
Pennsylvania · 74177
Office
$280.62
Facility
Unavailable
$41.38 lower than Merced for the office setting.
Puerto Rico
Puerto Rico · 74177
Office
$302.81
Facility
Unavailable
$19.19 lower than Merced for the office setting.
Rhode Island
Rhode Island · 74177
Office
$308.74
Facility
Unavailable
$13.26 lower than Merced for the office setting.
South Carolina
South Carolina · 74177
Office
$281.63
Facility
Unavailable
$40.37 lower than Merced for the office setting.
South Dakota**
South Dakota · 74177
Office
$297.39
Facility
Unavailable
$24.61 lower than Merced for the office setting.
Tennessee
Tennessee · 74177
Office
$276.71
Facility
Unavailable
$45.29 lower than Merced for the office setting.
Austin
Texas · 74177
Office
$313.63
Facility
Unavailable
$8.37 lower than Merced for the office setting.
Beaumont
Texas · 74177
Office
$278.65
Facility
Unavailable
$43.35 lower than Merced for the office setting.
Brazoria
Texas · 74177
Office
$297.66
Facility
Unavailable
$24.34 lower than Merced for the office setting.
Dallas
Texas · 74177
Office
$299.24
Facility
Unavailable
$22.76 lower than Merced for the office setting.
Fort Worth
Texas · 74177
Office
$296.93
Facility
Unavailable
$25.07 lower than Merced for the office setting.
Galveston
Texas · 74177
Office
$298.34
Facility
Unavailable
$23.66 lower than Merced for the office setting.
Houston
Texas · 74177
Office
$300.72
Facility
Unavailable
$21.28 lower than Merced for the office setting.
Rest Of Texas
Texas · 74177
Office
$287.78
Facility
Unavailable
$34.22 lower than Merced for the office setting.
Utah
Utah · 74177
Office
$285.62
Facility
Unavailable
$36.38 lower than Merced for the office setting.
Virginia
Virginia · 74177
Office
$294.97
Facility
Unavailable
$27.03 lower than Merced for the office setting.
Virgin Islands
United States Virgin Islands · 74177
Office
$302.81
Facility
Unavailable
$19.19 lower than Merced for the office setting.
Vermont
Vermont · 74177
Office
$295.76
Facility
Unavailable
$26.24 lower than Merced for the office setting.
Rest Of Washington
Washington · 74177
Office
$312.56
Facility
Unavailable
$9.44 lower than Merced for the office setting.
Seattle (King Cnty)
Washington · 74177
Office
$356.19
Facility
Unavailable
$34.19 higher than Merced for the office setting.
Wisconsin
Wisconsin · 74177
Office
$287.32
Facility
Unavailable
$34.68 lower than Merced for the office setting.
West Virginia
West Virginia · 74177
Office
$271.12
Facility
Unavailable
$50.88 lower than Merced for the office setting.
Wyoming**
Wyoming · 74177
Office
$299.15
Facility
Unavailable
$22.85 lower than Merced for the office setting.
See how rates vary across the country
74177 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$264.78
$365.72
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $343.28 | 1 |
| AL | $268.79 | 1 |
| AR | $264.78 | 1 |
| AZ | $292.31 | 1 |
| CA | $322.00–$409.43 | 29 |
| CO | $315.19 | 1 |
| CT | $320.60 | 1 |
| DC | $346.11 | 1 |
| DE | $297.29 | 1 |
| FL | $292.04–$316.62 | 3 |
| GA | $275.53–$305.11 | 2 |
| GU | $330.89 | 1 |
| HI | $330.89 | 1 |
| IA | $277.53 | 1 |
| ID | $279.04 | 1 |
| IL | $282.12–$310.43 | 4 |
| IN | $280.75 | 1 |
| KS | $275.39 | 1 |
| KY | $273.62 | 1 |
| LA | $272.86–$286.89 | 2 |
| MA | $312.89–$348.16 | 2 |
| MD | $303.35–$346.11 | 3 |
| ME | $279.69–$296.54 | 2 |
| MI | $280.23–$294.96 | 2 |
| MN | $304.08 | 1 |
| MO | $267.48–$288.92 | 3 |
| MS | $266.22 | 1 |
| MT | $300.27 | 1 |
| NC | $282.84 | 1 |
| ND | $297.69 | 1 |
| NE | $279.34 | 1 |
| NH | $309.44 | 1 |
| NJ | $324.85–$342.18 | 2 |
| NM | $281.49 | 1 |
| NV | $299.79 | 1 |
| NY | $287.14–$352.54 | 5 |
| OH | $279.71 | 1 |
| OK | $273.97 | 1 |
| OR | $298.04–$326.39 | 2 |
| PA | $280.62–$311.89 | 2 |
| PR | $302.81 | 1 |
| RI | $308.74 | 1 |
| SC | $281.63 | 1 |
| SD | $297.39 | 1 |
| TN | $276.71 | 1 |
| TX | $278.65–$313.63 | 8 |
| UT | $285.62 | 1 |
| VA | $294.97–$346.11 | 2 |
| VI | $302.81 | 1 |
| VT | $295.76 | 1 |
| WA | $312.56–$356.19 | 2 |
| WI | $287.32 | 1 |
| WV | $271.12 | 1 |
| WY | $299.15 | 1 |
Where does this rate apply?
