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CMS RVU26D · Effective 2026-10-01

74410 Intravenous urography Medicare reimbursement rates in Illinois

Reports intravenous urography using contrast infusion and/or bolus injection to image the urinary tract, with or without a KUB radiograph. Compare 74410 office and facility rates across CMS payment localities in Illinois.

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 74410 in Illinois?

Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.

Office / nonfacility

$134.31–$149.21

4 of 4 localities have a supported rate.

Lowest: Rest Of Illinois

Highest: Suburban Chicago

A spread of $14.90 per service.

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 74410 in your payment locality →

Where 74410 pays more and less in Illinois

4 payment localities

$134.31 to $149.21

$134.31$141.76$149.21
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

Diagnostic radiology

About 74410: Intravenous urography with contrast infusion

Reports intravenous urography using contrast infusion and/or bolus injection to image the urinary tract, with or without a KUB radiograph.

This study uses intravenous contrast administered by infusion, bolus injection, or both, followed by radiographs of the urinary tract. The images assess the kidneys and collecting system, ureters, and bladder; a KUB may be included. It may be used to evaluate urinary tract anatomy or suspected obstruction. Radiology staff acquire the images, and a qualified physician, typically a radiologist, interprets the examination and documents the findings in an imaging setting.

Select 74410 when the intravenous urography includes infusion and/or bolus contrast administration and does not include nephrotomography; use 74415 when nephrotomography is performed. The report and imaging documentation should support the study performed, contrast administration method, and whether a KUB was obtained. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff services, and reporting without either modifier represents the global service.

CMS billing rules for 74410

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 RVU0.48 · 11%
  • Practice expense (office) RVU3.81 · 88%
  • Malpractice RVU0.04 · 1%

294

Medicare services in 2024 · #4008 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.

74410 compared with similar codes

Office rates for Illinois, from the same CMS release.

74400

Urography

Intravenous contrast

$122.94–$136.42

Choose 74410 when intravenous contrast is given by infusion and/or bolus; 74400 describes intravenous urography without that feature.

74415

IV urography

With nephrotomography

$140.93–$156.66

74415 is the option when nephrotomography is performed. 74410 covers infusion and/or bolus administration without nephrotomography.

74420

Retrograde urography

With or without KUB

$76.24–$83.76

74420 is retrograde urography, with contrast introduced through the urinary tract. 74410 uses intravenous contrast.

74425

Antegrade urography

Nephrostomy-route contrast imaging

$124.61–$138.22

74425 describes antegrade urography, not intravenous contrast administration. Use 74410 for the infusion and/or bolus intravenous study.

Compare 74410 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.

4 of 4 payment localities

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

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74410 billing questions

How is 74410 different from 74400?

74410 describes intravenous urography with contrast administered by infusion and/or bolus. Use 74400 for the corresponding study without that infusion or bolus feature.

When should 74415 be used instead?

Use 74415 when the intravenous urography includes nephrotomography. The presence of infusion or bolus administration alone does not make the study 74415.

Which modifier identifies the interpretation?

Append modifier 26 for the professional interpretation. Modifier TC identifies the technical service, while reporting without either modifier represents the global service.

Does the code require a KUB?

No. The study may include a KUB, but the code covers intravenous urography with or without one.

What should the imaging record support?

Documentation should establish that intravenous urography was performed, indicate whether contrast was administered by infusion, bolus, or both, and show whether a KUB was obtained.

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 74410PPRRVU2026_Oct_nonQPP.csv, line 8,420 (RVU26D)