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2025 CPT code 72132

Computed tomography (CT) scan of the lumbar spine with contrast material.

Adhere to current CPT coding guidelines for radiology services and follow payer-specific guidelines regarding contrast material billing.

Modifiers 26 (professional component) and TC (technical component) may be applied as appropriate, depending on the billing entity and payer's policies.

Medical necessity is established when there is a clinical indication for a CT scan of the lumbar spine with contrast to assess for pathology or structural abnormalities that cannot be adequately evaluated by other means (e.g., X-ray).

The radiologist is responsible for performing the CT scan, administering the contrast material (if applicable), interpreting the images and providing a report to the referring physician. The referring physician is responsible for ordering the test based on clinical indication and for managing the patient's care based on the results.

IMPORTANT If the procedure is performed without contrast, use CPT code 72131. If the procedure is performed without contrast, followed by contrast and additional sections, use CPT code 72133.Separate billing for contrast material may be allowed depending on payer guidelines.Modifiers 26 (professional component) and TC (technical component) may apply depending on the billing entity and payer rules.

In simple words: This is a CT scan of your lower back. A special dye is injected into your vein to help the images of your spine show up better. The doctor will look at the pictures on a computer screen and give you the results.

This diagnostic procedure involves a computed tomography (CT) examination of the lumbar spine utilizing intravenous contrast material.The procedure includes patient positioning, intravenous contrast administration, image acquisition, and interpretation of the resulting cross-sectional images. The images are digitally stored, processed, and may be reproduced as hard copies for further review.

Example 1: A patient presents with lower back pain and suspected spinal stenosis. A CT scan with contrast is ordered to visualize the spinal canal and nerve roots to assess for compression., A patient has experienced a fall and has suspected vertebral fracture. A CT scan with contrast is performed to evaluate the integrity of the vertebrae and to detect any potential injury., A patient with a history of cancer undergoes a CT scan with contrast to monitor for spinal metastasis (spread of cancer to the spine).

The documentation should include:*The reason for the CT scan.*Patient history including relevant symptoms and prior medical conditions.*Findings from the CT scan with specific measurements of any abnormalities or lesions.*Radiologist's interpretation and impression.*Any specific instructions for treatment given based on the results.

** The use of contrast material may be contraindicated in patients with certain allergies or kidney conditions.Appropriate pre-procedural screening and informed consent are crucial.

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