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74177

CT Abdomen and Pelvis With Contrast

Code Description

CPT code 74177 is used to report a computed tomography (CT) scan of the abdomen and pelvis performed with intravenous contrast material. The study produces detailed cross-sectional images of abdominal and pelvic organs, blood vessels, bones, and surrounding soft tissues to help diagnose a wide range of medical conditions.

This examination is commonly ordered to evaluate abdominal pain, infections, trauma, tumors, inflammatory diseases, and other conditions affecting the abdomen and pelvis. The use of contrast improves visualization of blood vessels and internal organs, allowing for more accurate diagnosis.

When to Use 74177

Common examples include:

  • abdominal pain

  • suspected appendicitis

  • diverticulitis

  • abdominal or pelvic trauma

  • evaluation of abdominal masses

  • cancer staging or follow-up

  • suspected infection or abscess

Documentation Requirements

Documentation should include:

  • reason for the examination

  • abdomen and pelvis evaluated

  • confirmation that intravenous contrast was administered

  • physician or radiologist interpretation

  • diagnostic findings

  • medical necessity for the CT scan

Common Billing Mistakes

Common billing mistakes include:

  • reporting CPT 74177 when no contrast was administered

  • selecting the incorrect CT abdomen or pelvis code

  • failing to document contrast administration

  • incorrect use of Modifier 26 or TC

  • insufficient documentation supporting medical necessity

Related CPT Codes
70450

CT Head

71260

CT Chest

72148

Lumbar Spine MRI

FAQ

What does CPT code 74177 cover?

CPT code 74177 reports a CT scan of the abdomen and pelvis performed with intravenous contrast material.

When should CPT 74177 be used?

It is commonly used to evaluate abdominal pain, infections, trauma, tumors, inflammatory conditions, and other abnormalities affecting the abdomen and pelvis.

Does CPT 74177 include both the abdomen and pelvis?

Yes. CPT 74177 includes imaging of both the abdomen and pelvis as a single examination with contrast.

Can Modifier 26 be used with CPT 74177?

Yes. Modifier 26 may be reported 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

Abdomen and Pelvis

With Contrast