$79.80–$93.43
74420 describes retrograde urography, in which contrast is introduced from below. Choose 74425 when contrast enters the urinary tract through percutaneous access in an antegrade direction.
On this page
CMS RVU26D · Effective 2026-10-01
74425 Antegrade urography Medicare reimbursement rates in Virginia
Reports radiologic imaging and interpretation of the urinary collecting system after contrast is introduced in an antegrade direction through percutaneous access. Compare 74425 office and facility rates across CMS payment localities in Virginia.
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 74425 in Virginia?
Virginia 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
$131.57–$155.62
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.
Radiology
About 74425: Antegrade urinary tract contrast study
Reports radiologic imaging and interpretation of the urinary collecting system after contrast is introduced in an antegrade direction through percutaneous access.
Antegrade urography uses radiographic imaging to show the renal collecting system and ureter after contrast is injected through percutaneous urinary access, commonly a nephrostomy catheter. A radiologist or interventional radiologist evaluates how contrast fills and passes through the urinary tract, including in patients being assessed for obstruction, narrowing, or a leak. The service is typically performed in a hospital or imaging department where fluoroscopic equipment and the existing access route are available.
Report 74425 for the antegrade contrast examination and its radiologic supervision and interpretation, rather than for catheter placement or exchange alone. The record should identify the access route, describe contrast flow and the images obtained, and include the interpreting clinician’s findings. CMS recognizes professional and technical components: report modifier 26 for the interpretation, modifier TC for the equipment and staff, or no component modifier when billing the global service. The components are separately priced by CMS.
CMS billing rules for 74425
- 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 RVU0.50 · 12%
- Practice expense (office) RVU3.47 · 87%
- Malpractice RVU0.04 · 1%
966
Medicare services in 2024 · #3000 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.
74425 compared with similar codes
Office rates for Virginia, from the same CMS release.
$129.50–$153.32
74400 is intravenous urography, with contrast administered into the bloodstream for excretory imaging. 74425 involves direct antegrade contrast injection through percutaneous urinary access.
$142.07–$168.29
74410 describes infusion urography using a drip or bolus technique. 74425 is distinguished by antegrade contrast introduction through percutaneous access.
Compare 74425 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
Dc + Md/Va Suburbs →
Office / nonfacility
$155.62
Facility
Unavailable
Virginia →
Office / nonfacility
$131.57
Facility
Unavailable
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74425 billing questions
When is 74425 used instead of retrograde urography?
Use 74425 when contrast is introduced in an antegrade direction through percutaneous urinary access, such as a nephrostomy catheter. Retrograde urography uses contrast introduced from the lower urinary tract.
Does 74425 report nephrostomy catheter placement or exchange?
No. It reports the radiologic examination and interpretation of the urinary tract after antegrade contrast injection, not catheter placement or exchange by itself.
How are the professional and technical components reported?
Use modifier 26 for the professional interpretation and modifier TC for the technical service. Billing without either modifier represents the global service.
What documentation supports 74425?
Document the percutaneous access route, contrast injection and resulting images, and the interpreting clinician’s findings about filling and passage through the collecting system and ureter.
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.
8,42674420,,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
8,42774420,26,Urography rtrgr +-kub,A,,0.51,0.21,,0.21,,0.02,0.74,0.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,42874420,TC,Urography rtrgr +-kub,A,,0.00,1.68,,1.68,NA,0.01,1.69,1.69,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,10.61,10.61,0.06
8,42974425,,Urography antegrade rs&i,A,,0.50,3.47,,3.47,NA,0.04,4.01,4.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,10.82,10.82,0.06
8,43074425,26,Urography antegrade rs&i,A,,0.50,0.18,,0.18,,0.03,0.71,0.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,43174425,TC,Urography antegrade rs&i,A,,0.00,3.29,,3.29,NA,0.01,3.30,3.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,10.64,10.64,0.03
8,43274430,,Contrast x-ray bladder,A,,0.31,0.91,,0.91,NA,0.03,1.25,1.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,10.66,10.66,0.15