CPT 74177 can be used for a CT scan of the abdomen and pelvis with contrast material. This medical imaging procedure uses X-ray beams and electronic detectors to produce detailed images of the body for diagnostic purposes.
What Is CPT Code 74177?
The CPT code 74177 describes a computed tomography (CT) scan of the abdomen and pelvis using contrast material.
A CT scan is a medical imaging procedure that uses X-ray beams and electronic detectors to produce detailed images of the body. The contrast material, injected into the patient’s body, helps to enhance the visibility of specific internal structures during the CT scan.
The patient is positioned on the scanner table in a supine position (lying on their back with their face up). Next, they are instructed to hold their breath and remain still while the CT scan is being performed.
The CT scanner rotates around the patient and measures the amount of radiation absorbed by the abdomen and pelvis. The table on which the patient is lying will also move through the scanner to allow for the capture of images from different viewpoints.
The resulting images are displayed on a monitor screen, where the healthcare provider can examine them and use them to make a diagnosis.
The CPT book describes CPT code 74177 as: “Computed tomography, abdomen, and pelvis; with contrast material(s).”
The provider begins by positioning the patient on the scanner table in a supine position. This means the patient is lying on their back with their face up.
Once the patient is comfortably situated on the table, the provider will inject a contrast agent, also known as a radiologic dye or agent, into the patient’s body.
The contrast agent enhances the visibility of certain internal structures during the CT scan.
After the contrast agent has been administered, the provider will instruct the patient to hold their breath and remain still for a brief time, usually two to three seconds, while the CT scan is being performed.
The CT scanner (a machine that uses a series of X-ray beams and electronic detectors to generate detailed images of the body) will rotate around the patient and measure the amount of radiation absorbed by the patient’s abdomen and pelvis.
As the scanner rotates, the table on which the patient is lying will also move through the scanner, allowing for capturing images from various viewpoints.
These images will be displayed on a monitor screen, where the provider can examine them and use them to make a diagnosis.
How To Use CPT 74177
CPT code 74177 is used for Computed Tomography (CT) scans of the abdomen and pelvis when contrast material is used during the procedure. If no contrast material is used, the provider should report CPT code 74176 instead.
You may use CPT code 74178 for CT scans of the abdomen and pelvis that are initially performed without contrast material, followed by contrast material in one or both body regions.
A triple-contrast CT scan refers to a CT scan of the abdomen and/or pelvis that involves intravenous (IV), oral, and rectal contrast.
This CT scan is often used to assess internal damage from a penetrating wound. It is essential to note the order in which the contrast material is administered and the scans are performed, as this can affect the code used.
If the patient receives IV contrast before the scanning begins and then receives oral and rectal contrast during subsequent scans, all scans should be reported using CPT code 74177.
In some cases, the provider may separately report the contrast material using supply code 99070 or an HCPCS Level II code, depending on the payer’s guidelines.
It is important to check individual payers’ policies regarding contrast coverage and reportable supply codes.
When the provider administers oral or rectal contrast, the service should be billed without contrast, as the radiology service includes these types of contrast.