74450 X-ray urethra/bladder
What 74450 is
CMS fee schedule short descriptor: X-ray urethra/bladder.
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 74450 (CY2026)
This code has no Physician Fee Schedule rate: Carrier-priced - the Medicare contractor sets the price. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.
Medically Unlikely Edit (MUE)
Medicare caps 74450 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 74450? These codes are bundled into it
74450 is a Column 1 code in 25 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 | |
|---|---|---|---|
0596T | Temp fml iu vlv-pmp 1st insj | 0 - no modifier bypass | Check pair |
0597T | Temp fml iu valve-pmp rplcmt | 0 - no modifier bypass | Check pair |
36000 | Place needle in vein | 1 - modifier may bypass | Check pair |
36011 | Place catheter in vein | 1 - modifier may bypass | Check pair |
36410 | Vnpnxr 3yr/> phy/qhp dx/ther | 1 - modifier may bypass | Check pair |
36425 | Venipuncture cutdown 1 yr/> | 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 |
51600 | Injection for bladder x-ray | 0 - no modifier bypass | Check pair |
51701 | Insert bladder catheter | 0 - no modifier bypass | Check pair |
51702 | Insert temp bladder cath | 0 - no modifier bypass | Check pair |
51703 | Insert bladder cath complex | 0 - no modifier bypass | Check pair |
74018 | Radex abdomen 1 view | 1 - modifier may bypass | Check pair |
76000 | Fluoroscopy <1 hr phys/qhp | 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 |
G0471 | Ven blood coll snf/hha | 0 - no modifier bypass | Check pair |
P9612 | Catheterize for urine spec | 0 - no modifier bypass | Check pair |
74450 is bundled into these codes
74450 appears as a Column 2 code in 4 active edits. Reported with one of these Column 1 codes on the same date of service, 74450 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
52284 | Cysto rx balo cath urtl strx | 0 | Check pair |
74420 | Urography rtrgr +-kub | 0 | Check pair |
74440 | X-ray male genital tract | 1 | Check pair |
74455 | X-ray urethra/bladder | 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.