74455 X-ray urethra/bladder
Also known as: voiding cystourethrography, VCUG, micturating cystourethrography
Radiographic imaging of the urethra and bladder using contrast medium during voiding to assess for reflux, obstruction, and urethral patency.
In Plain Language
bladder and urine tube X-ray during emptying; voiding study
Clinical Context
Evaluates vesicoureteral reflux, bladder outlet obstruction, urethral strictures, and post-void residual; functional imaging during micturition.
RVU Breakdown
| Work RVU | 0.32 |
| Total RVU | 0.32 |
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 0.32, this code ranks in the 21st percentile among Radiology codes — 2.5x below the median (0.81). The highest wRVU in this category is 11.57.
Specialties
Frequently Asked Questions
What is CPT code 74455?
CPT 74455 (X-ray urethra/bladder) is a Radiology code. Radiographic imaging of the urethra and bladder using contrast medium during voiding to assess for reflux, obstruction, and urethral patency.
Who uses CPT code 74455?
CPT 74455 is used by Radiology, Urology. Evaluates vesicoureteral reflux, bladder outlet obstruction, urethral strictures, and post-void residual; functional imaging during micturition.
When is CPT 74455 used?
Evaluates vesicoureteral reflux, bladder outlet obstruction, urethral strictures, and post-void residual; functional imaging during micturition.
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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.