74246 X-ray xm upper gi trc 2cntrst
Also known as: upper GI series, double contrast UGI, barium swallow with air
Radiographic examination of the upper gastrointestinal tract with two contrast agents (typically barium and air) to evaluate esophagus, stomach, and proximal small bowel.
In Plain Language
upper stomach X-ray with two dyes; double contrast upper digestive tract study
Clinical Context
Used to diagnose peptic ulcer disease, gastroesophageal reflux disease (GERD), hiatal hernia, gastric carcinoma, and motility disorders. The dual contrast technique provides superior mucosal detail.
RVU Breakdown
| Work RVU | 0.88 |
| Total RVU | 0.88 |
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 0.88, this code ranks in the 54th percentile among Radiology codes — 1.1x the median (0.81). The highest wRVU in this category is 11.57.
Specialties
Frequently Asked Questions
What is CPT code 74246?
CPT 74246 (X-ray xm upper gi trc 2cntrst) is a Radiology code. Radiographic examination of the upper gastrointestinal tract with two contrast agents (typically barium and air) to evaluate esophagus, stomach, and proximal small bowel.
Who uses CPT code 74246?
CPT 74246 is used by Radiology, Gastroenterology. Used to diagnose peptic ulcer disease, gastroesophageal reflux disease (GERD), hiatal hernia, gastric carcinoma, and motility disorders. The dual contrast technique provides superior mucosal detail.
When is CPT 74246 used?
Used to diagnose peptic ulcer disease, gastroesophageal reflux disease (GERD), hiatal hernia, gastric carcinoma, and motility disorders. The dual contrast technique provides superior mucosal detail.
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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.