74425 Urography antegrade rs & i
Also known as: antegrade pyelography, antegrade urography, nephrostomy imaging
Antegrade radiographic imaging of the urinary system using contrast injected into the renal collecting system through a nephrostomy tube with imaging and intervention.
In Plain Language
kidney X-ray through tube; forwards urinary system imaging
Clinical Context
Evaluates collecting system obstruction, strictures, and ureteral patency in patients with nephrostomy tubes; allows assessment of drainage and percutaneous intervention.
RVU Breakdown
| Work RVU | 0.50 |
| Total RVU | 0.50 |
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 0.50, this code ranks in the 29th percentile among Radiology codes — 1.6x below the median (0.81). The highest wRVU in this category is 11.57.
Specialties
Frequently Asked Questions
What is CPT code 74425?
CPT 74425 (Urography antegrade rs & i) is a Radiology code. Antegrade radiographic imaging of the urinary system using contrast injected into the renal collecting system through a nephrostomy tube with imaging and intervention.
Who uses CPT code 74425?
CPT 74425 is used by Radiology, Urology. Evaluates collecting system obstruction, strictures, and ureteral patency in patients with nephrostomy tubes; allows assessment of drainage and percutaneous intervention.
When is CPT 74425 used?
Evaluates collecting system obstruction, strictures, and ureteral patency in patients with nephrostomy tubes; allows assessment of drainage and percutaneous intervention.
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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.