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70450

CT Head Without Contrast

Code Description

CPT code 70450 is used to report a CT scan of the head or brain performed without contrast material. This imaging study creates cross-sectional images of the brain, skull, ventricles, and surrounding structures.

A CT head without contrast is commonly ordered for urgent evaluation of head trauma, stroke symptoms, headaches, altered mental status, bleeding, or other neurological concerns.

When to Use 70450

Common examples include:

  • head injury

  • suspected stroke

  • severe headache

  • altered mental status

  • dizziness or confusion

  • suspected intracranial bleeding

  • neurological symptoms

Documentation Requirements

Documentation should include:

  • reason for the examination

  • head or brain imaging performed

  • confirmation that no contrast was administered

  • relevant symptoms or diagnosis

  • physician or radiologist interpretation

  • diagnostic findings

Common Billing Mistakes

Common billing mistakes include:

  • reporting 70450 when contrast was administered

  • selecting the wrong CT head code

  • failing to document medical necessity

  • incorrect use of Modifier 26 or TC

  • duplicate billing for the same imaging service

Related CPT Codes
70486

CT Maxillofacial Area Without Contrast

71260

CT Chest With Contrast

74177

CT Abdomen and Pelvis With Contrast

FAQ

What does CPT code 70450 cover?

CPT code 70450 reports a CT scan of the head or brain performed without contrast material.

When is a CT head without contrast commonly ordered?

It is commonly ordered for head trauma, suspected bleeding, stroke symptoms, severe headache, confusion, or other neurological concerns.

What is the difference between CPT 70450 and 70460?

CPT 70450 is used when the CT head is performed without contrast. CPT 70460 is used when the CT head is performed with contrast.

Can Modifier 26 be used with CPT 70450?

Yes. Modifier 26 may be used when the provider bills only for the professional component, such as interpreting the CT images and preparing the written report.

Procedure Type

Computed Tomography (CT)

Body Area

Contrast

Head/Brain

Without Contrast