2025 CPT code 74190
(Active) Effective Date: N/A Revision Date: N/A Radiology - Diagnostic Radiology Procedures Radiology Feed
Peritoneogram, radiological supervision and interpretation.
Modifiers 26 (professional component), 52 (reduced services), 53 (discontinued procedure), 76 (repeat procedure by the same physician), 77 (repeat procedure by another physician), 79 (unrelated procedure by the same physician), and TC (technical component) may apply depending on the specific circumstances of the procedure.Consult the CPT manual for modifier application guidelines.
Medical necessity for a peritoneogram is established based on the patient's clinical presentation and the need to visualize the peritoneal cavity for diagnostic purposes.Suspected conditions such as ascites, intra-abdominal bleeding, bowel perforation, or pelvic inflammatory disease often warrant the use of this imaging modality. The referring physician's orders should clearly state the medical necessity and clinical indication for the procedure.
The radiologist is responsible for supervising the technical aspects of the peritoneogram (air or contrast injection and image acquisition), interpreting the images, and generating a diagnostic report.The radiologist must be present in the room during the procedure and verify the correct injection and image acquisition techniques.
In simple words: This code covers the doctor's work in looking at and explaining X-ray pictures of the belly area after air or special dye has been put in. The doctor makes sure the X-rays are taken properly, then checks the images and writes a report explaining what they show.
This CPT code encompasses the radiological supervision and interpretation of a peritoneogram.A peritoneogram is a radiographic examination of the peritoneal cavity following the injection of air or contrast material. The radiologist oversees the technical aspects of the procedure, reviews the resulting images, and provides a comprehensive interpretation, documenting findings in a written report.
Example 1: A patient presents with abdominal pain and suspected ascites.A peritoneogram is ordered to assess the extent of fluid accumulation in the peritoneal cavity.The radiologist supervises the injection of contrast material, reviews the images, and provides a report describing the findings, such as the presence and location of fluid., A patient undergoes a laparoscopic procedure, and the surgeon suspects bowel perforation. A peritoneogram (air injection) is performed post-operatively to evaluate for the presence of free air in the peritoneal cavity, indicating a potential perforation., A patient with a history of pelvic inflammatory disease presents with abdominal pain.A peritoneogram with contrast is performed to assess for the presence of adhesions or abscesses within the pelvis. The radiologist supervises the procedure, interprets the images and reports any significant findings to the referring physician.
The documentation should include the patient's clinical history, indication for the peritoneogram, the type and amount of contrast material used (if any), the radiographic images, and the radiologist's interpretation and report.The report should include detailed description of the images, specific measurements, and the final diagnostic impression.
** The procedure code 49400 (Injection of air or contrast into the peritoneal cavity) is billed separately from the radiological supervision and interpretation (74190).The choice between using air or contrast material depends on the clinical indication.
- Revenue Code: I4B (IMAGING/PROCEDURE - OTHER)
- RVU: Information not available in source.
- Global Days: Information not available in source.
- Payment Status: Active
- Modifier TC rule: Modifier TC (Technical Component) may be applicable in specific situations; for instance, if the procedure is performed by a mobile x-ray unit, the supplier might bill only for the technical component.
- Fee Schedule: Information not available in source.
- Specialties:Radiology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center