74251 X-ray xm sm int 2cntrst std
Also known as: double contrast small bowel, air-contrast small bowel, small bowel series
Radiographic examination of small intestine with two contrast agents (barium and air) using standard technique to provide optimal mucosal visualization and small bowel assessment.
In Plain Language
two-dye small intestine X-ray; double contrast small bowel study
Clinical Context
Provides superior evaluation of small bowel mucosa for ulceration, stenosis, Crohn's disease, and mucosal abnormalities; the dual contrast technique enhances sensitivity.
RVU Breakdown
| Work RVU | 1.14 |
| Total RVU | 1.14 |
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 1.14, this code ranks in the 65th percentile among Radiology codes — 1.4x the median (0.81). The highest wRVU in this category is 11.57.
Specialties
Frequently Asked Questions
What is CPT code 74251?
CPT 74251 (X-ray xm sm int 2cntrst std) is a Radiology code. Radiographic examination of small intestine with two contrast agents (barium and air) using standard technique to provide optimal mucosal visualization and small bowel assessment.
Who uses CPT code 74251?
CPT 74251 is used by Radiology, Gastroenterology. Provides superior evaluation of small bowel mucosa for ulceration, stenosis, Crohn's disease, and mucosal abnormalities; the dual contrast technique enhances sensitivity.
When is CPT 74251 used?
Provides superior evaluation of small bowel mucosa for ulceration, stenosis, Crohn's disease, and mucosal abnormalities; the dual contrast technique enhances sensitivity.
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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.