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See a sample rate comparisonCPT 74363 Fee Schedule
Last Verified: September 2026
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.
Widening Of Narrowed Bile Duct, A Balloon Is Inserted Into The Common Bile Duct And Guided By X-Ray To A Point Where The Duct Has Become Too Narrow. The Balloon Is Inflated To Widen The Passage And Then Taken Out. A Support Device (Stent) May Be Left In The Duct.
| 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 GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 74363 |
| Medicaid Fee Schedule | View Medicaid rates for 74363 |
National average reimbursement for CPT 74363 by major payers:
$234.10
$287.70
$126.79
$204.08
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CPT 74363
5 of 25 sample ratesHigher to lower in this preview
Health Imaging Partners, LLC
$732.30Published rateSydney Rose
Radiology Associates Of North Texas, PA
$431.82Published rateMazhar Ali
Northern Arizona Healthcare Corporation
$279.79Published rateRakesh Ahuja
Radiology Associates Of North Texas, PA
$110.08Published rateAnn Steck
Toledo Hospital
$44.29Published rate
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See a sample payer proposalCPT 74363 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74363 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 74363 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 |
|---|---|---|
| 74329-CPT | Low | Endoscopic Catheterization Of, Endoscopic Catheterization Of The Pancreatic Ductal System Radiological Supervision And Interpretation Endoscopic Catheterization Of The Pancreatic Ductal System |
| 74330-CPT | Low | Bile Pancreatic Duct Imaging, An Exam Of The Bile Duct System Using A Scope (Endoscope). The Procedure Examines The Ducts From The Liver To The Pancreas Taking X-Rays With Contrast Agents To View The Area. |
| 74363-CPT | Moderate | Widening Of Narrowed Bile Duct, A Balloon Is Inserted Into The Common Bile Duct And Guided By X-Ray To A Point Where The Duct Has Become Too Narrow. The Balloon Is Inflated To Widen The Passage And Then Taken Out. A Support Device (Stent) May Be Left In The Duct. |
| 74420-CPT | Low | Exam For Urine Backflow, An Imaging Study To Evaluate Flow Of Urine Back To The Kidneys From The Bladder. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74363. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74363 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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