{
    "code": "74230",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/74230/2022/A",
    "release_specific_url": "https://localishealth.com/cpt/74230/2022/D",
    "description": "A moving X-ray study of swallowing, in which the patient sips and eats barium-coated food and liquid of varying thickness while the throat and upper esophagus are filmed in real time. Because it is recorded as video rather than still pictures, it shows the mechanics of each swallow: whether the airway closes properly, where material lingers, and whether any of it goes down the wrong way. It is often called a modified barium swallow and is usually done with a speech-language pathologist present.",
    "answer": {
        "question": "How much did Medicare pay for CPT 74230 in Q4 2022?",
        "text": "Medicare paid $134.96 for CPT 74230 in the office (non-facility) setting and $134.96 in a facility under the Q4 2022 Physician Fee Schedule, effective October 2022. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2022, when it decreased 1.1%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2022,
        "quarter": "D",
        "label": "Q4 2022",
        "effective": "October 1 – December 31, 2022",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 134.96,
        "facility": 134.96,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.53,
        "practice_expense_non_facility": 3.32,
        "practice_expense_facility": 3.32,
        "malpractice": 0.05
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.6062,
    "source": {
        "label": "Physician relative value file (Q4 2022)",
        "cms_url": "https://www.cms.gov/files/zip/rvu22d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2022/D",
        "file": "PPRRVU22_OCT.csv",
        "row": 13027,
        "sha256": "f8774a019545e1fd71536837b20b74674c014b1acef3435d93456857885190ab"
    },
    "modified_at": "2026-08-04T03:12:03+00:00"
}