74240
X-ray xm upr gi trc 1cntrst
Code typePrimary
Payment statusActive (A)
Global periodNone
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary74240X-ray xm upr gi trc 1cntrst
1
$121.91
$121.91
Whole procedure · 0.78 wRVU credited
$121.91
$121.91
RVU Breakdown
Component
Office
Facility
Work
0.78
0.78
Practice expense
2.82
2.82
Malpractice
0.05
0.05
Total RVU
3.65
3.65
Payment Policy & Modifiers
Allowed adjustments
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Prof / tech split -26 / -TCSplit
Has professional (-26) and technical (-TC) components, each priced separately.
Not applicable to this code
Bilateral -50Multiple procedure Co-surgeon -62Team surgeon -66