Reader Questions:
Separate Codes for IVP and CT IVP
Published on Sun Jun 18, 2006
Question: Which CPT Codes properly describe a CT IVP examination?
Idaho Subscriber Answer: A CT IVP (intravenous pyelogram) may mean different things at different practices and for different diagnoses, so check your documentation to determine the exact services your radiologist provided.
A CT IVP is most accurately an abdominal and a pelvic CT without contrast followed by with contrast:
?Çó 74170 -- Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections
?Çó 72194 -- Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections. Some practices perform the examination as ?Ç£with contrast?Ç¥ only for certain diagnoses. Frequently, a CT IVP consists of an unenhanced (non-contrast) helical CT exam of the abdomen and pelvis:
?Çó 74150 -- Computed tomography, abdomen; without contrast material
?Çó 72192 -- Computed tomography, pelvis; without contrast material. Note: Codes 74400-74415 describe conventional, plain-film IVP, which involves intravenous contrast administration followed by x-ray (not CT) imaging. You shouldn?ÇÖt use these plain-film codes to described CT IVP.
"
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
