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CMS RVU26D · Effective 2026-10-01

74248 in Wyoming**

Office / nonfacility

$79.06

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.

Diagnostic radiology

About 74248: Upper GI with small bowel follow-through

Add-on fluoroscopic imaging tracks oral contrast through the small bowel during an upper gastrointestinal examination to assess transit and small-intestinal abnormalities.

This add-on covers serial radiographic imaging as orally administered contrast passes through the small bowel during an upper gastrointestinal examination. A radiologic technologist obtains the images, and a radiologist interprets them. The added small-bowel evaluation can help assess transit and identify abnormalities in the small intestine, such as suspected narrowing or obstruction.

Report 74248 only with the primary upper GI examination, such as 74240 or 74246; it is not a stand-alone small-bowel study. The report should support that the examination included follow-through imaging into the small bowel, not just imaging of the esophagus or stomach. CMS treats it as an add-on paid within the primary procedure’s global period. For the diagnostic test, the global service is billed without a component modifier; modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff portion.

CMS billing rules for 74248

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
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 RVU0.68 · 29%
  • Practice expense (office) RVU1.65 · 69%
  • Malpractice RVU0.05 · 2%

11K

Medicare services in 2024 · #1426 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.

74248 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

74240

Upper GI series

Single contrast

$121.48

74240 describes a single-contrast upper GI examination. Add 74248 when the examination also includes small-bowel follow-through.

74246

Upper GI imaging

Air-contrast study

$134.08

74246 describes a double-contrast upper GI examination. Add 74248 when serial imaging extends the examination through the small bowel.

74250

Small-bowel X-ray

Single contrast

$117.72

74250 is a standalone single-contrast small-intestine examination; 74248 is an add-on to an upper GI examination.

74251

X-ray xm sm int 2cntrst std

No office rate

74251 is a standalone double-contrast small-intestine examination; 74248 is used for follow-through performed with a primary upper GI examination.

The same code, a different location

How does Wyoming** compare?

74248 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $79.06

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

    $89.95

    $10.89 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $90.72

    $11.66 higher than Wyoming**

  4. Miami

    $84.31

    $5.25 higher than Wyoming**

  5. Chicago

    $82.09

    $3.03 higher than Wyoming**

  6. Manhattan

    $90.85

    $11.79 higher than Wyoming**

  7. Alaska*

    $93.68

    $14.62 higher than Wyoming**

Other payment areas listed in Wyoming 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, 74248 ranges from $70.91 in Arkansas to $105.58 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 · 74248

    Office

    $71.88

    Facility

    Unavailable

    $7.18 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 74248

    Office

    $70.91

    Facility

    Unavailable

    $8.15 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 74248

    Office

    $77.55

    Facility

    Unavailable

    $1.51 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 74248

    Office

    $84.56

    Facility

    Unavailable

    $5.50 higher than Wyoming** for the office setting.

  • Chico

    California · 74248

    Office

    $84.40

    Facility

    Unavailable

    $5.34 higher than Wyoming** for the office setting.

  • El Centro

    California · 74248

    Office

    $84.40

    Facility

    Unavailable

    $5.34 higher than Wyoming** for the office setting.

  • Fresno

    California · 74248

    Office

    $84.40

    Facility

    Unavailable

    $5.34 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 74248

    Office

    $84.40

    Facility

    Unavailable

    $5.34 higher than Wyoming** for the office setting.

  • Madera

    California · 74248

    Office

    $84.40

    Facility

    Unavailable

    $5.34 higher than Wyoming** for the office setting.

  • Merced

    California · 74248

    Office

    $84.40

    Facility

    Unavailable

    $5.34 higher than Wyoming** for the office setting.

  • Modesto

    California · 74248

    Office

    $84.40

    Facility

    Unavailable

    $5.34 higher than Wyoming** for the office setting.

