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BETA v.3.0

2025 CPT code 74018

Radiologic examination, abdomen; 1 view

Ensure accurate coding based on the number of views taken. Modifiers 26 and TC are used for professional and technical components, respectively.

Modifiers 26 and TC can be applied.

Medical necessity is determined by the patient's symptoms and clinical indication for the X-ray.

The provider positions the patient and operates the X-ray machine. They may also interpret the image.

IMPORTANT:For two views of the abdomen, use 74019; for three or more, use 74021.

In simple words: This is a simple X-ray of your belly. It takes one picture to help doctors see your stomach, liver, and other organs inside your belly.

This code represents a single x-ray view of the abdomen to diagnose abdominal problems. It covers organs like the stomach, liver, spleen, intestines, and diaphragm. It's often used as a preliminary "scout film" or a KUB (kidneys, ureters, and bladder) examination. The patient is positioned standing or lying down, holding their breath briefly while the image is taken.

Example 1: A patient presents with abdominal pain, and a single X-ray view is taken to rule out certain conditions before further imaging., A KUB is performed to assess the size and position of the kidneys, ureters, and bladder., A "scout film" is taken before a more extensive abdominal imaging procedure.

Documentation should specify the number of views, the patient's position, and the area imaged. For professional interpretation only, append modifier 26. For the technical component only, append modifier TC (unless exempted by payer policy).

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