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CMS RVU26D · Effective 2026-10-01

74176 CT abdomen and pelvis Medicare reimbursement rates in Oklahoma

Single combined CT exam of the abdomen and pelvis performed without intravenous contrast, commonly ordered for suspected kidney stones, flank pain, or contrast intolerance. Compare 74176 office and facility rates across CMS payment localities in Oklahoma.

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 74176 in Oklahoma?

Oklahoma 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

$169.10

1 of 1 localities have a supported rate.

Payment area: Oklahoma

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.

Find 74176 in your payment locality →

Radiology

About 74176: CT abdomen and pelvis without contrast

Single combined CT exam of the abdomen and pelvis performed without intravenous contrast, commonly ordered for suspected kidney stones, flank pain, or contrast intolerance.

This noncontrast CT images both the abdomen and pelvis, usually from the lung bases through the pubic symphysis. A common use is a renal stone protocol for flank pain or hematuria. It may also be ordered when IV contrast is avoided because of severe kidney impairment or a prior contrast reaction, including evaluation for free air, hemorrhage, or bowel obstruction. Technologists acquire the images in emergency departments, hospital imaging departments, or freestanding centers; a radiologist interprets the study.

Report 74176 once when both regions are imaged without IV contrast, rather than billing separate abdomen and pelvis CT codes. Oral or rectal contrast alone does not change the study to a with-contrast CT. The global code includes image acquisition and interpretation; modifier 26 identifies interpretation alone, and modifier TC identifies the technical portion when separately billed under the physician fee schedule. CMS diagnostic imaging multiple-procedure reduction can affect both components when eligible imaging studies are furnished together; the professional reduction depends on the same physician interpreting the studies in the same session. Documentation should identify both regions, IV contrast status, the indication, and findings.

CMS billing rules for 74176

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.
Multiple procedures
Diagnostic imaging multiple procedure reduction applies to the technical and professional components.

Where the value comes from

  • Work RVU1.70 · 31%
  • Practice expense (office) RVU3.67 · 67%
  • Malpractice RVU0.11 · 2%

2M

Medicare services in 2024 · #81 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.

74176 compared with similar codes

Office rates for Oklahoma, from the same CMS release.

74150

CT abdomen

Without contrast

$125.53

74150 covers the abdomen only. If imaging continues through the pelvis without IV contrast, the combined code 74176 applies instead.

74177

CT abdomen and pelvis

With contrast only

$273.97

74177 requires IV contrast for the combined study. Use 74176 when no intravascular contrast is given, even if oral contrast is used.

74178

CT abdomen/pelvis

Without and with contrast

$308.27

74178 applies when noncontrast images are followed by IV contrast images in one or both regions; 74176 is noncontrast only throughout.

Compare 74176 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

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

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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 74176 in Oklahoma.

PPRRVU2026_Oct_nonQPP.csv

8,315

Code
74176
Physician work
1.70
Practice expense
3.67
Malpractice
0.11

GPCI2026.csv

86

Locality
Oklahoma
Physician work
1.000
Practice expense
0.893
Malpractice
0.777
Office / nonfacility calculation for 74176 in Oklahoma
ComponentRVULocality factorAdjusted
Physician work1.70× 1.0001.7000
Practice expense3.67× 0.8933.2773
Malpractice0.11× 0.7770.0855
Total RVUs5.0628
Conversion factor× 33.4009

Office / nonfacility rate, Oklahoma$169.10

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.71
Practice expense3.670.893
Malpractice0.110.777

(1.7 × 1 + 3.67 × 0.893 + 0.11 × 0.777) × $33.4009 = $169.10

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.

74176 billing questions

Can CT abdomen without contrast and CT pelvis without contrast be billed separately when both are scanned?

No. When both regions are imaged without IV contrast at the same session, report the combined code once instead of 74150 plus 72192.

If the patient drank oral contrast, should a with-contrast code be used?

No. Contrast status in CT coding refers to intravascular contrast. Oral or rectal contrast alone is still reported with this without-contrast code.

What if the abdomen and pelvis were scanned without contrast and then repeated after IV contrast?

Report 74178, which covers noncontrast imaging followed by contrast imaging in one or both regions, rather than 74176 plus 74177.

Which modifier does a radiologist use when reading a hospital CT?

Append modifier 26 for interpretation alone. An entity billing only the technical portion under the physician fee schedule uses modifier TC; bill the global code without a modifier when the same billing entity furnishes both components.

How does the multiple-procedure reduction affect a chest and abdomen-pelvis CT done together?

For eligible services billed under the physician fee schedule, CMS reduces payment for the lower-valued technical component. The professional-component reduction applies when the same physician interprets both studies in the same session.

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 74176PPRRVU2026_Oct_nonQPP.csv, line 8,315 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet