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CPT Code 70450: Overview

radiology-billing-codes-768x539

Code: 70450
Description: CT scan of the head or brain without contrast material
Context: This code is used for conducting a computed tomography (CT) scan of the head or brain without the use of contrast material. It’s a diagnostic imaging procedure used to evaluate various conditions affecting the brain and surrounding structures.

Guidelines for Proper Use

  • Specific Use for Non-Contrast Head/Brain CT Scan: Apply 70450 for CT scans of the head or brain performed without the use of contrast material. This includes scans done to assess injuries, infections, vascular issues, tumors, or other cranial conditions.
  • Documentation of Imaging Procedure: Ensure healthcare providers’ documentation includes details of the CT scan, such as the reason for the scan and any findings or observations.
  • Exclusion of Contrast Material: Do not use 70450 if contrast material is used during the CT scan. There are separate codes for CT scans performed with contrast.
  • Applicability Across Various Settings: This code can be used for CT scans conducted in hospitals, outpatient imaging centers, or other medical facilities.
  • Compliance with Imaging Protocols: Use 70450 in accordance with standard radiological guidelines and protocols, as well as payer-specific rules.

Common Misuses of 70450

  • Using for CT Scans with Contrast: Misuse occurs if 70450 is applied to CT scans where contrast material is used. This code is specifically for non-contrast scans.
  • Inadequate Documentation: Not providing sufficient detail about the scan or its necessity can lead to misuse of this code.
  • Bundling with Unrelated Imaging Services: If additional, unrelated imaging services are provided during the same session, they should be billed separately and not included under 70450.