ct exam cpt code reference tumor/mets yes body ct abdomen & pelvis: enterography ct abdomen...
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STUDY CPT DeSCriPTion CPT CoDe inDiCaTion for exam or STUDY ConTraST
reqUireD? SPeCialTY
CT HeaD CT Head or brain without contrast 70450 TraumaHeadachesCVAStroke/BleedAlzheimer’sMemory loss/Confusion
Shunt checkHydrocephalusTIAChange in mental statusDizziness/Vertigo
No
neuro
CT Head or brain with and without contrastNote: MRI Brain with/without contrast is preferred.
70470 Metastases/Known cancer HIVIntracranial infectionNote: CT can be used if there are contraindications for MRI.
Yesneuro
CTa HeaD Circle of Willis
CTA Head with and without contrastNote: MRA Brain without contrast is preferred.
70496 Aneurysm 3rd nerve palsyFamily history of aneurysm Vascular malformationNote: CT can be used if there are contraindications for MRI.
Yesneuro
CT orbiTS CT Orbits/Sella/Posterior Fossa or ear without contrast
70480 Trauma Foreign bodyFracture Bony abnormalities
No neuro
CT Orbits/Sella/Posterior Fossa or ear with and without contrast
70482 Infection PainAbscess/Cellulitis Mass/Tumor/Cancer
Yesneuro
CT SinUS CT Maxillofacial without contrast 70486 Sinusitis CongestionMass Nasal polypsPain Deviated septumForeign body Sinus headache
No
neuro
CT faCe From orbits to mandible
CT Maxillofacial without contrast 70486 Trauma FracturePain Bony abnormality
Noneuro
CT Maxillofacial with contrast 70487 Tumor InfectionSwelling/Mass in face Abscess
Yesneuro
CT TemPoral boneS/maSToiDS
CT Orbits/Sella/Posterior Fossa or ear without contrast
70480 Conductive hearing loss Drainage in earTinnitus (ringing in ears) MassCholesteatoma Fracture
Noneuro
CT Orbits/Sella/Posterior Fossa or ear with and without contrast Note: MRI Brain is usually preferred.
70482 Acoustic neuroma/Sensorineural hearing lossNote: CT can be used if there are contraindications for MRI.
As Determined by Radiologist neuro
CT neCk CT Soft tissue neck with contrast 70491 Focal mass DysphagiaSwollen lymph nodes GoiterLymphoma Esophageal cancer
Yesneuro
CT Soft tissue neck with and without contrast
70492 Salivary gland stone As Determined by Radiologist neuro
CTa neCk arTerieS
CT Angiography neck with and without contrast
70498 Carotid stenosis BruitStroke/CVA/TIA Abnormal carotid sonogram
Yesneuro
CT SPine CT Cervical without contrastCT Thoracic without contrastCT Lumbar without contrast
721257212872131
Pain FractureTrauma Post-op/FusionDegenerative disc disease
No
neuro
CT abDomen: General
CT Abdomen with contrast 74160 Upper abdominal pain MassRUQ or LUQ pain Unexplained weight lossAbnormal abdominal US HerniaNeoplasm Trauma
Yes
body
CT abDomen: liver
CT Abdomen with and without contrastNote: MRI Abdomen may be preferred in some circumstances. Consult the radiologist.
74170 Increased LFTs HepatomaRUQ pain HemachromatosisAbnormal abdominal US HemangiomaJaundice HepatitisHistory of liver cancer Cirrhosis Liver transplant
Yes
body
CT abDomen & PelviS: GeneralFrom lung bases to pubis
CT Abdomen & Pelvis; with contrast74177
Generalized abdominal pain/Pelvic painMass Unexplained weight lossRLQ or LLQ pain TraumaAppendicitis Rectal bleedingLymphoma Constipation/ObstructionNausea/Vomiting/Diarrhea Inflammatory bowel disease Ventral hernia METSBloody stool Diverticulitis Ovarian cancer staging Diverticulosis Neoplasm Peritoneal infection/AbscessProstate/Colon cancer stagingAbnormal lower abdomen/Pelvic US All cancer staging except melanoma or carcinoid
Yes
body
CT Abdomen & Pelvis;without contrast 1 or bothwith contrast 1 or both
74178Cancer staging for melanoma or carcinoid Yes
body
CT PelviS: Soft Tissue From iliac crest to pubis
CT Pelvis with contrast
Note: MRI Pelvis is generally preferred for gynecological indications. Consult the radiologist.
