In simple words: This is an X-ray of your belly taken from two different angles. It helps doctors see your stomach, liver, intestines, and other organs to figure out what might be causing you problems.

This code represents a two-view X-ray examination of the abdomen, used to diagnose various abdominal problems. The examination typically includes two images taken from different angles to provide a more comprehensive view of the abdominal structures and organs, such as the stomach, liver, spleen, large and small intestines, and diaphragm. It can also be used to assess the kidneys, ureters, and bladder. The patient is positioned either standing or lying down. If standing, the patient stands in front of the X-ray machine. If lying down, the patient lies on a table with the X-ray machine positioned above the abdomen. During image capture, the patient holds their breath briefly to prevent blurring.

Example 1: A patient presents to the emergency department with acute abdominal pain. A two-view abdominal X-ray (74019) is ordered to evaluate for possible causes such as bowel obstruction or kidney stones., A patient with a history of Crohn's disease experiences worsening symptoms. A two-view abdominal X-ray (74019) is ordered to assess disease activity and look for complications like strictures or abscesses., A patient undergoing treatment for ascites requires monitoring of fluid accumulation. A two-view abdominal X-ray (74019) is performed to evaluate the amount of fluid present.

Documentation should include the reason for the examination, the views obtained (e.g., supine and upright), the patient's position during the X-ray, and the radiologist's interpretation of the images, including any relevant findings or diagnoses.

** For a single-view abdominal X-ray, use code 74018. For three or more views, use 74021. Accurate coding relies on the documentation clearly specifying the number of views performed. This code represents the procedure itself; separate codes may be used for image reading or other related services.