74263 Ct colonography screening
What 74263 is
CMS fee schedule short descriptor: Ct colonography screening.
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 74263 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 2.22 | 22.67 | 0.11 | 25.00 | $835.02 |
| Facility (hospital, ASC) | 2.22 | 22.67 | 0.11 | 25.00 | $835.02 |
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.
Billed with 74263? These codes are bundled into it
74263 is a Column 1 code in 16 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 | |
|---|---|---|---|
01922 | Anes n-invas img/radj ther | 1 - modifier may bypass | Check pair |
0558T | Ct scan f/biomchn ct alys | 1 - modifier may bypass | Check pair |
0694T | 3d vol img&rcnstj brst/ax | 1 - modifier may bypass | Check pair |
0868T | Hi-res gastric ep mapping | 1 - modifier may bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
72192 | Ct pelvis w/o dye | 1 - modifier may bypass | Check pair |
72193 | Ct pelvis w/dye | 1 - modifier may bypass | Check pair |
72194 | Ct pelvis w/o & w/dye | 1 - modifier may bypass | Check pair |
74150 | Ct abdomen w/o contrast | 1 - modifier may bypass | Check pair |
74160 | Ct abdomen w/contrast | 1 - modifier may bypass | Check pair |
74170 | Ct abd wo cntrst flwd cntrst | 1 - modifier may bypass | Check pair |
76000 | Fluoroscopy <1 hr phys/qhp | 1 - modifier may bypass | Check pair |
76376 | 3d render w/intrp postproces | 1 - modifier may bypass | Check pair |
76377 | 3d render w/intrp postproces | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
74263 is bundled into these codes
74263 appears as a Column 2 code in 4 active edits. Reported with one of these Column 1 codes on the same date of service, 74263 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0691T | Auto alys xst ct std vrt fx | 0 | Check pair |
0721T | Quan ct tiss charac w/o ct | 1 | Check pair |
74261 | Ct colonography dx | 1 | Check pair |
74262 | Ct colonography dx w/dye | 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.