How To Use CPT Code 74262

CPT 74262 describes the diagnostic procedure known as computed tomographic (CT) colonography. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 74262?

CPT 74262 is a code used to describe a diagnostic procedure called computed tomographic (CT) colonography. This procedure involves the use of CT imaging to take images of the colon, including the rectum and small intestine, using contrast material. It is commonly referred to as a virtual colonoscopy and is used to diagnose lesions, polyps, and other disorders of the colon.

2. Official Description

The official description of CPT code 74262 is: ‘Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed.’

3. Procedure

1. The patient prepares for the procedure by taking laxatives and suppositories to remove all stool from the colon.
2. The healthcare provider administers intravenous contrast material to improve the visibility of internal structures in the colon.
3. The patient is positioned in the supine position, and the provider may administer medication to reduce muscle movements in the colon and rectum.
4. A tube is inserted into the rectum, and carbon dioxide is used to inflate the colon, allowing for better visualization of the colon’s structures.
5. The CT scanner takes two-dimensional images of the colon, and a computer generates three-dimensional images that the provider can view on a computer screen.
6. The patient may be repositioned to the prone position, and additional images are taken.

4. Qualifying circumstances

CPT 74262 is used for patients who require a diagnostic CT colonography to evaluate the colon for lesions, polyps, and other disorders. The procedure is typically performed to determine the stage of colon cancer and to diagnose various conditions. It is important to note that CPT 74262 should not be reported in conjunction with certain other codes, such as those for other diagnostic imaging procedures of the gastrointestinal tract.

5. When to use CPT code 74262

CPT code 74262 should be used when a healthcare provider performs a diagnostic CT colonography with contrast material, including non-contrast images if performed. It is important to ensure that the procedure meets the specific criteria outlined in the code description and that it is not reported with other codes that are not appropriate for this particular procedure.

6. Documentation requirements

To support a claim for CPT 74262, the healthcare provider must document the following information:

• Reason for the procedure and the medical necessity
• Details of the procedure, including the use of contrast material and any non-contrast images
• Date and time of the procedure
• Findings and impressions from the CT colonography
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 74262, it is important to follow the specific guidelines and ensure that the procedure meets the criteria outlined in the code description. It should not be reported in conjunction with certain other codes, and additional tips may be necessary depending on the payer’s policies and coverage for contrast material and supply codes.

8. Historical information

CPT 74262 was added to the Current Procedural Terminology system on January 1, 2010. There have been no updates to the code since its addition.

9. Examples

1. A patient undergoes a diagnostic CT colonography with contrast material to evaluate the presence of polyps in the colon.
2. A healthcare provider performs a CT colonography with contrast material to assess the stage of colon cancer in a patient.
3. A diagnostic CT colonography with contrast material is performed to diagnose a patient with suspected colon lesions.
4. A healthcare provider utilizes CT colonography with contrast material to evaluate the colon for any abnormalities in a patient with gastrointestinal symptoms.
5. A patient undergoes a CT colonography with contrast material to monitor the progression of a known colon disorder.
6. A diagnostic CT colonography with contrast material is performed to evaluate the effectiveness of a previous treatment for a colon condition in a patient.
7. A healthcare provider utilizes CT colonography with contrast material to assess the response to therapy in a patient with a known colon disorder.
8. A patient undergoes a diagnostic CT colonography with contrast material to evaluate the presence of complications following a previous colon surgery.
9. A healthcare provider performs a CT colonography with contrast material to assess the response to medication in a patient with a colon disorder.
10. A diagnostic CT colonography with contrast material is performed to evaluate the colon for any abnormalities in a patient with a family history of colon cancer.