  • Napa

    California · 74248

    Office

    $97.63

    Facility

    Unavailable

    $18.57 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 74248

    Office

    $89.53

    Facility

    Unavailable

    $10.47 higher than Wyoming** for the office setting.

  • Redding

    California · 74248

    Office

    $84.40

    Facility

    Unavailable

    $5.34 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 74248

    Office

    $84.40

    Facility

    Unavailable

    $5.34 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 74248

    Office

    $84.95

    Facility

    Unavailable

    $5.89 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 74248

    Office

    $88.52

    Facility

    Unavailable

    $9.46 higher than Wyoming** for the office setting.

  • Salinas

    California · 74248

    Office

    $88.19

    Facility

    Unavailable

    $9.13 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 74248

    Office

    $90.21

    Facility

    Unavailable

    $11.15 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 74248

    Office

    $103.34

    Facility

    Unavailable

    $24.28 higher than Wyoming** for the office setting.

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

    California · 74248

    Office

    $103.29

    Facility

    Unavailable

    $24.23 higher than Wyoming** for the office setting.

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

    California · 74248

    Office

    $105.58

    Facility

    Unavailable

    $26.52 higher than Wyoming** for the office setting.

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

    California · 74248

    Office

    $105.34

    Facility

    Unavailable

    $26.28 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 74248

    Office

    $86.77

    Facility

    Unavailable

    $7.71 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 74248

    Office

    $91.05

    Facility

    Unavailable

    $11.99 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 74248

    Office

    $88.50

    Facility

    Unavailable

    $9.44 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 74248

    Office

    $91.97

    Facility

    Unavailable

    $12.91 higher than Wyoming** for the office setting.

  • Stockton

    California · 74248

    Office

    $84.40

    Facility

    Unavailable

    $5.34 higher than Wyoming** for the office setting.

  • Vallejo

    California · 74248

    Office

    $97.55

    Facility

    Unavailable

    $18.49 higher than Wyoming** for the office setting.

  • Visalia

    California · 74248

    Office

    $84.40

    Facility

    Unavailable

    $5.34 higher than Wyoming** for the office setting.

