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Wiki Ct chest

kmschwarz

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Do the bundling/unbundling rules for CT Abdomen/Pelvis apply to CT Chest and all other CT and MRI exams? The following is from Panacea for CT Abdomen/Pelvis:


Question:
Can you please explain how the combination computed tomography (CT) CPT codes work? Are these codes just for Medicare patients?

Answer:
No, they are not just for Medicare patients. Codes 74176, 74177, and 74178 are used any time that you do both a CT abdomen and a CT pelvis at the same session. If both scans are done without IV contrast, assign code 74176. If both scans are done with IV contrast, assign code 74177. All other combinations are coded 74178. This would include both exams done without and with IV contrast, one exam done without contrast and the other with contrast, and one done with contrast and the other done without and with contrast, etc. For 2012 there is a new combination code for CT angiography (CTA) of the abdomen and pelvis (74174) for use when both are performed.
 
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