74021 Radex abdomen 3+ views
What 74021 is
CMS fee schedule short descriptor: Radex abdomen 3+ views.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 74021 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.26 | 0.98 | 0.02 | 1.26 | $42.09 |
| Facility (hospital, ASC) | 0.26 | 0.98 | 0.02 | 1.26 | $42.09 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.
Medically Unlikely Edit (MUE)
Medicare caps 74021 at 2 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Clinical: Data. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 74021? These codes are bundled into it
74021 is a Column 1 code in 5 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
74018 | Radex abdomen 1 view | 1 - modifier may bypass | Check pair |
74019 | Radex abdomen 2 views | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
74021 is bundled into these codes
74021 appears as a Column 2 code in 7 active edits. Reported with one of these Column 1 codes on the same date of service, 74021 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
74022 | Radex compl aqt abd series | 1 | Check pair |
74240 | X-ray xm upr gi trc 1cntrst | 1 | Check pair |
74248 | X-ray sm int f-thru std | 1 | Check pair |
74410 | Urography nfs drip&/bolus | 1 | Check pair |
74415 | Urography nfs drip&/bls w/nf | 1 | Check pair |
74420 | Urography rtrgr +-kub | 1 | Check pair |
74425 | Urography antegrade rs&i | 1 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.