  • Yuba City

    California · 74248

    Office

    $84.40

    Facility

    Unavailable

    $5.34 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 74248

    Office

    $82.93

    Facility

    Unavailable

    $3.87 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 74248

    Office

    $84.54

    Facility

    Unavailable

    $5.48 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 74248

    Office

    $78.78

    Facility

    Unavailable

    $0.28 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 74248

    Office

    $81.56

    Facility

    Unavailable

    $2.50 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 74248

    Office

    $77.91

    Facility

    Unavailable

    $1.15 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 74248

    Office

    $80.78

    Facility

    Unavailable

    $1.72 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 74248

    Office

    $73.86

    Facility

    Unavailable

    $5.20 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 74248

    Office

    $86.34

    Facility

    Unavailable

    $7.28 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 74248

    Office

    $73.80

    Facility

    Unavailable

    $5.26 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 74248

    Office

    $74.21

    Facility

    Unavailable

    $4.85 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 74248

    Office

    $76.78

    Facility

    Unavailable

    $2.28 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 74248

    Office

    $75.64

    Facility

    Unavailable

    $3.42 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 74248

    Office

    $82.43

    Facility

    Unavailable

    $3.37 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 74248

    Office

    $74.61

    Facility

    Unavailable

    $4.45 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 74248

    Office

    $73.38

    Facility

    Unavailable

    $5.68 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 74248

    Office

    $73.23

    Facility

    Unavailable

    $5.83 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 74248

    Office

    $76.47

    Facility

    Unavailable

    $2.59 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 74248

    Office

    $73.09

    Facility

    Unavailable

    $5.97 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 74248

    Office

    $90.93

    Facility

    Unavailable

    $11.87 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 74248

    Office

    $82.44

    Facility

    Unavailable

    $3.38 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 74248

    Office

    $84.28

    Facility

    Unavailable

    $5.22 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 74248

    Office

    $80.25

    Facility

    Unavailable

    $1.19 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 74248

    Office

    $74.45

    Facility

    Unavailable

    $4.61 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 74248

    Office

    $78.38

    Facility

    Unavailable

    $0.68 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 74248

    Office

    $78.71

    Facility

    Unavailable

    $0.35 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 74248

    Office

    $74.91

    Facility

    Unavailable

    $4.15 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 74248

    Office

    $79.92

    Facility

    Unavailable

    $0.86 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 74248

    Office

    $76.09

    Facility

    Unavailable

    $2.97 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 74248

    Office

    $76.85

    Facility

    Unavailable

    $2.21 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 74248

    Office

    $71.85

    Facility

    Unavailable

    $7.21 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 74248

    Office

    $71.40

    Facility

    Unavailable

    $7.66 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 74248

    Office

    $79.49

    Facility

    Unavailable

    $0.43 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 74248

    Office

    $75.20

    Facility

    Unavailable

    $3.86 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 74248

    Office

    $78.50

    Facility

    Unavailable

    $0.56 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 74248

    Office

    $74.21

    Facility

    Unavailable

    $4.85 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 74248

    Office

    $81.54

    Facility

    Unavailable

    $2.48 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 74248

    Office

    $89.86

    Facility

    Unavailable

    $10.80 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 74248

    Office

    $85.63

    Facility

    Unavailable

    $6.57 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 74248

    Office

    $75.26

    Facility

    Unavailable

    $3.80 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 74248

    Office

    $79.27

    Facility

    Unavailable

    $0.21 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 74248

    Office

    $92.80

    Facility

    Unavailable

    $13.74 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 74248

    Office

    $86.10

    Facility

    Unavailable

    $7.04 higher than Wyoming** for the office setting.

  • Queens

    New York · 74248

    Office

    $91.72

    Facility

    Unavailable

    $12.66 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 74248

    Office

    $76.24

    Facility

    Unavailable

    $2.82 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 74248

    Office

    $74.71

    Facility

    Unavailable

    $4.35 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 74248

    Office

    $73.22

    Facility

    Unavailable

    $5.84 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 74248

    Office

    $85.55

    Facility

    Unavailable

    $6.49 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 74248

    Office

    $78.78

    Facility

    Unavailable

    $0.28 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 74248

    Office

    $82.48

    Facility

    Unavailable

    $3.42 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 74248

    Office

    $74.88

    Facility

    Unavailable

    $4.18 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 74248

    Office

    $80.08

    Facility

    Unavailable

    $1.02 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 74248

    Office

    $81.56

    Facility

    Unavailable

    $2.50 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 74248

    Office

    $75.06

    Facility

    Unavailable

    $4.00 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 74248

    Office

    $78.39

    Facility

    Unavailable

    $0.67 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 74248

    Office

    $73.71

    Facility

    Unavailable

    $5.35 lower than Wyoming** for the office setting.

  • Austin

    Texas · 74248

    Office

    $82.55

    Facility

    Unavailable

    $3.49 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 74248

    Office

    $74.42

    Facility

    Unavailable

    $4.64 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 74248

    Office

    $78.81

    Facility

    Unavailable

    $0.25 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 74248

    Office

    $79.24

    Facility

    Unavailable

    $0.18 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 74248

    Office

    $78.71

    Facility

    Unavailable

    $0.35 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 74248

    Office

    $79.00

    Facility

    Unavailable

    $0.06 lower than Wyoming** for the office setting.

  • Houston

    Texas · 74248

    Office

    $79.92

    Facility

    Unavailable

    $0.86 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 74248

    Office

    $76.52

    Facility

    Unavailable

    $2.54 lower than Wyoming** for the office setting.

