Billing code 74740: HysterosalpingographyMedicare rate & RVUs in Guam
Reports contrast fluoroscopic imaging of the uterine cavity and fallopian tubes, commonly used to assess tubal patency during infertility evaluation.
Medicare pays $100.29 for 74740 in the office in Guam (Hawaii, Guam). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 74740 covers
Hysterosalpingography uses contrast introduced through the cervix and fluoroscopic imaging to assess the uterine cavity and whether contrast passes through the fallopian tubes. It is commonly performed during infertility evaluation or when tubal obstruction or an abnormal uterine cavity is suspected. A radiologist typically provides the imaging supervision and interpretation; a gynecologist or other qualified clinician may place the catheter and introduce the contrast under a separate service when supported by the work performed.
Report 74740 for the radiologic examination and interpretation of both the uterus and fallopian tubes, not for catheter placement alone. The record should support the indication, contrast study, images obtained, and findings such as cavity contour, tubal filling, and contrast spill. CMS recognizes professional and technical components: bill modifier 26 for interpretation, modifier TC for equipment and staff, or neither modifier for the global service. The professional and technical components have separately priced modifiers.
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.
74740 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $100.29 | Unavailable |
How the 74740 rate is calculated
Each of 74740’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 74740
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.37Practice expense 2.30Malpractice 0.03
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 74740
The CMS indicators that decide how 74740 is paid alongside other services.
CMS payment indicators · 74740
Hysterosalpingography
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
74740 without 26 · national office
$90.18
Hysterosalpingography
74740-26 · Professional component
$17.70
Pays only the interpretation and report.
74740 compared with similar codes
Compare codes
74740 vs 74742 vs 76831 vs 58340 vs 58350: national Medicare rates
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How to choose
- 74742X-ray fallopian tube
- Choose 74740 for imaging of the uterine cavity and fallopian tubes; 74742 is limited to the radiologic examination of a fallopian tube.
- 76831Sonohysterography
- 76831 is ultrasound saline infusion imaging focused on the uterine cavity. It does not provide the radiographic assessment of tubal filling and spill reported with 74740.
- 58340Uterine catheterization
- 58340 reports catheterization and introduction of saline or contrast. It does not represent the radiologic supervision and interpretation reported with 74740.
- 58350Tubal patency test
- 58350 describes dye testing of the oviducts during a surgical setting; 74740 is the radiographic contrast study of the uterus and fallopian tubes.
74740 billing questions
When should 74740 be selected instead of 74742?
Use 74740 when the contrast study evaluates the uterine cavity and fallopian tubes. 74742 is the more focused radiologic examination of the fallopian tube.
Can catheter placement be reported separately?
billing code 58340 describes catheterization and introduction of saline or contrast for hysterosalpingography or saline infusion sonohysterography. Report it only when that work is performed and documented; 74740 represents the radiologic study and interpretation.
Which modifier identifies the radiologist's interpretation?
Append modifier 26 for the professional component. Modifier TC identifies the technical component, while reporting 74740 without either modifier represents the global service.
What should the report document?
Document the clinical indication, contrast imaging performed, and interpretation of the uterine cavity and fallopian tubes, including relevant findings such as tubal filling or contrast spill.
Is 74740 the same as saline infusion sonohysterography?
No. 74740 is a contrast radiographic examination of the uterus and fallopian tubes. Saline infusion sonohysterography uses ultrasound to evaluate the uterine cavity.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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