74221 X-ray xm esophagus 2cntrst
Also known as: Esophagus X-ray multiple series, Complete barium esophagogram
Plain radiographic examination of the esophagus using barium contrast in multiple series to provide comprehensive assessment of esophageal anatomy.
In Plain Language
Detailed X-ray of the food pipe with special drink
Clinical Context
Comprehensive esophageal imaging with multiple projections and phases for detailed pathology assessment.
RVU Breakdown
| Work RVU | 0.68 |
| Total RVU | 0.68 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
Radiology codes require a written order, clinical indication, and a formal interpretation report. The professional component (modifier -26) and technical component (modifier -TC) may be billed separately.
How This Code Compares
With a work RVU of 0.68, this code ranks in the 43rd percentile among Radiology codes — 1.2x below the median (0.81). The highest wRVU in this category is 11.57.
Specialties
Frequently Asked Questions
What is CPT code 74221?
CPT 74221 (X-ray xm esophagus 2cntrst) is a Radiology code. Plain radiographic examination of the esophagus using barium contrast in multiple series to provide comprehensive assessment of esophageal anatomy.
Who uses CPT code 74221?
CPT 74221 is used by Radiology, Gastroenterology, Otolaryngology. Comprehensive esophageal imaging with multiple projections and phases for detailed pathology assessment.
When is CPT 74221 used?
Comprehensive esophageal imaging with multiple projections and phases for detailed pathology assessment.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.