2025 CPT code 74410
(Active) Effective Date: N/A Revision Date: N/A Diagnostic Radiology - Urography Radiology Feed
Intravenous urography using infusion, drip, or bolus contrast injection technique.
Modifiers 26 (professional component only) and TC (technical component only) can be appended as appropriate.Modifiers 59 (distinct procedural service) and others may be needed depending on the clinical scenario.
Medical necessity for IVU is typically established by the presence of symptoms or findings suggestive of urinary tract pathology.This may include, but is not limited to, flank pain, hematuria, urinary tract infections, suspected kidney stones, or evaluation of known or suspected renal masses or tumors. The choice of intravenous pyelography versus CT urography depends on patient-specific factors and facility availability. The appropriate documentation must support the clinical indication for IVU and the choice of the technique employed.
The radiologist is responsible for administering the contrast material, acquiring the images, interpreting the results, and generating a diagnostic report.
In simple words: This code describes an X-ray exam of your kidneys, ureters (tubes connecting kidneys to bladder), and bladder. A special dye is injected into your vein (either a slow drip or a fast injection) to help the X-rays show these organs more clearly. The doctor takes the X-rays, looks at them, and writes a report explaining what they show.
This CPT code encompasses the intravenous urography (IVU) procedure, involving the radiographic examination of the kidneys, ureters, and bladder.Contrast material is administered intravenously, either through a drip infusion or rapid bolus injection. The procedure includes image acquisition and interpretation, resulting in a diagnostic report.The code covers both the technical and professional components of the service.Note that nephrotomography, if performed, necessitates the use of code 74415 instead.
Example 1: A patient presents with suspected kidney stones.An IVU is performed using a bolus injection to visualize the urinary tract and identify the location and size of the stones., A patient with a history of bladder cancer undergoes an IVU to evaluate for the presence of upper tract tumors.A drip infusion technique is used to minimize the risk of contrast-induced nephropathy., A patient presents with flank pain and hematuria. An IVU is performed to evaluate the kidneys, ureters, and bladder for abnormalities. A detailed report is generated to guide further management.
* Patient demographics and medical history.* Indication for the procedure (e.g., flank pain, hematuria, suspected kidney stones).* Contrast agent used and amount administered.* Imaging technique (bolus injection or drip infusion).* Radiographic images.* Radiologist's interpretation and report.
** The choice between bolus injection and drip infusion depends on patient factors and clinical judgment. Drip infusion may be preferred for patients with renal insufficiency or those at higher risk of contrast-induced nephropathy.
- Revenue Code: I1F (STANDARD IMAGING - OTHER)
- RVU: The RVUs for this code vary depending on the location and payer. Consult your local fee schedule or payer guidelines for the most up-to-date information.
- Global Days : The global period is not explicitly defined for this code.Consult payer-specific guidelines for reimbursement.
- Payment Status: Active
- Modifier TC rule: Modifier TC applies if only the technical component of the service is performed.However, payer policies may vary, particularly for hospital settings.
- Fee Schedule : Fee schedules are payer-specific and vary over time. Consult relevant historical fee schedules for specific reimbursement information.
- Specialties:Radiology, Urology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center, Hospital Inpatient