2025 CPT code 74261

Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material.

Use 74261 for diagnostic colonography without contrast.Use 74262 if contrast is used, and 74263 for screening colonography.

Modifiers 26 (professional component) and TC (technical component) can be used if applicable.

Medical necessity for 74261 is established when a diagnostic evaluation of the colon is required, and a traditional colonoscopy is contraindicated or incomplete, or when used as a screening tool for colorectal cancer in specific circumstances.

Performed by a radiologist or other qualified physician.

In simple words: A virtual colonoscopy uses a CT scanner to take detailed pictures of your colon.It's used to look for things like polyps or cancer.You will need to clean out your colon beforehand, and a small tube will be inserted into your rectum to inflate the colon with air for better viewing.

This code represents a diagnostic computed tomography (CT) colonography procedure performed without contrast material, encompassing image post-processing.It's utilized to examine the colon for polyps, cancer, and other abnormalities. The procedure involves a bowel preparation similar to a conventional colonoscopy. During the procedure, a small tube is inserted into the rectum, and the colon is inflated with air or carbon dioxide. The CT scanner then takes cross-sectional images that are reconstructed into two- and three-dimensional images of the colon.

Example 1: A patient presents with abdominal pain and a change in bowel habits. A traditional colonoscopy is attempted but cannot be completed due to a stricture. A CT colonography without contrast (74261) is ordered to complete the examination of the colon., A patient with a history of colon cancer requires surveillance.Due to their age and other health concerns, a traditional colonoscopy is deemed too risky. A CT colonography without contrast (74261) is performed as a less invasive alternative., A patient is experiencing rectal bleeding. They opt for a CT colonography without contrast (74261) as a primary diagnostic tool before considering a traditional colonoscopy.

Documentation should include the reason for the procedure, relevant medical history, bowel preparation details, findings, and interpretation report.

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