74355 X-ray guide intestinal tube
Also known as: fluoroscopic tube placement, jejunal tube guidance, small bowel tube placement
Fluoroscopic radiographic guidance during placement, repositioning, or manipulation of a gastrointestinal feeding tube positioned beyond the stomach into the small bowel.
In Plain Language
X-ray guided feeding tube into small bowel; guided small bowel tube positioning
Clinical Context
Real-time fluoroscopic imaging guides endoscopic or percutaneous placement of jejunal/post-pyloric feeding tubes for enteral nutrition support.
RVU Breakdown
| Work RVU | 0.76 |
| Total RVU | 0.76 |
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 0.76, this code ranks in the 47th percentile among Radiology codes — 1.1x below the median (0.81). The highest wRVU in this category is 11.57.
Specialties
Frequently Asked Questions
What is CPT code 74355?
CPT 74355 (X-ray guide intestinal tube) is a Radiology code. Fluoroscopic radiographic guidance during placement, repositioning, or manipulation of a gastrointestinal feeding tube positioned beyond the stomach into the small bowel.
Who uses CPT code 74355?
CPT 74355 is used by Radiology, Gastroenterology. Real-time fluoroscopic imaging guides endoscopic or percutaneous placement of jejunal/post-pyloric feeding tubes for enteral nutrition support.
When is CPT 74355 used?
Real-time fluoroscopic imaging guides endoscopic or percutaneous placement of jejunal/post-pyloric feeding tubes for enteral nutrition support.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
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.