74450
No office rateX-ray urethra/bladder
74440 evaluates the vas deferens; 74450 is used for retrograde imaging of the urethra and bladder.
On this page
CMS RVU26D · Effective 2026-10-01
74440 Vasography Medicare reimbursement rates in Kentucky
Vasography documents the radiographic evaluation of the vas deferens after contrast introduction, commonly to investigate suspected obstruction during a male infertility workup. Compare 74440 office and facility rates across CMS payment localities in Kentucky.
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 74440 in Kentucky?
Kentucky 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
$91.06
1 of 1 localities have a supported rate.
Payment area: Kentucky
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.
Radiology
About 74440: Radiologic vas deferens examination
Vasography documents the radiographic evaluation of the vas deferens after contrast introduction, commonly to investigate suspected obstruction during a male infertility workup.
This code represents the radiologic service for imaging the vas deferens after contrast is introduced into the duct. Vasography may be performed during a urologic evaluation of male infertility when obstruction or vasal patency is a clinical question. A urologist may access and cannulate the vas deferens, while radiology staff acquire the images and a qualified practitioner interprets them. The study is distinct from imaging the urethra, bladder, or penis because its target is the vas deferens.
Report the service when the record supports a vasography examination and includes the clinical indication, images or imaging record, and interpretation. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment-and-staff portion, and an unmodified claim represents the global service. The documentation and claim should reflect which portion the billing entity furnished; do not report the global service when billing only one component.
CMS billing rules for 74440
- 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 RVU0.37 · 12%
- Practice expense (office) RVU2.63 · 87%
- Malpractice RVU0.02 · 1%
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.
74440 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$95.04
Choose 74455 for voiding imaging of the urethra and bladder, not for a contrast study of the vas deferens.
74445
No office rateX-ray exam of penis
74445 concerns radiographic examination of the penis, including cavernosography; 74440 concerns the vas deferens.
$38.29
74430 is a bladder contrast examination. It does not describe imaging of the vas deferens.
Compare 74440 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
Kentucky →
Office / nonfacility
$91.06
Facility
Unavailable
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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 74440 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
8,435
- Code
- 74440
- Physician work
- 0.37
- Practice expense
- 2.63
- Malpractice
- 0.02
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.37 | × 1.000 | 0.3700 |
| Practice expense | 2.63 | × 0.889 | 2.3381 |
| Malpractice | 0.02 | × 0.915 | 0.0183 |
| Total RVUs | 2.7264 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$91.06
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.37 | 1 |
| Practice expense | 2.63 | 0.889 |
| Malpractice | 0.02 | 0.915 |
(0.37 × 1 + 2.63 × 0.889 + 0.02 × 0.915) × $33.4009 = $91.06
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.
74440 billing questions
When should I choose 74440 instead of a urethrography code?
Use 74440 for radiographic imaging of the vas deferens. Urethrography codes apply when the examination targets the urethra or urethra and bladder.
What do modifiers 26 and TC identify?
Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. An unmodified claim represents the global service.
Does 74440 describe the vas deferens cannulation procedure?
The code represents the radiologic examination, not the urologic access procedure itself. The record should support the imaging service and its interpretation.
What documentation supports reporting 74440?
Document the indication for vasography, the examination performed, the images or imaging record, and the interpretation. The claim should also reflect whether the professional, technical, or global service was furnished.
Can the professional and technical portions be billed separately?
Yes. CMS identifies modifier 26 for the professional portion and modifier TC for the technical portion; an unmodified claim represents both.
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.
8,43274430,,Contrast x-ray bladder,A,,0.31,0.91,,0.91,NA,0.03,1.25,1.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,10.66,10.66,0.15
8,43374430,26,Contrast x-ray bladder,A,,0.31,0.12,,0.12,,0.02,0.45,0.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,43474430,TC,Contrast x-ray bladder,A,,0.00,0.79,,0.79,NA,0.01,0.80,0.80,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,10.54,10.54,0.13
8,43574440,,X-ray male genital tract,A,,0.37,2.63,,2.63,NA,0.02,3.02,3.02,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,7.43,7.43,0.04
8,43674440,26,X-ray male genital tract,A,,0.37,0.16,,0.16,,0.01,0.54,0.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,43774440,TC,X-ray male genital tract,A,,0.00,2.47,,2.47,NA,0.01,2.48,2.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,7.27,7.27,0.03
8,43874445,,X-ray exam of penis,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,3.65,3.65,0.05
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631