74280 X-ray xm colon 2cntrst std
Also known as: double contrast barium enema, DCBE, air-contrast enema
Radiographic examination of the colon with two contrast agents (barium and air) using standard technique to provide optimal visualization of the colonic mucosa.
In Plain Language
colon X-ray with two dyes; double contrast colon study
Clinical Context
Superior technique for detecting polyps and subtle mucosal lesions; used for colorectal cancer screening, diagnosis of inflammatory bowel disease, and detection of diverticular disease.
RVU Breakdown
| Work RVU | 1.23 |
| Total RVU | 1.23 |
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 1.23, this code ranks in the 69th percentile among Radiology codes — 1.5x the median (0.81). The highest wRVU in this category is 11.57.
Specialties
Frequently Asked Questions
What is CPT code 74280?
CPT 74280 (X-ray xm colon 2cntrst std) is a Radiology code. Radiographic examination of the colon with two contrast agents (barium and air) using standard technique to provide optimal visualization of the colonic mucosa.
Who uses CPT code 74280?
CPT 74280 is used by Radiology, Gastroenterology. Superior technique for detecting polyps and subtle mucosal lesions; used for colorectal cancer screening, diagnosis of inflammatory bowel disease, and detection of diverticular disease.
When is CPT 74280 used?
Superior technique for detecting polyps and subtle mucosal lesions; used for colorectal cancer screening, diagnosis of inflammatory bowel disease, and detection of diverticular disease.
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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.