2025 CPT code 74262

Computed tomography (CT) colonography, diagnostic, with contrast material(s), including non-contrast images if performed.

Follow current CPT guidelines for radiology coding and ensure proper documentation supporting medical necessity and procedure details.

Modifiers 26 (professional component), TC (technical component), and other appropriate modifiers may be appended depending on the circumstances of service provision and payer guidelines.

Medical necessity for CT colonography is established based on patient risk factors for colon cancer, such as age, family history, symptoms suggestive of colorectal disease, or positive screening tests (e.g., fecal occult blood test, flexible sigmoidoscopy).

Radiologist performs the CT scan and interprets the images.A gastroenterologist may be involved in pre-procedural bowel preparation or in managing findings from the test.

IMPORTANT Do not report 74261, 74262 in conjunction with 72192-72194, 74150-74170, 74263, 76376, 76377.Code 74261 is used for CT colonography without contrast.

In simple words: This medical test uses a CT scan and special dye to take detailed pictures of your colon (large intestine). The doctor looks for problems like polyps or other issues. Before the test, you'll need to clean out your bowels. The dye helps the doctor see the inside of your colon more clearly on the images.

This CPT code describes a diagnostic procedure involving computed tomography (CT) imaging of the colon and rectum using contrast material.The procedure aims to visualize the colon and rectum to detect abnormalities like lesions, polyps, and other disorders that may indicate diseases such as colon cancer.The process typically includes bowel preparation (laxatives and/or enemas), intravenous contrast administration, and image acquisition in both supine and prone positions.The acquired two-dimensional images are then processed by computer software to generate three-dimensional images for detailed analysis. Non-contrast images may also be acquired as part of the procedure.This code does not include the interpretation of the images, which is billed separately with modifier 26.

Example 1: A 55-year-old patient with a family history of colon cancer undergoes a CT colonography to screen for polyps or other abnormalities., A 60-year-old patient experiencing changes in bowel habits undergoes a CT colonography to investigate the cause., A 70-year-old patient with a positive fecal occult blood test undergoes a CT colonography to assess for colonic pathology.

* Patient demographics and medical history.* Indication for the procedure (e.g., screening, diagnostic evaluation).* Bowel preparation method and adequacy.* Type and amount of contrast material used.* Imaging protocol and parameters.* Radiologist's interpretation report, including findings and measurements.

** Always consult the most recent CPT codebook and payer guidelines for complete and accurate coding practices.This information is for general guidance only and should not be considered a substitute for professional medical coding advice.

  • Revenue Code: I2B (Advanced Imaging - CAT: Other)
  • RVU: This information is not included in the provided text.RVUs vary based on geographic location and payer.
  • Global Days : Not applicable to this diagnostic procedure.
  • Payment Status: Active
  • Modifier TC rule: Modifier TC may be appended when reporting only the technical component of the service, but this is often handled differently based on the billing entity (hospital vs. private practice).
  • Fee Schedule : Historical fee schedule data is not available in the provided text and varies based on payer and geographic location.
  • Specialties:Radiology, Gastroenterology
  • Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center
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