74400 Urography intravenous +-kub tomog
Also known as: IV pyelography, intravenous pyelogram, IVP
Intravenous urography with optional tomography and kidney-ureter-bladder radiography to visualize renal and urinary collecting system structure and function.
In Plain Language
kidney X-ray with dye; urinary system imaging
Clinical Context
Evaluates renal function, hydronephrosis, obstruction, stones, tumors, and urinary tract anomalies; contrast excretion provides assessment of renal perfusion and collecting system.
RVU Breakdown
| Work RVU | 0.48 |
| Total RVU | 0.48 |
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 0.48, this code ranks in the 28th percentile among Radiology codes — 1.7x below the median (0.81). The highest wRVU in this category is 11.57.
Specialties
Frequently Asked Questions
What is CPT code 74400?
CPT 74400 (Urography intravenous +-kub tomog) is a Radiology code. Intravenous urography with optional tomography and kidney-ureter-bladder radiography to visualize renal and urinary collecting system structure and function.
Who uses CPT code 74400?
CPT 74400 is used by Radiology, Urology. Evaluates renal function, hydronephrosis, obstruction, stones, tumors, and urinary tract anomalies; contrast excretion provides assessment of renal perfusion and collecting system.
When is CPT 74400 used?
Evaluates renal function, hydronephrosis, obstruction, stones, tumors, and urinary tract anomalies; contrast excretion provides assessment of renal perfusion and collecting system.
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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.