CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31

CPT 74174 RVU and Medicare Payment (2026)

Cta abd&plvs w/contrast — 2.15 work RVU, about $378.43 non-facility Medicare payment at the 2026 conversion factor.

Work RVU
2.15
PE RVU (non-facility)
9.01
PE RVU (facility)
9.01
MP RVU
0.17
Office payment
$378.43
Facility payment
$378.43

How the payment is calculated

Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 74174 in a non-facility setting with national GPCI: (2.15 + 9.01 + 0.17) × $33.4009 ≈ $378.43. The same code in a facility setting pays about $378.43 because facility PE RVU (9.01) replaces office PE RVU.

What changes by locality

GPCI moves 74174 non-facility payment from $333.25 to $516.71 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). Check your exact locality in the GPCI calculator rather than using a state average.

Related codes

Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.

Frequently asked questions

What is the 2026 work RVU for CPT 74174?

2.15. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.

How much does Medicare pay for CPT 74174 in 2026?

About $378.43 non-facility ($378.43 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.

Does the work RVU change between office and facility?

No. Work RVU (2.15) and malpractice RVU stay fixed; only practice expense changes (9.01 office vs 9.01 facility). That is the entire office-vs-facility payment gap.