X130

Intravenous pyelogram including preliminary film

Fee

ComponentValue
Fee basisH / P components
H / P source listing; PDF p. 370$49.65 / $24.85
Schedule and sources
Fee edition
October 1, 2026
Record effective
2026-04-01
Schedule edition
July 22, 2026; effective July 1, 2026
Official files

PDF page 370 / D12

Intravenous pyelogram including preliminary film................... 49.65 24.85
Fee master record

Master, record 6578. Record Layout PDF, page 1.

X13020260401999999990000000000000000620500000000000000000000000000000248500

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.

FieldRaw / scale 10,000
provider00000000000 / 0
assistant00000620500 / 62.05
specialist00000000000 / 0
anaesthetist00000000000 / 0
non anaesthetist00000248500 / 24.85
Explanation

AI-generated. Unreviewed.

Intravenous pyelogram, an X-ray of the urinary tract after IV contrast, including the preliminary film. It falls under the Genitourinary Tract heading in Diagnostic Radiology.

Sources and updates
Fee master effective October 1, 2026Schedule effective July 1, 2026Source versions and changes
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