$133.73–$141.09
Use 74415 when nephrotomography is included with the intravenous contrast study. 74410 is the related infusion and/or bolus urography code without nephrotomography.
On this page
CMS RVU26D · Effective 2026-10-01
74415 IV urography Medicare reimbursement rates in Michigan
Reports intravenous urinary tract imaging using infusion and/or bolus contrast when the examination includes nephrotomographic views of the kidneys. Compare 74415 office and facility rates across CMS payment localities in Michigan.
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 74415 in Michigan?
Michigan 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
$140.20–$148.10
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 74415: Intravenous urography with nephrotomography
Reports intravenous urinary tract imaging using infusion and/or bolus contrast when the examination includes nephrotomographic views of the kidneys.
This examination tracks intravenously administered contrast through the kidneys and urinary tract using radiographs, including nephrotomographic images focused on the kidneys. It may be used to assess suspected abnormalities of the renal collecting systems or urinary tract. Imaging staff acquire the study, typically in a hospital radiology department, and a radiologist interprets the images.
Choose this code when the documented examination uses infusion and/or bolus contrast and includes nephrotomography; the contrast method alone is not enough to distinguish it from related urography services. The report and image record should support the urinary tract examination and the nephrotomographic views. CMS allows billing the professional component with modifier 26 for interpretation, the technical component with modifier TC for equipment and staff, or the global service without either modifier.
CMS billing rules for 74415
- 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) RVU4.01 · 88%
- Malpractice RVU0.05 · 1%
20
Medicare services in 2024 · #5933 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.
74415 compared with similar codes
Office rates for Michigan, from the same CMS release.
$122.21–$129.08
74400 is another intravenous urography option, with KUB and/or tomography features. Select 74415 when the documented infusion and/or bolus examination includes nephrotomography.
$75.80–$79.64
74420 describes retrograde rather than intravenous contrast administration. The contrast route and examination performed separate it from 74415.
Compare 74415 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
Detroit →
Office / nonfacility
$148.10
Facility
Unavailable
Rest Of Michigan →
Office / nonfacility
$140.20
Facility
Unavailable
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74415 billing questions
How does 74415 differ from 74410?
Both describe intravenous urography using infusion and/or bolus contrast. 74415 is the choice when nephrotomography is included; 74410 is the related code without that feature.
What documentation supports reporting 74415?
The imaging record should support the intravenous contrast examination and show that nephrotomographic views of the kidneys were obtained. The interpretation should document the findings from the study.
Can the professional and technical services be billed separately?
Yes. Report modifier 26 for the professional interpretation or modifier TC for the technical service; bill without a modifier for the global service.
Is nephrotomography required for this code?
Yes. The distinguishing feature is nephrotomography as part of the intravenous urography examination.
How does 74415 differ from retrograde urography?
74415 follows contrast given intravenously. Retrograde urography, such as 74420, evaluates the urinary tract with contrast introduced retrograde rather than through an intravenous injection.
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.
8,42074410,,Urography nfs drip&/bolus,A,,0.48,3.81,,3.81,NA,0.04,4.33,4.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,5.53,5.53,0.05
8,42174410,26,Urography nfs drip&/bolus,A,,0.48,0.19,,0.19,,0.02,0.69,0.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,42274410,TC,Urography nfs drip&/bolus,A,,0.00,3.62,,3.62,NA,0.02,3.64,3.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,5.34,5.34,0.03
8,42374415,,Urography nfs drip&/bls w/nf,A,,0.48,4.01,,4.01,NA,0.05,4.54,4.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,5.51,5.51,0.06
8,42474415,26,Urography nfs drip&/bls w/nf,A,,0.48,0.17,,0.17,,0.03,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,42574415,TC,Urography nfs drip&/bls w/nf,A,,0.00,3.84,,3.84,NA,0.02,3.86,3.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,5.34,5.34,0.03
8,42674420,,Urography rtrgr +-kub,A,,0.51,1.89,,1.89,NA,0.03,2.43,2.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,10.82,10.82,0.08