`74270` X-ray xm colon 1cntrst std

What 74270 is

CMS fee schedule short descriptor: X-ray xm colon 1cntrst std.

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 74270 (CY2026)

	Work RVU	Practice expense RVU	Malpractice RVU	Total	Medicare rate
Non-facility (office)	1.01	3.37	0.07	4.45	$148.63
Facility (hospital, ASC)	1.01	3.37	0.07	4.45	$148.63

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.

Adjust for a Medicare locality:

Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.

Medically Unlikely Edit (MUE)

Medicare caps 74270 at 1 unit 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: Anatomic Consideration. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 74270? These codes are bundled into it

74270 is a Column 1 code in 18 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
`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
`74018`	Radex abdomen 1 view	1 - modifier may bypass	Check pair
`74019`	Radex abdomen 2 views	1 - modifier may bypass	Check pair
`74283`	Ther nma rdctj intus/obstrcj	1 - modifier may bypass	Check pair
`76000`	Fluoroscopy <1 hr phys/qhp	1 - modifier may bypass	Check pair
`76942`	Echo guide for biopsy	1 - modifier may bypass	Check pair
`76998`	Us guide intraop	1 - modifier may bypass	Check pair
`77001`	Fluoroguide for vein device	1 - modifier may bypass	Check pair
`77002`	Needle localization by xray	1 - modifier may bypass	Check pair
`96523`	Irrig drug delivery device	0 - no modifier bypass	Check pair
`99446`	Ntrprof ph1/ntrnet/ehr 5-10	0 - no modifier bypass	Check pair
`99447`	Ntrprof ph1/ntrnet/ehr 11-20	0 - no modifier bypass	Check pair
`99448`	Ntrprof ph1/ntrnet/ehr 21-30	0 - no modifier bypass	Check pair
`99449`	Ntrprof ph1/ntrnet/ehr 31/>	0 - no modifier bypass	Check pair
`99451`	Ntrprof ph1/ntrnet/ehr 5/>	0 - no modifier bypass	Check pair
`99452`	Ntrprof ph1/ntrnet/ehr rfrl	0 - no modifier bypass	Check pair

74270 is bundled into these codes

74270 appears as a Column 2 code in 1 active edits. Reported with one of these Column 1 codes on the same date of service, 74270 is the code that denies.

Column 1 code	Short description	Modifier indicator
`0780T`	Instlj fecal microbiota ssp	0	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.