72193 LLQ or RLQ Pain Ovarian cancerPelvic pain Umbilical/Lower ventral herniaGroin pain TraumaAbnormal pelvic US Adnexal massPelvic mass Soft tissue massinfection CellulitisAbscess Tumor/Mets
Yes
body
CT abDomen & PelviS: enTerograPHY
CT Abdomen & Pelvis; with contrast74177
Crohn’s diseaseSuspected small bowel tumorsMesenteric/Intestinal bleedingSuspected GI bleedingEvaluation of bowel patency
Yes
body
CT CHeST: General
CT Chest with contrast 71260 Abnormal CXR NeoplasmAdenopathy AbscessPneumonia Pulmonary noduleCough Enlarged aortic archHemoptysis Lung lesionSarcoidosis LymphadenopathyHilar abnormality Asbestos exposureHx Cancer/Tumor/Mets Shortness of breathChest pain Abdominal aortic aneurysmPulmonary embolism Thoracic aneurysmAortic dissection Chest wall pain/Mass
Yes
body
CT CHeST: HigH reSolUTion
CT Chest without contrast, high resolution 71250 Interstitial disease COPD/EmphysemaFibrosis Asbestos exposureBronchiectasis Lung noduleHypersensitivity lung disease
As Determined by Radiologist body
CT abDomen & PelviS: renal STone ProToCol
CT Abdomen & Pelvis without contrast 74176 Hematuria StoneFlank plain ProstatitisLow back pain DysuriaUrinary frequency
No
body
CT abDomen: Tri-PHaSe renal
CT Abdomen with and without contrast 74170 Hematuria Renal Failure/Mass/TransplantFlank Pain HypertensionHydronephrosis History of renal cancerLow back pain History of stonesAbnormal US Polycystic kidney disease
Yes
body
CT abDomen & PelviS: UrogramUrinary System, kidneys to bladder
CT Abdomen & Pelvis;without contrast 1 or bothwith contrast 1 or both
74178 Abnormal cystogram History of renal cancerPainless hematuria Abnormal renal USBladder mass or tumor Suspected renal mass
Yes
body
CT abDomen: aDrenal
CT Abdomen with and without contrast 74170 Adrenal mass Yes body
CT angiograPHY abDomen
CT Angiography Abdomen, with contrast including non-contrast images if performed and image post-processingNote: Some indications also require CTA Pelvis to fully evaluate condition.
74175 Renal artery stenosis TraumaMesenteric ischemia
Yes
body
CT angiograPHY abDomen & PelviS
CT Angiography Abdomen and Pelvis, with contrast including non-contrast images if performed and image post-processing
74174 Dissection Pre-stent graftingRetroperitoneal bleed Abnormal USAbdominal aortic aneurysm (AAA)
Yesbody
CT angiograPHY rUnoff: abDomen & bilaTeral loWer exTremiTieS
CT Angiography Abdominal aorta and bilat-eral iliofemoral lower extremity runoff, with contrast including non-contrast images if performed and image post-processingNote: Some indications may be better visualized with MRI or ultrasound.
75635 Claudication Preop for aortoiliac occlusionPVD VasculitisPre/post ops for stent graftsVenous thrombosis (not clear on other imaging)
Yes
body
CT exTremiTiY:Upperhand, wrist, elbow, radius/ulna, humerus, shoulder, SC joint
lowerfoot, ankle, knee, hip, tibia/fibula, femur
CT Extremity with contrast:Upper Extremity with contrastLower Extremity with contrast
7320173701
InfectionTumor/Mass/Cancer/Mets
Note: MRI is more sensitive
Yes
ortho
CT Extremity without contrastUpper Extremity Lower Extremity
7320073700
Pain FusionArthritis MalunionFracture
Noortho
CT PelviS:bonY HiPSaCeTabUlUm
CT Pelvis without contrast
Note: MRI Pelvis may be preferred study in some circumstances. Consult the radiologist.
72192 Pain ArthritisFracture Bone lesionsCancer/Mets
No
ortho
CT EXAM CPT CODE REFERENCEUse this reference to quickly determine the correct exam for your patients based on the indications described herein and the CPT for the order.
Please include creatinine levels for patients over 60 years or with history of renal failure. If not available, Creatinine levels can be obtained prior tocontrasted studies, if needed, at all Wake Radiology locations. Call if you have any questions 919-232-4700.