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 |
| Medicare Fee Schedule | View Medicare rates for 74240 |
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 | $73.79 | 1639120124 - STEVEN HASSIG | 161152051 - (NY) BROOME GASTROENTEROLOGY ASSOCIATES ANTHONY R MONTICELLO MD PC) | NY | Gastroenterology Physician (207RG0100X) |
United | 74240 | $33.36 | 1164623351 - ELIZABETH ODSTRCIL | 752005254 - TEXAS DIGESTIVE DISEASE CONSULTANTS | TX | Gastroenterology Physician (207RG0100X) |
United | 74240 | $208.21 | 1679147201 - RONI AOUN | 113265111 - (NY) PECONIC BAY PRIMARY MEDICAL CARE, P.C. | NY | Gastroenterology Physician (207RG0100X) |
United | 74240 | $378.50 | 1689679029 - JOSEPH YARZE | 42807148 - MASS GENERAL BRIGHAM INCORPORATED | NY | Gastroenterology Physician (207RG0100X) |
United | 74240 | $52.90 | 1780740860 - STEVEN GOLDSTEIN | 150346515 - (NY) ALICE HYDE MEDICAL CENTER | NJ | Gastroenterology Physician (207RG0100X) |
United | 74240 | $78.27 | 1124078589 - JONATHAN BUSCAGLIA | 112558775 - (NY) STONY BROOK INTERNISTS P C | NY | Gastroenterology Physician (207RG0100X) |
United | 74240 | $117.44 | 1215005152 - SULAIMAN AZEEZ | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | Gastroenterology Physician (207RG0100X) |
United | 74240 | $53.38 | 1801258975 - STEPHANIE GOLD | 611661781 | NY | Gastroenterology Physician (207RG0100X) |
United | 74240 | $70.40 | 1265471809 - STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION | 112558775 - (NY) STONY BROOK INTERNISTS P C | NY | Gastroenterology Physician (207RG0100X) |
United | 74240 | $126.87 | 1598923542 - NANCY CHUNG | 843068891 - (NY) VANGUARD GASTROENTEROLOGY LLP | NY | Gastroenterology Physician (207RG0100X) |
United | 74240 | $74.48 | 1437444007 - AKEEM ADEBOGUN | 752547668 - (TX) HUGULEY MEDICAL ASSOCIATES INC | TX | Gastroenterology Physician (207RG0100X) |
United | 74240 | $93.15 | 1255573671 - ASHLEY MARANINO | 134185781 - SJR MEDICAL PC | NY | Gastroenterology Physician (207RG0100X) |
United | 74240 | $138.49 | 1265747489 - KASIM KAZBAY | 364734205 | NY | Gastroenterology Physician (207RG0100X) |
United | 74240 | $132.85 | 1912915034 - NATARAJ KASAL | 272413974 | IN | Gastroenterology Physician (207RG0100X) |
United | 74240 | $62.79 | 1801085337 - JOSHUA NOVAK | 611661781 | NY | 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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