2025 CPT code 74263
(Active) Effective Date: N/A Radiology - Diagnostic Radiology Feed
Computed tomographic (CT) colonography, screening, including image postprocessing.
Modifiers 26 (Professional Component) and TC (Technical Component) can be used. Modifier 26 is used if billing only for the physician's interpretation of the images. Modifier TC is for billing the technical aspect, typically by a facility.If billing for the global service (both professional and technical components), do not use either modifier.
Medical necessity for CT colonography is determined by factors like age, family history, symptoms, and contraindications to traditional colonoscopy. Screening is usually recommended for average-risk individuals starting at age 45.For diagnostic purposes, it may be justified for evaluating specific symptoms or when traditional colonoscopy is not feasible.
In simple words: This is a special kind of X-ray of your colon that helps doctors look for signs of cancer or polyps (small growths).It's done with a CT scanner, and the pictures it takes allow doctors to see inside your colon without using a regular colonoscope.
This code represents a CT colonography, a non-invasive imaging procedure used for colorectal cancer screening. It includes the entire process of prepping the patient (administering bowel cleansing agents, and rectal catheter insertion for insufflation with air or carbon dioxide), conducting the CT scan, and post-processing the images to create two- and three-dimensional representations of the colon.
Example 1: A 50-year-old patient with a family history of colon cancer undergoes a screening CT colonography for early detection of colorectal cancer., A patient experiences rectal bleeding. After a clinical evaluation, a CT colonography is performed to evaluate the colon for abnormalities., A patient who is unable to undergo traditional colonoscopy due to medical reasons undergoes a CT colonography as an alternative screening tool.
Documentation must include details about the bowel preparation, the insufflation method used (air or carbon dioxide), the patient's positioning during the scan, any difficulties encountered, the quality of the bowel preparation, and the findings of the image postprocessing.
- Specialties:Radiology, Gastroenterology, General Surgery
- Place of Service:Outpatient Hospital, Ambulatory Surgical Center, Office