2025 CPT code 74021
Radiologic examination, abdomen; 3 or more views
Modifiers 26, TC, 52, 53, and others can be applied if the circumstances require it.
Medical necessity is determined by the patient's symptoms, medical history, and clinical findings. The X-ray must be ordered by a physician to evaluate a specific medical concern.
The provider positions the patient and operates the X-ray machine. They also interpret the images to diagnose potential issues.
In simple words: This is an X-ray of your belly area. It takes three or more pictures to get a good look at your organs, like your stomach, liver, and intestines. Sometimes they need to take more pictures if gas or poop is in the way.
This code represents a radiologic examination of the abdomen, encompassing three or more views. It is used to diagnose various abdominal problems by visualizing structures and organs such as the stomach, liver, spleen, large and small intestines, and diaphragm.Multiple views are necessary when gas or bowel content obscures the organs. The procedure involves positioning the patient in either a standing or lying position and capturing images while the patient holds their breath to prevent blurring.
Example 1: A patient presents with abdominal pain and bloating. To rule out bowel obstruction or other abnormalities, the physician orders a three-view abdominal X-ray (74021)., A patient with a history of kidney stones experiences flank pain. A multi-view abdominal X-ray (74021) is performed to assess the kidneys, ureters, and bladder for potential stones or other related issues., Following a traumatic injury to the abdomen, a physician orders a series of X-rays, including a four-view abdominal X-ray (74021), to evaluate the extent of the damage and identify any internal injuries.
Documentation should include the number of views taken, the patient's position during each view, the reason for the examination, and the interpretation of the images.
- Modifier TC rule: Modifier TC is applicable when only the technical component of the procedure is being billed.
- Specialties:Radiology, Emergency Medicine, Internal Medicine, General Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Mobile Unit, Independent Clinic, and other facilities with X-ray equipment