The “Top-Down” Approach to the Evaluation of Children with Febrile Urinary Tract Infection : Table 1

]>The “Top-Down” Approach to the Evaluation of Children with Febrile Urinary Tract Infection : Table 1

Table 1


	CPT code	Charge	Total charge

U/S, renal bladder		$651	$832
U/S, renal bladder		$181	$832
VCUG	74455	$779	$852
VCUG	74455.26	$73	$852
DMSA	78700	$781	$968
DMSA	78700.26	$187	$968

Assumptions used in calculations:
Positive DMSA renal scans among children with febrile UTI			50–80%
Presence of VUR among children with febrile UTI			25–50%
Presence of VUR among children with positive DMSA scan			66%

Charge per case of VUR diagnosed
Bottom-up			$3368–$8420
Top-down			$2630–$3033

*The first CPT code and charge relates to the technical fee for performing the examination, while the second code (.26 modified) relates to the professional component.