CPT® Code 74000 | Case2Code

Code deleted, use 74018.

Official Description

Radiologic examination, abdomen; single anteroposterior view

Common Language Description

A radiologic examination of the abdomen, designated by CPT® Code 74000, involves the use of X-ray technology to create images of the internal structures of the abdomen. This procedure captures a single anteroposterior (AP) view, which means that the X-ray beam passes from the front of the body to the back. The examination focuses on visualizing various components within the abdominal cavity, including internal organs, soft tissues such as muscle and fat, and the supporting skeletal structure. The principle behind X-ray imaging is based on the varying densities and compositions of human tissues, which affect how X-rays are absorbed or transmitted. As a result, some X-rays are absorbed by denser materials, while others pass through less dense areas, allowing for the creation of a two-dimensional image on a detector positioned behind the patient. The resulting radiographs are instrumental in assessing the size, shape, and position of abdominal organs, as well as identifying patterns of air, which can indicate bowel gas, obstructions, foreign objects, and calcifications in critical areas such as the gallbladder, urinary tract, and aorta. This examination is often ordered to investigate symptoms such as abdominal distention, pain, vomiting, diarrhea, or constipation, and can also be utilized in cases of traumatic injury. Additionally, it may serve as a preliminary screening exam or scout film prior to more advanced imaging procedures. The CPT® Code 74000 specifically applies to the single AP view of the abdomen, which can be performed with the patient either lying flat (supine) or standing erect, providing flexibility in positioning based on clinical needs.

1. Indications

The radiologic examination of the abdomen using CPT® Code 74000 is indicated for various clinical scenarios, particularly when there is a need to evaluate abdominal conditions. The following are specific indications for this procedure:

Abdominal Distention - This examination helps in identifying the cause of swelling or bloating in the abdomen.
Abdominal Pain - It is utilized to investigate the source of pain in the abdominal region.
Vomiting - The procedure may be ordered to assess potential underlying issues related to vomiting.
Diarrhea or Constipation - It aids in diagnosing conditions that may lead to changes in bowel habits.
Traumatic Injury - This examination is crucial in evaluating injuries sustained in accidents or falls.
Screening Exam - It may be performed as a preliminary assessment before more detailed imaging studies.

2. Procedure

The procedure for conducting a radiologic examination of the abdomen with CPT® Code 74000 involves several key steps to ensure accurate imaging and diagnosis. The following outlines the procedural steps:

Step 1: Patient Preparation - The patient is positioned appropriately, either lying flat (supine) or standing erect, depending on the clinical requirements. It is essential to ensure that the patient is comfortable and understands the procedure to minimize movement during imaging.
Step 2: Equipment Setup - The radiologic technologist prepares the X-ray machine, ensuring that it is calibrated correctly for the abdomen examination. The appropriate settings for exposure are selected based on the patient's size and the specific requirements of the examination.
Step 3: Image Acquisition - The technologist will instruct the patient to remain still while the X-ray is taken. The X-ray beam is directed from the front of the abdomen to the back, capturing a single anteroposterior view. This step is critical as any movement can result in blurred images, necessitating a repeat of the procedure.
Step 4: Image Review - After the X-ray is taken, the images are reviewed for clarity and completeness. If the images are deemed insufficient, additional views may be requested to ensure that all necessary anatomical structures are adequately visualized.
Step 5: Post-Procedure Instructions - Once the imaging is complete, the patient may be given instructions regarding any follow-up care or additional tests that may be required based on the findings of the radiologic examination.

3. Post-Procedure

After the radiologic examination of the abdomen is completed, the patient may typically resume normal activities unless otherwise instructed by the healthcare provider. There are generally no specific post-procedure care requirements associated with this examination. However, the healthcare provider will review the results of the X-ray and discuss any necessary follow-up actions or additional diagnostic tests that may be warranted based on the findings. It is important for the patient to communicate any ongoing symptoms or concerns to their healthcare provider during subsequent visits.

Short Descr	X-RAY EXAM OF ABDOMEN
Medium Descr	RADEX ABDOMEN 1 ANTEROPOSTERIOR VIEW
Long Descr	Radiologic examination, abdomen; single anteroposterior view
Status Code	Active Code
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	1 - Diagnostic Tests for Radiology Services
Multiple Procedures (51)	0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50)	0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62)	0 - Co-surgeons not permitted for this procedure.
Team Surgery (66)	0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	STV-Packaged Codes
Type of Service (TOS)	4 - Diagnostic Radiology
Berenson-Eggers TOS (BETOS)	I1F - Standard imaging - other
MUE	Not applicable/unspecified.
CCS Clinical Classification	226 - Other diagnostic radiology and related techniques