Code: 74176
Description: Computed tomography (CT), abdomen and pelvis; without contrast material
Context: This code is used for a CT scan of both the abdomen and pelvis performed without the use of contrast material. It’s a diagnostic imaging procedure typically used to evaluate organs and structures within the abdominal and pelvic regions.
Guidelines for Proper Use
- Specific Use for Non-Contrast Abdomen and Pelvis CT Scan: Apply 74176 for CT scans of the abdomen and pelvis that are conducted without the use of contrast material. This includes evaluations for issues such as abdominal pain, organ anomalies, or unidentified masses.
- Documentation of Imaging Procedure: Ensure healthcare providers’ documentation includes details of the CT scan, such as the reason for the scan, the area covered (both abdomen and pelvis), and any findings.
- Exclusion of Contrast Material: Do not use 74176 if contrast material is used during the CT scan. There are specific codes for CT scans performed with or following the administration of contrast.
- Applicability Across Various Settings: This code can be used for CT scans conducted in a range of medical facilities, including hospitals and outpatient imaging centers.
- Compliance with Imaging Protocols: Use 74176 in accordance with standard radiological guidelines and protocols, as well as payer-specific rules.
Common Misuses of 74176
- Using for CT Scans with Contrast: Misuse occurs if 74176 is applied to CT scans where contrast material is used. This code is specifically for non-contrast scans.
- Inadequate Documentation of Scan Details: Not providing sufficient detail about the scan or failing to specify that both the abdomen and pelvis were imaged can lead to misuse of this code.
- Bundling with Other Imaging Services: If additional, unrelated imaging services are provided during the same session, they should be billed separately and not included under 74176.