2025 CPT code 74174
(Active) Effective Date: N/A Revision Date: N/A Diagnostic Radiology - Diagnostic Radiology (Diagnostic Imaging) Procedures of the Abdomen Radiology Feed
Computed tomographic angiography (CTA) of the abdomen and pelvis with contrast, including noncontrast images if performed, and image post-processing.
Modifiers 26 (professional component) and TC (technical component) may be applied, depending on the services performed and payer policies.Modifier 59 (distinct procedural service) may be needed if the abdominal and pelvic CTAs are performed in separate sessions.
Medical necessity is established through clinical findings suggesting vascular pathology in the abdomen and pelvis.This could include symptoms such as abdominal pain, suspected bleeding, known aneurysms, or suspected DVT.
The physician is responsible for medical decision-making, including supervising the technical aspects of the procedure, interpreting the images, and generating a report. The radiology technician performs the technical aspects under physician supervision.
In simple words: This medical code covers a special X-ray test (CTA) that uses dye to create detailed pictures of the blood vessels in your belly and pelvic areas.The doctor will review the images and give you a report.
This CPT code, 74174, represents the performance of a computed tomographic angiography (CTA) of both the abdomen and pelvis utilizing contrast material.The procedure includes the acquisition of non-contrast images, if deemed necessary, followed by comprehensive image post-processing to optimize diagnostic image quality. The physician's responsibilities encompass supervision of intravenous (IV) line placement, contrast administration, image acquisition, and the final interpretation of the resulting images, culminating in a detailed diagnostic report. The technical component involves the radiology technician's roles in patient positioning, IV line insertion, contrast injection, and image reconstruction.This code should only be reported if the CTA of the abdomen and pelvis are performed during the same session.Separate codes are required for independent abdominal and pelvic CTAs.
Example 1: A patient presents with abdominal pain and suspected internal bleeding. A CTA of the abdomen and pelvis is ordered to identify the source of bleeding., A patient with a history of abdominal aortic aneurysms undergoes a CTA to monitor aneurysm size and rule out rupture., A patient experiences sudden onset of lower extremity weakness and pain, raising suspicion of a deep vein thrombosis (DVT).A CTA of the abdomen and pelvis is conducted to assess for DVT and locate its origin.
Detailed clinical history, indication for the procedure, images (with contrast and non-contrast if performed), radiologist's interpretation report, and any relevant prior imaging studies.
** Always refer to the most current CPT codebook and payer guidelines for accurate coding and reimbursement.
- Revenue Code: I2B (Advanced Imaging - CAT: Other)
- RVU: Refer to CMS's current Physician Fee Schedule for RVU values and reimbursement information.Values will vary depending on geographic location and other factors.
- Global Days : The global period for this procedure is not explicitly defined in the provided data and varies depending on payer policy.
- Payment Status: Active
- Modifier TC rule: Modifier TC is applicable for the technical component, but hospitals may be exempt depending on payer policies.
- Fee Schedule : Fee schedules vary by payer and geographic location.Consult the appropriate fee schedule for the specific payer and date of service.
- Specialties:Radiology, Vascular Surgery, Gastroenterology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center