$113.75–$120.45
74240 describes a single-contrast upper GI examination. Add 74248 when the examination also includes small-bowel follow-through.
On this page
CMS RVU26D · Effective 2026-10-01
74248 Small bowel follow-through Medicare reimbursement rates in Maine
Add-on fluoroscopic imaging tracks oral contrast through the small bowel during an upper gastrointestinal examination to assess transit and small-intestinal abnormalities. Compare 74248 office and facility rates across CMS payment localities in Maine.
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 74248 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$74.45–$78.38
2 of 2 localities have a supported rate.
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.
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 Maine, from the same CMS release.
$125.59–$132.94
74246 describes a double-contrast upper GI examination. Add 74248 when serial imaging extends the examination through the small bowel.
$110.29–$116.69
74250 is a standalone single-contrast small-intestine examination; 74248 is an add-on to an upper GI examination.
74251
No office rateX-ray xm sm int 2cntrst std
74251 is a standalone double-contrast small-intestine examination; 74248 is used for follow-through performed with a primary upper GI examination.
Compare 74248 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$74.45
Facility
Unavailable
Southern Maine →
Office / nonfacility
$78.38
Facility
Unavailable
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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.
8,35774246,,X-ray xm upr gi trc 2cntrst,A,,0.88,3.09,,3.09,NA,0.06,4.03,4.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,5.67,5.67,0.07
8,35874246,26,X-ray xm upr gi trc 2cntrst,A,,0.88,0.32,,0.32,,0.05,1.25,1.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,35974246,TC,X-ray xm upr gi trc 2cntrst,A,,0.00,2.77,,2.77,NA,0.01,2.78,2.78,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,5.35,5.35,0.02
8,36074248,,X-ray sm int f-thru std,A,,0.68,1.65,,1.65,NA,0.05,2.38,2.38,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,36174248,26,X-ray sm int f-thru std,A,,0.68,0.24,,0.24,,0.04,0.96,0.96,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,36274248,TC,X-ray sm int f-thru std,A,,0.00,1.41,,1.41,NA,0.01,1.42,1.42,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
8,36374250,,X-ray xm sm int 1cntrst std,A,,0.79,2.69,,2.69,NA,0.06,3.54,3.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,5.62,5.62,0.07