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CPT 74240: Upper Gastrointestinal Series with Barium Contrast
CPT code 74240 represents an upper gastrointestinal (UGI) series using barium sulfate contrast, capturing imaging of the esophagus, stomach, and the duodenum with included scout and delayed films when performed. This fluoroscopic diagnostic radiology procedure is widely used to evaluate structural abnormalities, motility disorders, and sources of pain or bleeding in the upper GI tract. Nationally, the code matters because it informs billing and coverage for a common, non-invasive diagnostic pathway that often precedes endoscopic or surgical intervention.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The coverage and payment policies for CPT code 74240 affect utilization patterns across outpatient radiology departments, hospital imaging suites, and ambulatory imaging centers.
Readers will find benchmarks and operational context around typical sites of service, common clinical indications, and billing considerations tied to this code. The publication outlines how the service is positioned clinically, summarizes payer inclusion, and highlights areas where policy updates or payer-specific coverage rules commonly influence utilization. Data not available in the input for payer-specific rates, ICD-10 pairings, and associated taxonomies is noted where applicable.
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Billing Code Overview
CPT code 74240 describes an upper gastrointestinal (UGI) series with barium sulfate contrast, capturing imaging of the esophagus, stomach, and the proximal small intestine (duodenum). The service includes scout films of the abdomen and delayed films when performed as part of the examination. This is an imaging procedure that evaluates anatomic structure and motility of the upper GI tract using oral contrast.
Service Type: Diagnostic radiology — contrast fluoroscopic upper GI series
Typical Site of Service: Outpatient radiology departments, hospital radiology suites, and ambulatory imaging centers