$75.41–$84.75
74420 represents retrograde contrast imaging of the urinary tract. Use 74485 for radiological supervision and interpretation associated with dilation, not for the contrast study alone.
On this page
CMS RVU26D · Effective 2026-10-01
74485 Dilation imaging Medicare reimbursement rates in Texas
Radiological supervision and interpretation for fluoroscopic dilation of a narrowed ureter or urethra, reported with the associated dilation procedure. Compare 74485 office and facility rates across CMS payment localities in Texas.
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 74485 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
$114.92–$129.01
8 of 8 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.
Where 74485 pays more and less in Texas
8 payment localities
$114.92 to $129.01
Radiology
About 74485: Fluoroscopic urinary passage dilation imaging
Radiological supervision and interpretation for fluoroscopic dilation of a narrowed ureter or urethra, reported with the associated dilation procedure.
CPT 74485 represents the radiology work for imaging-guided dilation of a narrowed urinary passage, such as a ureteral or urethral stricture. Fluoroscopy helps the treating urologist or interventional radiologist visualize the target and assess the dilation. The service is performed in settings such as an operating room or interventional suite when imaging is used as part of the dilation procedure; it is not simply a diagnostic contrast examination of the urinary tract.
Report 74485 when the documented service includes radiological supervision and interpretation for the dilation, rather than only the therapeutic procedure or a separate diagnostic study. The record should identify the treated passage, describe the imaging performed, and include the interpreting physician’s findings. CMS recognizes separately priced professional and technical components: append modifier 26 for the interpretation, modifier TC for the equipment and staff portion, or report the code without a component modifier for the global service. The applicable component should match the service furnished and billed.
CMS billing rules for 74485
- 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 RVU0.81 · 22%
- Practice expense (office) RVU2.85 · 77%
- Malpractice RVU0.04 · 1%
1K
Medicare services in 2024 · #2938 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.
74485 compared with similar codes
Office rates for Texas, from the same CMS release.
$123.41–$140.54
74425 describes antegrade urography. It is selected for that contrast examination, whereas 74485 is tied to imaging during urinary passage dilation.
74450
No office rateX-ray urethra/bladder
74450 describes retrograde urethral and bladder imaging. It reports a diagnostic examination rather than radiological supervision and interpretation for dilation.
Compare 74485 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office $129.01 | Facility Unavailable |
| Beaumont | Office $114.92 | Facility Unavailable |
| Brazoria | Office $122.65 | Facility Unavailable |
| Dallas | Office $123.26 | Facility Unavailable |
| Fort Worth | Office $122.32 | Facility Unavailable |
| Galveston | Office $122.90 | Facility Unavailable |
| Houston | Office $123.64 | Facility Unavailable |
| Rest Of Texas | Office $118.60 | Facility Unavailable |
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74485 billing questions
How is 74485 different from a urethrogram or urography code?
74485 covers radiological supervision and interpretation associated with dilation of a narrowed urinary passage. Codes such as 74420 or 74450 describe contrast examinations, not the dilation-imaging service.
When should modifier 26 or TC be used?
Use modifier 26 for the physician’s interpretation and modifier TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports 74485?
Document the ureteral or urethral target, the dilation performed under imaging, and the interpreting physician’s findings. The report should support the radiological supervision and interpretation, not just the therapeutic dilation.
Can 74485 be reported with the dilation procedure?
It may be reported with the therapeutic procedure when the radiological service is separately documented and furnished. The dilation procedure code describes the treatment; 74485 represents the related imaging supervision and interpretation.
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.
8,44774470,,X-ray exam of kidney lesion,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,16.88,16.88,0.04
8,44874470,26,X-ray exam of kidney lesion,A,,0.53,0.18,,0.18,,0.03,0.74,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,44974470,TC,X-ray exam of kidney lesion,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,16.70,16.70,0.01
8,45074485,,Dilation urtr/urt rs&i,A,,0.81,2.85,,2.85,NA,0.04,3.70,3.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,64.02,64.02,0.29
8,45174485,26,Dilation urtr/urt rs&i,A,,0.81,0.34,,0.34,,0.03,1.18,1.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,45274485,TC,Dilation urtr/urt rs&i,A,,0.00,2.51,,2.51,NA,0.01,2.52,2.52,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,63.68,63.68,0.26
8,45374712,,Mri fetal sngl/1st gestation,A,,2.93,9.03,,9.03,NA,0.20,12.16,12.16,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,8.33,8.33,0.20