Use 74018 for a one-view abdominal radiograph. It does not represent the complete acute abdomen series or its included chest image.
On this page
CMS RVU26D · Effective 2026-10-01
74022 Abdominal X-ray Medicare reimbursement rates in Nebraska
Reports a complete acute abdomen radiographic series, including abdominal views and a chest view, for evaluation of acute abdominal symptoms. Compare 74022 office and facility rates across CMS payment localities in Nebraska.
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 74022 in Nebraska?
Nebraska 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
$45.88
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 74022: Complete acute abdomen radiographic series
Reports a complete acute abdomen radiographic series, including abdominal views and a chest view, for evaluation of acute abdominal symptoms.
This service is a multi-image radiographic evaluation used when acute abdominal symptoms call for assessment of the abdomen along with a chest image. The abdominal views can help evaluate findings such as bowel obstruction or abnormal abdominal gas; the chest image can help identify findings such as air beneath the diaphragm. Radiology departments and imaging centers commonly perform the study, with a radiologist or other qualified practitioner providing the interpretation.
Report 74022 for the complete acute abdomen series, not for an abdominal study selected solely by the number of abdominal views. The record should support the clinical reason for the series, the images obtained, and the interpretation. CMS recognizes a professional component for interpretation, reportable with modifier 26, and a technical component for equipment and staff, reportable with modifier TC. Without either modifier, the claim represents the global service. The chest image is part of this series; do not report it again as a separate chest study when it is the image included in 74022.
CMS billing rules for 74022
- 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 RVU0.31 · 21%
- Practice expense (office) RVU1.14 · 77%
- Malpractice RVU0.03 · 2%
90.5K
Medicare services in 2024 · #591 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.
74022 compared with similar codes
Office rates for Nebraska, from the same CMS release.
Use 74019 for a two-view abdominal examination when the complete acute abdomen series is not performed.
Use 74021 for an abdominal examination with three or more views when it is not the complete acute abdomen series that includes a chest image.
Compare 74022 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
Nebraska →
Office / nonfacility
$45.88
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 74022 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
8,297
- Code
- 74022
- Physician work
- 0.31
- Practice expense
- 1.14
- Malpractice
- 0.03
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.31 | × 1.000 | 0.3100 |
| Practice expense | 1.14 | × 0.923 | 1.0522 |
| Malpractice | 0.03 | × 0.378 | 0.0113 |
| Total RVUs | 1.3736 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$45.88
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.31 | 1 |
| Practice expense | 1.14 | 0.923 |
| Malpractice | 0.03 | 0.378 |
(0.31 × 1 + 1.14 × 0.923 + 0.03 × 0.378) × $33.4009 = $45.88
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.
74022 billing questions
When should 74022 be chosen instead of 74021?
Choose 74022 when the complete acute abdomen series, including a chest image, is performed. Code 74021 describes an abdominal examination based on three or more views and does not identify that complete series.
Can the chest image in the series be billed separately?
The chest image is included in 74022 when it is the image obtained as part of the series. Do not report it again as a separate chest study.
How are modifiers 26 and TC used?
Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff. Report 74022 without either modifier for the global service.
Should each image in the series be reported as a separate unit?
No. Report the complete series as one service rather than billing 74022 once for each image.
What documentation supports reporting 74022?
Document the acute abdominal indication, the images obtained as part of the series, and the interpretation. The record should support that the complete acute abdomen study was performed.
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.
