Imaging

74177 - RVUs & Medicare payment (2026)

CT abdomen and pelvis with contrast.

Component	Non-facility	Facility
Work RVU	1.77	1.77
Practice expense RVU	7.09	7.09
Malpractice RVU	0.13	0.13
Total RVUs	8.99	8.99
National payment (CF $33.4009)	$300.27	$300.27
Qualifying APM payment (CF $33.5675)	$301.77	$301.77

How 74177 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 74177 ranges from $264.78 in Arkansas (AR) to $409.43 in San Jose-Sunnyvale-Santa Clara (CA); calculate 74177 for your locality.

San Jose-Sunnyvale-Santa Clara (CA) $409.43 San Jose-Sunnyvale-Santa Clara (CA) $408.83 San Francisco-Oakland-Berkeley (CA) $400.63 San Francisco-Oakland-Berkeley (CA) $400.49 Napa (CA) $377.17 Vallejo (CA) $376.96 Seattle (WA) $356.19 Santa Rosa-Petaluma (CA) $354.03 National average $300.27 … 97 more localities between … Alabama (AL) $268.79 Rest Of Missouri (MO) $267.48 Mississippi (MS) $266.22 Arkansas (AR) $264.78

Non-facility payment for 74177 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: XXX

No global period: the global surgery concept does not apply to this code.

Professional / technical split

74177 can be billed globally or split: modifier 26 for the professional component (interpretation) and TC for the technical component (equipment and staff).

Billing	Total RVUs (non-facility)	National payment
74177-26	2.51	$83.84
74177-TC	6.48	$216.44

Related codes - imaging

71045 · chest x-ray, single view
71046 · chest x-ray, 2 views
70450 · ct head/brain without contrast
70553 · mri brain without and with contrast
72100 · lumbar spine x-ray, 2-3 views
72148 · mri lumbar spine without contrast
73030 · shoulder x-ray, complete
73721 · mri lower-extremity joint without contrast
76700 · ultrasound, abdomen, complete
76805 · obstetric ultrasound, after first trimester
76856 · pelvic ultrasound, complete
77067 · screening mammography, bilateral
77066 · diagnostic mammography, bilateral

Frequently asked questions

How much does Medicare pay for 74177 in 2026?

The national non-facility payment is $300.27 and the facility payment is $300.27, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for 74177?

The 2026 work RVU for 74177 is 1.77. Total RVUs are 8.99 in the non-facility setting and 8.99 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.