  • Utah

    Utah · 74248

    Office

    $76.02

    Facility

    Unavailable

    $3.04 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 74248

    Office

    $78.07

    Facility

    Unavailable

    $0.99 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 74248

    Office

    $80.08

    Facility

    Unavailable

    $1.02 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 74248

    Office

    $78.12

    Facility

    Unavailable

    $0.94 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 74248

    Office

    $82.31

    Facility

    Unavailable

    $3.25 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 74248

    Office

    $92.83

    Facility

    Unavailable

    $13.77 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 74248

    Office

    $76.02

    Facility

    Unavailable

    $3.04 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 74248

    Office

    $72.99

    Facility

    Unavailable

    $6.07 lower than Wyoming** for the office setting.

See how rates vary across the country

74248 · 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.

$70.91

$94.99

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$93.681
AL$71.881
AR$70.911
AZ$77.551
CA$84.40–$105.5829
CO$82.931
CT$84.541
DC$90.721
DE$78.781
FL$77.91–$84.313
GA$73.86–$80.782
GU$86.341
HI$86.341
IA$73.801
ID$74.211
IL$75.64–$82.434
IN$74.611
KS$73.381
KY$73.231
LA$73.09–$76.472
MA$82.44–$90.932
MD$80.25–$90.723
ME$74.45–$78.382
MI$74.91–$78.712
MN$79.921
MO$71.85–$76.853
MS$71.401
MT$79.491
NC$75.201
ND$78.501
NE$74.211
NH$81.541
NJ$85.63–$89.862
NM$75.261
NV$79.271
NY$76.24–$92.805
OH$74.711
OK$73.221
OR$78.78–$85.552
PA$74.88–$82.482
PR$80.081
RI$81.561
SC$75.061
SD$78.391
TN$73.711
TX$74.42–$82.558
UT$76.021
VA$78.07–$90.722
VI$80.081
VT$78.121
WA$82.31–$92.832
WI$76.021
WV$72.991
WY$79.061

Explore 74248 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 74248 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$86.97

$79.06 × 110% = $86.97

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 74248 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

8,360

Code
74248
Physician work
0.68
Practice expense
1.65
Malpractice
0.05

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 74248 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.68× 1.0000.6800
Practice expense1.65× 1.0001.6500
Malpractice0.05× 0.7400.0370
Total RVUs2.3670
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$79.06

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

Open 74248 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.681
Practice expense1.651
Malpractice0.050.74

(0.68 × 1 + 1.65 × 1 + 0.05 × 0.74) × $33.4009 = $79.06

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

74248 · Office / nonfacility

$79.06

Effective 2026-10-01

The base rate is $0.56 higher than on 2025-10-01, moving from $78.50 to $79.06 (0.7%).

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

    $78.50changed to$79.06

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.70 changed to 0.68
    • Practice expense RVU 1.69 changed to 1.65
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $78.50

    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$79.06Not available in this settingRVU26D
2026-07-01$79.06Not available in this settingRVU26C
2026-04-01$79.06Not available in this settingRVU26B
2026-01-01$79.06Not available in this settingRVU26A
2025-10-01$78.50Not available in this settingRVU25D
2025-07-01$78.50Not available in this settingRVU25C
2025-04-01$78.50Not available in this settingRVU25B
2025-01-01$78.50Not available in this settingRVU25A

74248 billing questions

Can 74248 be reported by itself?

No. It is an add-on and must be reported with a primary upper GI examination, such as 74240 or 74246.

How is 74248 different from 74250?

74248 is for small-bowel follow-through performed with a primary upper GI examination. 74250 describes a standalone small-intestine examination using single contrast.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 identifies the radiologist’s interpretation, and modifier TC identifies the technical portion. Without either modifier, the claim represents the global service.

What documentation supports reporting 74248?

The record should show the primary upper GI examination and that serial imaging followed contrast through the small bowel. Imaging limited to the upper GI tract does not support this add-on.

Does the add-on have its own global period?

CMS specifies that 74248 is paid within the primary procedure’s global period. Submit it only with the primary procedure.

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 74248PPRRVU2026_Oct_nonQPP.csv, line 8,360 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet