2025 CPT code 74400

Intravenous urography (IVP) with or without KUB and tomography.

Follow CPT guidelines for radiology codes. Use modifiers as appropriate to reflect the components performed.

Modifiers 26 (professional component) and TC (technical component) may be appended as needed. Refer to payer-specific guidelines.

The test should be medically necessary based on the clinical indication. For example, suspected kidney stones, hematuria, or pre-surgical evaluation of urinary tract.

The radiologist is responsible for administering the contrast agent, obtaining the X-ray images, and interpreting the results.The referring physician is responsible for ordering the test and integrating it into the patient's overall care.

IMPORTANT 74170, 72194 (CT IVP alternatives);Modifiers 26 (professional component only), TC (technical component only) may apply depending on payer policies and provider type.

In simple words: This X-ray exam uses a special dye injected into a vein to create pictures of your kidneys, ureters (tubes from kidneys to bladder), and bladder.Additional X-rays of the abdomen (KUB) and/or special imaging techniques (tomography) may be included.

Intravenous urography (IVP), also known as intravenous pyelography, is a radiologic examination of the kidneys, ureters, and bladder.A contrast agent is injected intravenously, allowing visualization of the urinary tract on X-ray images.The procedure may include a KUB (kidney, ureter, bladder) X-ray and/or tomography for enhanced imaging.

Example 1: A patient presents with flank pain and suspected kidney stones.An IVP is performed to visualize the urinary tract and identify any obstructions., A patient undergoing a urological procedure requires pre-operative imaging to assess the anatomy of the urinary system. An IVP is used to evaluate kidney and ureteral function., A patient with hematuria (blood in urine) undergoes an IVP to assess for the presence of tumors or other abnormalities within the urinary system.

Complete history and physical examination;indication for the procedure; images obtained; radiologist's interpretation report; any relevant findings.

** IVP is less frequently used today due to the availability of less invasive imaging modalities such as CT scans.Always verify payer coverage and specific requirements before billing.

  • Revenue Code: I1F (STANDARD IMAGING - OTHER)
  • RVU: Not specified in source; refer to current year's CPT codebook and/or payer-specific fee schedules for RVU values.
  • Global Days : Not specified in source.Global period may vary by payer and/or clinical context.
  • Payment Status: Active
  • Modifier TC rule: Modifier TC is applicable if only the technical component (image acquisition) is billed separately.Hospital billing policies may vary.
  • Fee Schedule : Not specified in source data.Refer to historical CPT codebooks and fee schedules.
  • Specialties:Urology, Radiology, Nephrology
  • Place of Service:Office, Hospital (Inpatient/Outpatient), Ambulatory Surgical Center, Imaging Center
** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.