$137.31
74270 is a diagnostic single-contrast colon examination. Choose 74283 when imaging guides treatment of an intestinal obstruction, not merely diagnostic evaluation.
On this page
CMS RVU26D · Effective 2026-10-01
74283 Intussusception reduction Medicare reimbursement rates in Tennessee
Reports fluoroscopy-guided therapeutic treatment of intussusception or another intestinal obstruction, commonly using air or contrast to reduce the blockage. Compare 74283 office and facility rates across CMS payment localities in Tennessee.
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 74283 in Tennessee?
Tennessee 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
$259.10
1 of 1 localities have a supported rate.
Payment area: Tennessee
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 74283: Radiologic reduction of intestinal intussusception
Reports fluoroscopy-guided therapeutic treatment of intussusception or another intestinal obstruction, commonly using air or contrast to reduce the blockage.
This service uses imaging to guide a therapeutic maneuver for intussusception or another intestinal obstruction. A common example is a radiologist reducing a child’s intussusception with air or liquid contrast introduced through a rectal catheter while monitoring the bowel under fluoroscopy. The work is typically performed in a hospital radiology department, where the team can assess the response during the procedure and coordinate further care if reduction is unsuccessful.
Report the service for the therapeutic radiologic procedure, rather than for a contrast study performed only to evaluate the bowel. Documentation should identify the indication, the technique and material used, fluoroscopic findings, and the result of the therapeutic attempt. CMS recognizes separately priced professional and technical components: modifier 26 identifies the physician’s interpretation, and modifier TC identifies the equipment and staff component. A claim without either modifier represents the global service.
CMS billing rules for 74283
- 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 RVU1.97 · 23%
- Practice expense (office) RVU6.29 · 75%
- Malpractice RVU0.13 · 2%
863
Medicare services in 2024 · #3080 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.
74283 compared with similar codes
Office rates for Tennessee, from the same CMS release.
$194.81
74280 is a diagnostic double-contrast colon examination. It does not describe fluoroscopy-guided therapeutic reduction of intussusception or another obstruction.
$109.14
74250 describes a diagnostic single-contrast examination of the small intestine. It is not the therapeutic radiologic procedure reported with 74283.
Compare 74283 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
Tennessee →
Office / nonfacility
$259.10
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 74283 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
8,384
- Code
- 74283
- Physician work
- 1.97
- Practice expense
- 6.29
- Malpractice
- 0.13
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.97 | × 1.000 | 1.9700 |
| Practice expense | 6.29 | × 0.909 | 5.7176 |
| Malpractice | 0.13 | × 0.537 | 0.0698 |
| Total RVUs | 7.7574 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Tennessee$259.10
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.97 | 1 |
| Practice expense | 6.29 | 0.909 |
| Malpractice | 0.13 | 0.537 |
(1.97 × 1 + 6.29 × 0.909 + 0.13 × 0.537) × $33.4009 = $259.10
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.
74283 billing questions
When should this code be chosen instead of a contrast enema code?
Use this code when fluoroscopy guides a therapeutic procedure for intussusception or another intestinal obstruction. A contrast enema performed to evaluate the colon without therapeutic intent is a diagnostic study instead.
Can the professional and technical components be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical component, including equipment and staff. Without either modifier, the claim represents the global service.
Is fluoroscopic guidance included in this service?
Yes. The code covers the therapeutic radiologic procedure with fluoroscopy, so the fluoroscopic guidance for that procedure is not reported as a separate service.
What documentation supports reporting this code?
Record the obstruction or intussusception being treated, the therapeutic technique and material used, the fluoroscopic findings, and the outcome of the attempt.
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.
8,38174280,,X-ray xm colon 2cntrst std,A,,1.23,5.01,,5.01,NA,0.09,6.33,6.33,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,5.77,5.77,0.09
8,38274280,26,X-ray xm colon 2cntrst std,A,,1.23,0.43,,0.43,,0.07,1.73,1.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,38374280,TC,X-ray xm colon 2cntrst std,A,,0.00,4.58,,4.58,NA,0.02,4.60,4.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,5.34,5.34,0.02
8,38474283,,Ther nma rdctj intus/obstrcj,A,,1.97,6.29,,6.29,NA,0.13,8.39,8.39,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,6.34,6.34,0.13
8,38574283,26,Ther nma rdctj intus/obstrcj,A,,1.97,0.99,,0.99,,0.12,3.08,3.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,38674283,TC,Ther nma rdctj intus/obstrcj,A,,0.00,5.30,,5.30,NA,0.01,5.31,5.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,5.35,5.35,0.01
8,38774290,,Contrast x-ray gallbladder,A,,0.31,2.09,,2.09,NA,0.03,2.43,2.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,5.45,5.45,0.05
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780