CPT 74240 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Radiology Procedures • Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Low |
National average reimbursement for CPT 74240 by major payers:
$140.99
$132.61
$154.75
$173.86
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 74240 | ||||||
United | 74240 | $83.29 | 1750315628 - GABRIEL IONESCU | 141338471 - (NY) CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER | AL | Gastroenterology Physician (207RG0100X) |
United | 74240 | $38.77 | 1154375087 - RAYEES NIZAM | 161071730 - (NY) ASSOCIATED GASTROENTEROLOGISTS OF CENTRAL NEW YORK, P.C. | NY | Gastroenterology Physician (207RG0100X) |
United | 74240 | $287.30 | 1902822109 - ROBERT MENDELSOHN | 133544120 - CAREMOUNT MEDICAL, P.C. | NY | Gastroenterology Physician (207RG0100X) |
United | 74240 | $112.55 | 1326266271 - SYRACUSE GASTROENTEROLOGICAL ASSOC PC | 160989507 - (NY) SYRACUSE GASTROENTEROLOGICAL ASSOCIATES, PC | NY | Gastroenterology Physician (207RG0100X) |
United | 74240 | $47.31 | 1437686359 - RONALD SAMUEL | 300520570 - (TX) METHODIST HOSPITAL | TX | Gastroenterology Physician (207RG0100X) |
United | 74240 | $45.20 | 1174967970 - JIGAR PATEL | 204923281 - MEMORIAL HERMANN MEDICAL GROUP | TX | Gastroenterology Physician (207RG0100X) |
United | 74240 | $110.91 | 1689675456 - MOHAMED VADVA | 463084117 - (TX) MOHAMED D VADVA MD PA | TX | Gastroenterology Physician (207RG0100X) |
United | 74240 | $61.31 | 1235178799 - ORAL JAMES | 800400884 - (FL) NORTHWEST FLORIDA MULTISPECIALTY PHYSICIANS LLC | FL | Gastroenterology Physician (207RG0100X) |
United | 74240 | $111.62 | 1477516128 - LONG HOANG | 352526373 - ACCLAIM PHYSICIAN GROUP INC | TX | Gastroenterology Physician (207RG0100X) |
United | 74240 | $162.10 | 1205279247 - JARED MACKLIN | 133884168 - WESTCHESTER MEDICAL GROUP, P.C. D/B/A WESTMED MEDICAL GROUP | NY | Gastroenterology Physician (207RG0100X) |
United | 74240 | $73.79 | 1639120124 - STEVEN HASSIG | 161152051 - (NY) BROOME GASTROENTEROLOGY ASSOCIATES ANTHONY R MONTICELLO MD PC) | NY | Gastroenterology Physician (207RG0100X) |
United | 74240 | $62.34 | 1952377848 - NARAYANA NARAYANA | 421417307 - CEDAR VALLEY MEDICAL SPECIALISTS, P.C. | TX | Gastroenterology Physician (207RG0100X) |
United | 74240 | $74.48 | 1437444007 - AKEEM ADEBOGUN | 752547668 - (TX) HUGULEY MEDICAL ASSOCIATES INC | TX | Gastroenterology Physician (207RG0100X) |
United | 74240 | $44.88 | 1639268105 - KONSTANTIN VAIZMAN | 113540038 - (NY) NIRANJAN K MITTAL PHYSICIAN PLLC | NY | Gastroenterology Physician (207RG0100X) |
United | 74240 | $69.73 | 1053548891 - AMIT MORI | 760567380 - (TX) WAEL ASI M.D., P.A. | SC | Gastroenterology Physician (207RG0100X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 74240 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74240 code is part of the Radiology Procedures services used for Diagnostic Radiology (Diagnostic Imaging) Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 74240 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 74240-CPT | Low | Radiologic Examination Upper Gastrointestinal Tract Including Scout Abdominal Radiograph(S) And Delayed Image(S) When Performed; Single- Contrast (Eg Barium) Study (Desc Rvsd 1/1/20) |
| 74246-CPT | Low | Radiologic Examination Upper Gastrointestinal Tract Including Scout Abdominal Radiograph(S) And Delayed Image(S) When Performed; Double- Contrast (Eg High-Density Barium And Effervescent Agent) Study Including Glucagon When Administered (Desc Rvsd 1/1/20) |
| 74248-CPT | Low | Radiologic Small Intestine Follow-Through Study Including Multiple Serial Images (List Separately In Addition To Code For Primary Procedure For Upper Gi Radiologic Examination) |
| 74250-CPT | Low | Radiologic Examination Small Intestine Includingmultiple Serial Images And Scout Abdominal Radiograph(S) When Performed; Single-Contrast (Eg Barium) Study (Desc Rvsd 1/1/20) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74240. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74240 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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