Ct urography showin ct scan demonstrates right hydronephrosis due to puj obstruction with multiple calyceal stones. Pet ct radiology mra 2019 radiology cpt codes ct cta bone densitometry mri nuclear medicine phone. Find coding and billing resources as well as the latest cpt licensing and pla proprietary. Ct scanning is fast, painless, noninvasive and accurate.
Activities that include ct cystogram vs urogram it looks and sounds great for many peoples news abdominal x ray cpt code for ct cystogram 2018 superb guide for cpt code for cystography with sample reports coders specialty guide 2019 vascular surgery ct cystography radiology reference article. Percutaneous mriguided cryotherapy of liver metastases. Hydronephrosis yes water ct urogram abdomen pelvis 74178 without. Reformatted ct urography was performed and the accuracy of imaging diagnosis was evaluated. A typical ct urographic protocol has three phases that allow complete evaluation for the most common urologic causes of hematuria, that is, calculi, renal masses, and urothelial tumors fig. Urography is also often performed using computed tomography ct or magnetic resonance imaging mri. Although splitbolus ct urography has been suggested as reducing the number of scan series, protocol features are not yet standardized 14 keywords. Jan, 2020 urogram 74178 please authorize all codes listed for that study. Per the current cpt professional edition code book, report codes 64633, 64634.
This primary use of ct urography potentially also allows shortening the overall duration of the patients schedule for diagnostic evaluation. Computerized tomography mayo clinic apr 01, 2021 a computerized tomography ct urogram is an imaging exam used to in your urine hematuria that may be related to a urinary tract disorder. Exam includes a 3d inaging of the urinary tract, which created using post processing on a separate ge workstation. Urography urography uses imaging and contrast material to evaluate or detect blood in urine, kidney or bladder stones, and cancer in the urinary tract. Ct urography combines a noncontrast phase to diagnose hydronephrosis and urinary calculi, a nephrogenic phase to evaluate the renal parenchyma for pyelonephritis or neoplastic lesions, and an excretory phase to detect urothelial disease. For a downloadableprintable pdf about this exam with preparation instructions click here. Ct urography is defined as ct examination of the kidneys, ureters and bladder with at least one series of images acquired during the excretory phase after intravenous contrast administration. Hydronephrosis yes water ct urogram abdomen pelvis 74178. Consider getting radiologist input if requested on patients under 50, especially if patient is female, and especially if. Cpt codes for ct urogram with and without contrast free pdf ebooks. Feb 18, 20 the patient was adminstered 10 mg of lasix intravenously. The goal of ct urography protocols is to obtain images of fully opacified and distended collecting systems and bladder, with adequate image quality of renal parenchyma, tumor enhancement, and vascular anatomy and with the lowest number of scans. Note that the left renal collecting system is almost normal.
Ct urography definition a ct urogram is a ct examination of the entire urinary tract before and after the administration of iv contrast material and includes excretory phase images. Diagnostic radiology cpt guide 2020 centrelake imaging. Mar 27, 2021 ct exams are generally painless, fast and easy. Ct urography is an excellent technique for the evaluation of urinary tract calculi and renal masses, having high sensitivity and specificity for both conditions because it facilitates multiplanar imaging of the urinary system. Use this reference to quickly determine the correct exam for. Splitbolus portal venous phase dualenergy ct urography. Thus, there is a possibility that a ct kub may miss utuc. We collected 102 patients who underwent ctu from march 2001 to september 2002. Learn how to prepare for the scan in the ct urography preparations section. Normal right collecting system as well as both ureter. Findings from an initial cost analysis support further research and reconsideration of the role of computed tomography urography for imaging evaluation in patients with asymptomatic microhematuria, according to urologists from the university of alabama at birmingham. Use at least 22g needle follow gfr and metformin protocols for contrast studies lmp on pts of childbearing age shield children when possible. Should contrast ct urography replace noncontrast ct as an. Ctu is currently performed for a variety of indications using different protocols 1, 2 for which purel y ct based.
