74430 Contrast x-ray bladder
Also known as: cystography, contrast cystography, voiding cystourethrography
Radiographic imaging of the bladder using contrast medium via cystography to assess bladder integrity, capacity, and for detection of leakage or perforation.
In Plain Language
bladder X-ray with dye; bladder imaging
Clinical Context
Diagnoses bladder perforation, leakage following surgery, vesicoureteral reflux, and bladder capacity; performed by retrograde catheterization or suprapubic injection.
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 74430?
CPT 74430 (Contrast x-ray bladder) is a Radiology code. Radiographic imaging of the bladder using contrast medium via cystography to assess bladder integrity, capacity, and for detection of leakage or perforation.
Who uses CPT code 74430?
CPT 74430 is used by Radiology, Urology. Diagnoses bladder perforation, leakage following surgery, vesicoureteral reflux, and bladder capacity; performed by retrograde catheterization or suprapubic injection.
When is CPT 74430 used?
Diagnoses bladder perforation, leakage following surgery, vesicoureteral reflux, and bladder capacity; performed by retrograde catheterization or suprapubic injection.
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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.