74290 Contrast x-ray gallbladder
Also known as: oral cholecystography, gallbladder series, oral cholangiogram
Radiographic examination of the gallbladder using contrast medium (oral or intravenous) to assess gallbladder function and visualize biliary structures.
In Plain Language
gallbladder X-ray; liver/gallbladder imaging
Clinical Context
Evaluates gallbladder contractility, demonstrates cholelithiasis, and assesses for biliary dyskinesia; less commonly used since ultrasound and hepatobiliary scintigraphy are preferred.
RVU Breakdown
| Work RVU | 0.31 |
| Total RVU | 0.31 |
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 0.31, this code ranks in the 21st percentile among Radiology codes — 2.6x below the median (0.81). The highest wRVU in this category is 11.57.
Specialties
Frequently Asked Questions
What is CPT code 74290?
CPT 74290 (Contrast x-ray gallbladder) is a Radiology code. Radiographic examination of the gallbladder using contrast medium (oral or intravenous) to assess gallbladder function and visualize biliary structures.
Who uses CPT code 74290?
CPT 74290 is used by Radiology, Gastroenterology. Evaluates gallbladder contractility, demonstrates cholelithiasis, and assesses for biliary dyskinesia; less commonly used since ultrasound and hepatobiliary scintigraphy are preferred.
When is CPT 74290 used?
Evaluates gallbladder contractility, demonstrates cholelithiasis, and assesses for biliary dyskinesia; less commonly used since ultrasound and hepatobiliary scintigraphy are preferred.
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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.