CPT Codes for CT Abdomen and Pelvis with Contrast

Computed Tomography (CT) scans have become an essential part of medical diagnosis and treatment plans. They provide detailed images of internal organs and structures, allowing healthcare providers to make more informed decisions on patient care. In particular, CT scans of the abdomen and pelvis with contrast materials are valuable tools in detecting and assessing a myriad of conditions. Below you can find the CPT codes for CT Abdomen and Pelvis with Contrast.

CPT Codes For Computed Tomographic Angiography (CTA)

Computed Tomographic Angiography (CTA) codes refer to specialized CT scans that visualize blood vessels in addition to tissues and organs. These scans aid in the assessment and diagnosis of vascular conditions and help in the planning of surgical interventions. Two primary CTA CPT codes involving the abdomen and pelvis with contrast are outlined below.

CPT Code 74174: This code refers to Computed Tomographic Angiography (CTA), which involves scanning both the abdomen and pelvis with contrast materials. These scans may also include noncontrast images if performed and image postprocessing. It’s important not to report 74174 in conjunction with 72191, 73706, 74175, 75635, 76376, and 76377. For CTA aorto-iliofemoral runoff, use 75635 instead.

CPT Code 74175: This CPT code is used for a CTA scan involving only the abdomen with contrast materials. Similar to 74174, it may also encompass noncontrast images if performed and image postprocessing. Do not report this code alongside 73706, 75635, or 72191. To report a combined CTA scan of the abdomen and pelvis, use 74174. For noninvasive arterial plaque analysis using specific software processing, refer to codes 0710T

CPT Codes For Computed Tomography (CT) Codes without Angiography

The following CPT codes are focused on general CT scans of the abdomen and pelvis, without the additional angiography component. These scans aid in identifying and monitoring various medical conditions, including infections, masses, and organ pathologies.

CPT Code 74176: This code is designated for a standard CT scan of both the abdomen and pelvis without utilizing contrast material. When combining CT scans of the abdomen and pelvis performed during the same session, make sure not to report more than one CT of the abdomen or pelvis.

CPT Code 74177: This code represents a CT scan of the abdomen and pelvis using contrast material(s). For combinations of CT scans of the abdomen and pelvis performed at the same session, refer to the table outlined in the original text above.

CPT Code 74178: This particular code indicates a CT scan of the abdomen and pelvis performed without contrast material in one or both body regions, followed by an additional procedure utilizing contrast material(s) and further sections in one or both body regions. Do not report this code in conjunction with codes 72192-72194 or 74150-74170. Only report 74176, 74177, or 74178 once per CT abdomen and pelvis examination.

Stand Alone CT Abdomen and Pelvis CPT Codes

Stand Alone CT Abdomen and Pelvis codes are utilized to report CT scans focusing on either the abdomen or the pelvis independently. Listed separately for their specific regions and contrast specifications, these codes play a significant role in accurately portraying patient procedures and diagnostic information.

Some additional codes for CT scans of the abdomen and pelvis without angiography are as follows:

Examples for CPT Codes for CT Abdomen and Pelvis with Contrast

Below you can find 10 clinical examples or cases when the CPT codes for CT abdomen and pelvis with contrast should be billed.

Example 1: Kidney Stone Diagnosis

A patient presents with severe abdominal and back pain, with suspicion of kidney stones. The physician orders a non-contrast CT scan of the abdomen and pelvis to confirm the presence and location of the stones.

Billing:

CPT code 74176 (CT Abdomen and Pelvis without contrast)

Example 2: Appendicitis Diagnosis

A patient arrives at the emergency department with signs of acute abdominal pain, specifically at the right lower abdomen. The physician suspects appendicitis and orders a CT scan with contrast material for better visualization of the inflamed appendix.

Billing:

CPT code 74177 (CT Abdomen and Pelvis with contrast)

Example 3: Pelvic Abscess Identification

A female patient complains of persistent pelvic pain, fever, and discharge. The physician suspects a pelvic abscess and orders a CT scan of the pelvis with contrast material to confirm the diagnosis.

Billing:

CPT code 72193 (CT Pelvis with contrast)

Example 4: Liver Mass Evaluation

During a routine physical examination, a patient is found to have an abnormal liver enzyme test result. The physician orders a CT scan of the abdomen, both with and without contrast material, to evaluate a possible liver mass.

Billing:

CPT code 74170 (CT Abdomen with and without contrast)

Example 5: Abdominal Aortic Aneurysm Assessment

An elderly patient has increased risk factors for an abdominal aortic aneurysm (AAA). The physician orders a CTA scan of the abdomen and pelvis with contrast material to assess the risk of rupture and to plan for a potential intervention if necessary.

Billing:

CPT code 74174 (CTA Abdomen and Pelvis with contrast)

Example 6: Crohn’s Disease Monitoring

A patient with a known history of Crohn’s disease presents with increased symptoms of abdominal pain and diarrhea. The physician orders a CT scan of the abdomen and pelvis with contrast material to assess disease progression and potential complications.

Billing:

CPT code 74177 (CT Abdomen and Pelvis with contrast)

Example 7: Colon Cancer Staging

A patient is diagnosed with colon cancer through colonoscopy and biopsy. The physician orders a CT scan of the abdomen and pelvis with contrast material to stage the cancer and plan the appropriate treatment course.

Billing:

CPT code 74177 (CT Abdomen and Pelvis with contrast)

Example 8: Trauma Evaluation

A patient arrives at the emergency department after a severe motor vehicle accident. The patient has abdominal pain and signs of internal injury. The physician orders a CT scan without contrast first, followed by contrast material, to assess the extent of the injuries in both the abdomen and pelvis.

Billing:

CPT code 74178 (CT Abdomen and Pelvis without contrast, followed by contrast material in both regions)

Example 9: Ovarian Cyst Evaluation

A female patient presents with pelvic pain and a history of ovarian cysts. The physician orders a CT scan of the pelvis without contrast material to evaluate the size and location of cysts.

Billing:

CPT code 72192 (CT Pelvis without contrast)

Example 10: Vascular Disease Examination

A patient with a history of peripheral artery disease has clinical indications of possible aorto-iliac stenosis. The physician orders a CTA scan of the abdomen with contrast material to evaluate the vascular structures and determine if an intervention is necessary.

Billing:

CPT code 74175 (CTA Abdomen with contrast)

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