$134.08
Choose 74240 for a single-contrast upper GI examination; choose 74246 when the documented technique is double contrast.
On this page
CMS RVU26D · Effective 2026-10-01
74240 Upper GI series Medicare reimbursement rates in Wyoming
A fluoroscopic single-contrast upper GI study images the esophagus, stomach, and duodenum when evaluating upper digestive tract symptoms. Compare 74240 office and facility rates across CMS payment localities in Wyoming.
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 74240 in Wyoming?
Wyoming 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
$121.48
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Diagnostic radiology
About 74240: Single-contrast upper GI radiographic study
A fluoroscopic single-contrast upper GI study images the esophagus, stomach, and duodenum when evaluating upper digestive tract symptoms.
This study follows swallowed contrast through the esophagus, stomach, and duodenum using fluoroscopy and radiographic images. A radiologic technologist typically performs the imaging in a hospital radiology department or outpatient imaging center, while a radiologist interprets the findings. It may be ordered to evaluate upper digestive tract symptoms or suspected structural abnormalities; the service is defined by the single-contrast technique, commonly using barium.
Report 74240 when the examination covers the upper GI tract using a single-contrast approach, rather than a double-contrast study or an examination limited to the esophagus. Documentation should identify the clinical indication, the areas examined, the contrast technique, and the interpreting physician’s findings. The global service includes the technical work and professional interpretation. If those portions are billed separately, use modifier 26 for the interpretation or TC for the equipment and staff portion.
CMS billing rules for 74240
- 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 RVU0.78 · 21%
- Practice expense (office) RVU2.82 · 77%
- Malpractice RVU0.05 · 1%
58.5K
Medicare services in 2024 · #723 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.
74240 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$93.84
74220 describes imaging limited to the esophagus. 74240 covers an upper GI examination that includes the stomach and duodenum.
$119.90
74230 is a functional swallowing examination. 74240 follows contrast through the upper GI tract.
$90.84
74210 focuses on the pharynx and cervical esophagus; 74240 examines the esophagus, stomach, and duodenum.
Compare 74240 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
Wyoming** →
Office / nonfacility
$121.48
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 74240 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
8,354
- Code
- 74240
- Physician work
- 0.78
- Practice expense
- 2.82
- Malpractice
- 0.05
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.78 | × 1.000 | 0.7800 |
| Practice expense | 2.82 | × 1.000 | 2.8200 |
| Malpractice | 0.05 | × 0.740 | 0.0370 |
| Total RVUs | 3.6370 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$121.48
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.78 | 1 |
| Practice expense | 2.82 | 1 |
| Malpractice | 0.05 | 0.74 |
(0.78 × 1 + 2.82 × 1 + 0.05 × 0.74) × $33.4009 = $121.48
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.
74240 billing questions
How does 74240 differ from 74246?
74240 is for a single-contrast upper GI examination. Use 74246 when the documented examination uses a double-contrast technique.
Can the interpretation and imaging be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion. Billing without either modifier represents the global service.
Is 74240 appropriate for an esophagus-only study?
No. An examination confined to the esophagus is represented by an esophageal imaging code; 74240 describes imaging that proceeds through the upper GI tract.
What should the report document?
The record should support the clinical indication, the single-contrast technique, the anatomy examined, and the radiologist’s 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.
8,35174235,,Remove esophagus obstruction,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,,33.4009,09,0,99,0.00,0.00,0.00
8,35274235,26,Remove esophagus obstruction,A,,1.16,0.41,,0.41,,0.07,1.64,1.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,35374235,TC,Remove esophagus obstruction,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,,33.4009,03,0,99,0.00,0.00,0.00
8,35474240,,X-ray xm upr gi trc 1cntrst,A,,0.78,2.82,,2.82,NA,0.05,3.65,3.65,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,5.65,5.65,0.06
8,35574240,26,X-ray xm upr gi trc 1cntrst,A,,0.78,0.31,,0.31,,0.04,1.13,1.13,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,35674240,TC,X-ray xm upr gi trc 1cntrst,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,,33.4009,03,0,99,5.34,5.34,0.02
8,35774246,,X-ray xm upr gi trc 2cntrst,A,,0.88,3.09,,3.09,NA,0.06,4.03,4.03,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,5.67,5.67,0.07
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,