74775 X-ray examination of perineum
Also known as: perineal imaging, external genital imaging, perineal radiography
Radiographic imaging of the perineal anatomy including external genitalia and perineal structures using contrast medium for assessment of pathology.
In Plain Language
perineal area X-ray; external genital imaging
Clinical Context
Evaluates perineal trauma, fistulas, external genital lesions, and anatomic abnormalities; performed following childbirth or acute injury.
RVU Breakdown
| Work RVU | 0.62 |
| Total RVU | 0.62 |
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 0.62, this code ranks in the 39th percentile among Radiology codes — 1.3x below the median (0.81). The highest wRVU in this category is 11.57.
Specialties
Frequently Asked Questions
What is CPT code 74775?
CPT 74775 (X-ray examination of perineum) is a Radiology code. Radiographic imaging of the perineal anatomy including external genitalia and perineal structures using contrast medium for assessment of pathology.
Who uses CPT code 74775?
CPT 74775 is used by Radiology, Obstetrics/Gynecology. Evaluates perineal trauma, fistulas, external genital lesions, and anatomic abnormalities; performed following childbirth or acute injury.
When is CPT 74775 used?
Evaluates perineal trauma, fistulas, external genital lesions, and anatomic abnormalities; performed following childbirth or acute injury.
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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.