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CMS RVU26D · Effective 2026-10-01

74250 Small-bowel X-ray Medicare reimbursement rates in Colorado

A radiologist interprets a single-contrast X-ray examination of the small intestine, using serial images to assess its structure and passage of contrast. Compare 74250 office and facility rates across CMS payment localities in Colorado.

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.

What does Medicare pay for 74250 in Colorado?

Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.

Office / nonfacility

$123.87

1 of 1 localities have a supported rate.

Payment area: Colorado

One mapped payment locality.

Facility setting

No supported rate

These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.

Find 74250 in your payment locality →

Diagnostic radiology

About 74250: Single-contrast small-bowel radiographic exam

A radiologist interprets a single-contrast X-ray examination of the small intestine, using serial images to assess its structure and passage of contrast.

This service is a radiographic examination of the small intestine using one contrast agent, commonly administered by mouth, with serial images used to assess the bowel’s appearance and the passage of contrast. A radiologist typically interprets the study after images are acquired in a hospital outpatient department or imaging center. It may be ordered to investigate suspected small-bowel narrowing, obstruction, or other structural abnormalities.

Select this code when the documented examination is a single-contrast study of the small intestine; the report should identify the anatomy examined and the imaging performed. CMS recognizes separately priced professional and technical components: modifier 26 identifies the physician’s interpretation, while modifier TC identifies the equipment and staff portion. Without either modifier, the claim represents the global service. The radiology report and imaging record should support the service and the selected contrast technique.

CMS billing rules for 74250

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 RVU0.79 · 22%
  • Practice expense (office) RVU2.69 · 76%
  • Malpractice RVU0.06 · 2%

42.8K

Medicare services in 2024 · #838 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.

74250 compared with similar codes

Office rates for Colorado, from the same CMS release.

74248

Small bowel follow-through

Add-on to upper GI

$82.93

This code represents a single-contrast small-intestine examination. Choose 74248 when the documented service is a small-intestine follow-through study.

74251

X-ray xm sm int 2cntrst std

No office rate

74251 is for a double-contrast small-intestine examination; this code is for the single-contrast technique.

74240

Upper GI series

Single contrast

$127.89

74240 examines the upper gastrointestinal tract with single contrast. This code is for imaging the small intestine.

Compare 74250 by payment locality

Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0

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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 74250 in Colorado.

PPRRVU2026_Oct_nonQPP.csv

8,363

Code
74250
Physician work
0.79
Practice expense
2.69
Malpractice
0.06

GPCI2026.csv

37

Locality
Colorado
Physician work
1.012
Practice expense
1.064
Malpractice
0.781
Office / nonfacility calculation for 74250 in Colorado
ComponentRVULocality factorAdjusted
Physician work0.79× 1.0120.7995
Practice expense2.69× 1.0642.8622
Malpractice0.06× 0.7810.0469
Total RVUs3.7085
Conversion factor× 33.4009

Office / nonfacility rate, Colorado$123.87

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.791.012
Practice expense2.691.064
Malpractice0.060.781

(0.79 × 1.012 + 2.69 × 1.064 + 0.06 × 0.781) × $33.4009 = $123.87

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.

74250 billing questions

How does this differ from 74248?

74248 identifies a small-intestine follow-through study. Use 74250 when the documented examination is the single-contrast small-intestine study rather than the follow-through service.

How does this differ from 74251?

74251 is the corresponding small-intestine examination using a double-contrast technique. This code is for the single-contrast technique.

Which modifier identifies the radiologist’s interpretation?

Report modifier 26 for the professional component, which represents the physician’s interpretation. Modifier TC identifies the technical component.

What documentation supports reporting this code?

The imaging record and interpretation should support examination of the small intestine, use of a single-contrast technique, and the study performed.

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 74250PPRRVU2026_Oct_nonQPP.csv, line 8,363 (RVU26D)
Geographic factors for ColoradoGPCI2026.csv, line 37 (RVU26D)