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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.

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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 codeShort descriptionModifier indicator
0596TTemp fml iu vlv-pmp 1st insj0 - no modifier bypassCheck pair
0597TTemp fml iu valve-pmp rplcmt0 - no modifier bypassCheck pair
36000Place needle in vein1 - modifier may bypassCheck pair
36011Place catheter in vein1 - modifier may bypassCheck pair
36410Vnpnxr 3yr/> phy/qhp dx/ther1 - modifier may bypassCheck pair
36425Venipuncture cutdown 1 yr/>1 - modifier may bypassCheck pair
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
51600Injection for bladder x-ray0 - no modifier bypassCheck pair
51701Insert bladder catheter0 - no modifier bypassCheck pair
51702Insert temp bladder cath0 - no modifier bypassCheck pair
51703Insert bladder cath complex0 - no modifier bypassCheck pair
74018Radex abdomen 1 view1 - modifier may bypassCheck pair
76000Fluoroscopy <1 hr phys/qhp1 - modifier may bypassCheck pair
77001Fluoroguide for vein device1 - modifier may bypassCheck pair
77002Needle localization by xray1 - modifier may bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair
99446Ntrprof ph1/ntrnet/ehr 5-100 - no modifier bypassCheck pair
99447Ntrprof ph1/ntrnet/ehr 11-200 - no modifier bypassCheck pair
99448Ntrprof ph1/ntrnet/ehr 21-300 - no modifier bypassCheck pair
99449Ntrprof ph1/ntrnet/ehr 31/>0 - no modifier bypassCheck pair
99451Ntrprof ph1/ntrnet/ehr 5/>0 - no modifier bypassCheck pair
99452Ntrprof ph1/ntrnet/ehr rfrl0 - no modifier bypassCheck pair
G0471Ven blood coll snf/hha0 - no modifier bypassCheck pair
P9612Catheterize for urine spec0 - no modifier bypassCheck 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 codeShort descriptionModifier indicator
52284Cysto rx balo cath urtl strx0Check pair
74420Urography rtrgr +-kub0Check pair
74440X-ray male genital tract1Check pair
74455X-ray urethra/bladder1Check 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.