CPT® Code 74020 | Case2Code

Code deleted, see 74019, 74021.

Official Description

Radiologic examination, abdomen; complete, including decubitus and/or erect views

Common Language Description

A radiologic examination of the abdomen, designated by CPT® Code 74020, is a comprehensive imaging procedure that captures detailed images of the internal organs, soft tissues, and skeletal structures within the abdominal cavity. This examination employs X-ray technology, which utilizes indirect ionizing radiation to create images of the body's internal components. The process relies on the varying densities and compositions of human tissues, allowing certain X-rays to be absorbed while others pass through, ultimately forming a two-dimensional representation of the anatomical structures. The resulting radiographs are instrumental in assessing various conditions by providing insights into the size, shape, and position of organs, as well as identifying patterns of air (bowel gas), obstructions, foreign objects, and calcifications in critical areas such as the gallbladder, urinary tract, and aorta. The procedure may be indicated for a range of clinical scenarios, including the evaluation of abdominal distention and pain, vomiting, diarrhea, constipation, and traumatic injuries. Additionally, it can serve as a preliminary screening exam or scout film prior to more advanced imaging techniques. Commonly performed views during this examination include the anteroposterior (AP) view with the patient either lying supine or standing erect, the posteroanterior (PA) view with the patient lying prone, lateral views with the patient on their side, and various decubitus views. The complete radiologic examination as denoted by Code 74020 encompasses both the AP view and a decubitus view, providing a thorough assessment of the abdominal area.

1. Indications

The radiologic examination of the abdomen, as described by CPT® Code 74020, is performed for several specific indications, which include:

Abdominal Distention - This examination helps identify the underlying causes of swelling or bloating in the abdominal area.
Abdominal Pain - It is utilized to diagnose the source of pain within the abdomen, aiding in the identification of potential issues.
Vomiting - The procedure can assist in determining the cause of persistent vomiting, which may indicate gastrointestinal obstruction or other conditions.
Diarrhea or Constipation - It may be ordered to investigate the reasons behind significant changes in bowel habits.
Traumatic Injury - Following an injury, this examination is crucial for assessing any internal damage or bleeding within the abdominal cavity.
Screening Exam - It can also be performed as a preliminary screening or scout film prior to more advanced imaging procedures.

2. Procedure

The procedure for a complete radiologic examination of the abdomen involves several key steps, which are detailed as follows:

Patient Positioning - The patient is positioned appropriately for the examination, which may include lying supine (on their back) or standing erect for the anteroposterior (AP) view. For the decubitus view, the patient will lie on their side.
Image Acquisition - X-ray images are captured using a radiographic machine. The technician will take the necessary views, including the AP view and the decubitus view, ensuring that the entire abdominal area is adequately imaged.
Image Processing - After the images are taken, they are processed to create clear radiographs that can be analyzed for diagnostic purposes. This may involve adjusting the contrast and brightness to enhance visibility of the structures.
Review and Interpretation - A radiologist or qualified healthcare professional will review the images to identify any abnormalities or areas of concern, such as organ size, shape, and position, as well as the presence of any foreign objects or calcifications.

3. Post-Procedure

Post-procedure care for a radiologic examination of the abdomen typically involves minimal requirements, as the procedure is non-invasive and does not usually necessitate recovery time. Patients may resume normal activities immediately following the examination. However, they may be advised to follow up with their healthcare provider to discuss the results of the imaging and any further diagnostic steps that may be necessary based on the findings. It is also important for patients to inform their healthcare provider if they experience any unusual symptoms following the procedure.

Short Descr	X-RAY EXAM OF ABDOMEN
Medium Descr	RADEX ABDOMEN COMPL W/DCBTS&/ERC VIEWS
Long Descr	Radiologic examination, abdomen; complete, including decubitus and/or erect views
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