How To Use CPT Code 74019

CPT 74019 describes the radiologic examination of the abdomen using two views. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 74019?

CPT 74019 is used to report a radiologic examination of the abdomen that involves taking two X-ray views. This procedure is performed to diagnose certain abdominal problems by visualizing the structures and organs in the abdomen, including the stomach, liver, spleen, large and small intestines, and diaphragm. In some cases, it may also be used to evaluate the kidneys, ureters, or bladder. The provider positions the patient either in a standing or lying position, and the X-ray machine is used to capture images of the abdomen.

2. Official Description

The official description of CPT code 74019 is: ‘Radiologic examination, abdomen; 2 views.’

3. Procedure

1. The patient is positioned either in a standing or lying position, depending on the provider’s preference.
2. If the patient is in a standing position, they are asked to step behind a wall where the X-ray machine is located and stand straight in front of the machine.
3. If the patient is in a lying position, they are asked to lie down on a bed, and the X-ray machine is positioned over the abdomen.
4. The provider instructs the patient to hold their breath and stay still for 2 to 3 seconds while the X-ray pictures are taken.
5. This procedure is performed to obtain two X-ray views of the abdomen, allowing the provider to visualize the structures and organs in the area.

4. Qualifying circumstances

CPT 74019 is typically performed to diagnose certain abdominal problems. It may be ordered when a patient presents with symptoms such as abdominal pain, bloating, or digestive issues. The provider may also order this procedure to evaluate specific organs or structures in the abdomen, such as the kidneys, ureters, or bladder. It is important to note that the medical necessity for this procedure should be documented in the patient’s medical record.

5. When to use CPT code 74019

CPT code 74019 should be used when a radiologic examination of the abdomen is performed using two X-ray views. This code is appropriate when the provider visualizes the structures and organs in the abdomen to diagnose certain abdominal problems. It is important to ensure that the documentation clearly describes each view taken during the procedure to accurately report the number of views.

6. Documentation requirements

To support a claim for CPT code 74019, the provider must document the following information:

• Reason for the radiologic examination of the abdomen
• Number of views taken during the procedure
• Patient’s body position during the examination (standing or lying)
• Projection of the X-ray images
• Any additional relevant findings or observations
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 74019, ensure that the procedure involves two X-ray views of the abdomen. If the provider only interprets the radiology service, append modifier 26 to the radiology code. If only the technical component is reported, append modifier TC to the radiology code. However, it is important to note that payer policies may exempt hospitals from appending modifier TC. When reporting a global service where one provider renders both the professional and technical components, do not append a professional or technical modifier to the radiology code.

8. Historical information

CPT code 74019 was added to the Current Procedural Terminology system on January 1, 2018. There have been no updates to the code since its addition.

9. Examples

1. A patient presents with severe abdominal pain, and the provider orders a radiologic examination of the abdomen using two X-ray views to evaluate for any potential abnormalities.
2. A patient with a history of kidney stones undergoes a radiologic examination of the abdomen using two X-ray views to assess the presence of any new stones or related complications.
3. A patient with suspected gastrointestinal obstruction undergoes a radiologic examination of the abdomen using two X-ray views to identify any potential blockages or abnormalities in the digestive system.
4. A patient with a history of liver disease undergoes a radiologic examination of the abdomen using two X-ray views to monitor the progression of the disease and assess any changes in the liver.
5. A patient with suspected abdominal trauma undergoes a radiologic examination of the abdomen using two X-ray views to evaluate for any fractures or internal injuries.
6. A patient with chronic digestive issues undergoes a radiologic examination of the abdomen using two X-ray views to assess the overall health and function of the digestive system.
7. A patient with suspected urinary tract infection undergoes a radiologic examination of the abdomen using two X-ray views to evaluate the kidneys, ureters, and bladder for any signs of infection or abnormalities.
8. A patient with unexplained weight loss undergoes a radiologic examination of the abdomen using two X-ray views to investigate potential underlying causes.
9. A patient with a history of abdominal surgery undergoes a radiologic examination of the abdomen using two X-ray views to assess the healing process and identify any post-surgical complications.
10. A patient with a suspected abdominal mass undergoes a radiologic examination of the abdomen using two X-ray views to determine the size, location, and characteristics of the mass.