Merced is a Medicare payment area. Our Census mapping connects it to 24 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 74177 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$354.20
$322.00 × 110% = $354.20
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.
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 74177 in Merced.
PPRRVU2026_Oct_nonQPP.csv
8,318
- Code
- 74177
- Physician work
- 1.77
- Practice expense
- 7.09
- Malpractice
- 0.13
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.77 | × 1.017 | 1.8001 |
| Practice expense | 7.09 | × 1.096 | 7.7706 |
| Malpractice | 0.13 | × 0.536 | 0.0697 |
| Total RVUs | 9.6404 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Merced$322.00
Open 74177 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.77 | 1.017 |
| Practice expense | 7.09 | 1.096 |
| Malpractice | 0.13 | 0.536 |
(1.77 × 1.017 + 7.09 × 1.096 + 0.13 × 0.536) × $33.4009 = $322.00
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
74177 · Office / nonfacility
$322.00
Effective 2026-10-01
The base rate is $3.81 higher than on 2025-10-01, moving from $318.19 to $322.00 (1.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$318.19changed to$322.00
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.82 changed to 1.77
- Practice expense RVU 7.25 changed to 7.09
- Malpractice RVU 0.12 changed to 0.13
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $318.19
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $322.00 | Not available in this setting | RVU26D |
| 2026-07-01 | $322.00 | Not available in this setting | RVU26C |
| 2026-04-01 | $322.00 | Not available in this setting | RVU26B |
| 2026-01-01 | $322.00 | Not available in this setting | RVU26A |
| 2025-10-01 | $318.19 | Not available in this setting | RVU25D |
| 2025-07-01 | $318.19 | Not available in this setting | RVU25C |
| 2025-04-01 | $318.19 | Not available in this setting | RVU25B |
| 2025-01-01 | $318.19 | Not available in this setting | RVU25A |
74177 billing questions
Can CT abdomen with contrast and CT pelvis with contrast be billed separately when both are done in the same combined exam?
No. Report one unit of 74177 for the combined exam rather than 74160 plus 72193. The regional codes describe exams limited to their respective regions.
When should 74178 be used instead of 74177?
Use 74178 when a diagnostic noncontrast series is followed by contrast-enhanced imaging of the abdomen and pelvis. Use 74177 when the diagnostic acquisition is contrast-enhanced without a diagnostic precontrast series.
Does giving only oral contrast qualify the study as with contrast?
No. Oral contrast alone does not make this an intravenous contrast study; an abdomen and pelvis CT performed with oral contrast but without intravenous contrast is reported with 74176.
Which modifiers apply for split billing?
On physician fee schedule claims, the interpreting radiologist reports modifier 26 for the interpretation, while the provider billing for equipment and staff reports modifier TC. A billing entity that provides both components reports the global code without either modifier.
How is payment affected when CT chest is performed in the same session?
The diagnostic imaging multiple procedure reduction can affect the professional and technical components of eligible studies performed in the same session. A contrast-enhanced chest, abdomen, and pelvis staging exam may be reported with 71260 and 74177.
Do delayed images after intravenous contrast change the code to 74178?
No. Additional postcontrast images do not make the exam a without-and-with-contrast study; 74178 requires diagnostic imaging before contrast followed by contrast-enhanced imaging.
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.
8,31574176,,Ct abd & pelvis w/o contrast,A,,1.70,3.67,,3.67,NA,0.11,5.48,5.48,1,XXX,0.00,0.00,0.00,4,0,9,0,0,9,,33.4009,09,0,88,7.85,7.85,0.14
8,31674176,26,Ct abd & pelvis w/o contrast,A,,1.70,0.60,,0.60,,0.09,2.39,2.39,1,XXX,0.00,0.00,0.00,4,0,9,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,31774176,TC,Ct abd & pelvis w/o contrast,A,,0.00,3.07,,3.07,NA,0.02,3.09,3.09,1,XXX,0.00,0.00,0.00,4,0,9,0,0,9,,33.4009,01,0,88,7.25,7.25,0.05
8,31874177,,Ct abd & pelvis w/contrast,A,,1.77,7.09,,7.09,NA,0.13,8.99,8.99,1,XXX,0.00,0.00,0.00,4,0,9,0,0,9,,33.4009,09,0,88,11.27,11.27,0.14
8,31974177,26,Ct abd & pelvis w/contrast,A,,1.77,0.63,,0.63,,0.11,2.51,2.51,1,XXX,0.00,0.00,0.00,4,0,9,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,32074177,TC,Ct abd & pelvis w/contrast,A,,0.00,6.46,,6.46,NA,0.02,6.48,6.48,1,XXX,0.00,0.00,0.00,4,0,9,0,0,9,,33.4009,02,0,88,10.64,10.64,0.03
8,32174178,,Ct abd&plv wo cntr flwd cntr,A,,1.96,8.01,,8.01,NA,0.15,10.12,10.12,1,XXX,0.00,0.00,0.00,4,0,9,0,0,9,,33.4009,09,0,88,11.33,11.33,0.16
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623