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See a sample rate comparisonCPT 74425 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.
Imaging Exam Urine System, Contrast Dye Is Injected Into An Artificial Opening That Provides Access To The Urinary System. X-Rays Are Taken As The Dye Moves From The Kidneys To The Bladder. The Pictures Help Detect Problems In The Urine Drainage System.
| 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 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 74425 |
| Medicaid Fee Schedule | View Medicaid rates for 74425 |
National average reimbursement for CPT 74425 by major payers:
$183.66
$178.93
$168.70
$159.58
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CPT 74425
5 of 25 sample ratesHigher to lower in this preview
Lola Earley
Radiology Associates Of North Texas, PA
$884.21Published rateLaurie Mckinney-Hellman
Northern Arizona Healthcare Corporation
$112.80Published rateCletus Fuhrmann
Radiology Associates Of North Texas, PA
$45.11Published rateMarc Liebeskind
Radiology Associates Of North Texas, PA
$45.11Published rateAshley Mattix
Northern Arizona Healthcare Corporation
$25.62Published rate
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See a sample payer proposalCPT 74425 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74425 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 74425 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 |
|---|---|---|
| 74400-CPT | Low | X-Ray Exam Of Urinary System, An Intravenous Pyelogram (Ivp) Is An X-Ray Of The Kidney Drainage Tubes (Ureters) And Bladder Using A Contrast Agent. Images Are Taken As The Bladder Fills And During Urination To Assess The System. |
| 74415-CPT | Low | X-Ray Of Urinary Tract, An Intravenous Urogram (Ivu) X-Rays The Urinary Tract From The Kidneys Through The Bladder. Contrast Material Is Injected To Highlight The Area. |
| 74420-CPT | Low | Exam For Urine Backflow, An Imaging Study To Evaluate Flow Of Urine Back To The Kidneys From The Bladder. |
| 74425-CPT | Low | Imaging Exam Urine System, Contrast Dye Is Injected Into An Artificial Opening That Provides Access To The Urinary System. X-Rays Are Taken As The Dye Moves From The Kidneys To The Bladder. The Pictures Help Detect Problems In The Urine Drainage System. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74425. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74425 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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