May 23, 2018 a ct urogram radiology procedure uses xrays that rotate around an individual to generate highquality images specifically of the urinary tract, involving the kidneys, ureters, and urinary bladder. However, i have a situation where the radiologist is doing this procedure and adding 2 kub xrays cpt 74000. Computed tomography urography an overview sciencedirect. Cpt professional 2020 cpt current procedural terminology professional editionpdf by american medical association. An excretory mr urogram can be obtained on the same scan, which is analogous to a conventional ivp, providing anatomical correlation with the urinary tract. May 31, 2018 the cpt code for a ct urogram depends on the it depends on what areas were scanned and if contrast was used. Ct urogram generally refers to a multislice ct of the kidneys, ureters, and. Ct urography for evaluation of the ureter radiographics.
Jul 03, 2015 a total of 152 patients were examined with singleenergy nonenhanced ct and dualenergy ct urography in the excretory phase either 140 and 80 kv n44 or 140 and 100 kv n108, with tin. Exam to order symptomsconcerns cpt code ct cervical spine wo contrast compression fracture neck pain trauma cervical spine 72125 ct lumbar spine wo contrast compression fracture lumbar spine. Ct urogram generally refers to a multislice ct of the kidneys, ureters, and bladder abdomenpelvis without. For any coding inquiry not listed please call us at 8008414236 ext. Urography with conventional xray is known as intravenous pyelogram ivp. Consider getting radiologist input if requested on patients under 50, especially. It gives both anatomical and functional information, albeit with a relatively higher dose of radiation.
Ct urography ctu identifies utuc better than a ct kub. Cpt codes for ct urogram with and without contrast free pdf. Medical fee schedule effective january 1, 2019 maine. After a tenminute delay, imaging was performed again from the top of the kidneys to the groin and ct urogram was reconstructed. Painless hematuria, known or suspected tumor in bladder, ureter or renal collecting systems. Standard ct urography consists of unenhanced, nephrographic, and pyelographic phases. Use this reference to quickly determine the correct exam. They dont talk about additional codes with these codes 74170 and 72194. The concept of ct urography is attractive since both the renal parenchyma and urothelium can be evaluated with a single comprehensive examination. If the cpt code you need is not on this list or you are unsure of a cpt code. When your ct urogram is complete, the iv line is removed from your arm and the iv entry point is covered with a dressing. To evaluate the accuracy of helical computerized tomography urography ctu in diagnosing urinary tract disease. Ct urogram ct abdomen pelvis without and with contrast.
The contrast material dye used in mris is less likely to cause allergic reactions than those used for xrays and ct scans. Magnetic resonance imaging mri urogram what is a magnetic. For acute chest pain with specific history of ro dissection include noncontrast ct to evaluate for acute intramural hematoma. Mar 27, 2015 ct urography has essentially replaced intravenous urography as the firstline imaging modality in most of these settings and has been shown to have increased overall accuracy and sensitivity, particularly for evaluation of hematuria 7,1012. Ct cpt codes 2020 ct urogram renal stone abdopelvis wo contrast. Ct exam cpt code reference use this reference to quickly determine the correct exam for your patients based on the indications described herein and the cpt for the order. Activities that include ct cystogram vs urogram it looks and sounds great for many peoples news abdominal x ray cpt code for ct cystogram 2018 superb guide for cpt code for cystography with sample reports coders specialty guide 2019 vascular surgery ct cystography radiology reference article trying to figure out ct cystogram vs urogram cpt code for a ct urogram depends on the it depends on. Mar 05, 2019 urography urography uses imaging and contrast material to evaluate or detect blood in urine, kidney or bladder stones, and cancer in the urinary tract. To compare 128 slice multidetector computed tomography mdct at 100 kvp and 120 kvp. We studied patients aged 65 years or over presenting to the emergency department with ureteric colic and microscopic haematuria who had a ct kub between january 2014 and october 2016.
Jun 18, 2018 computed tomography ct abdomen and pelvis computed tomography ct of the abdomen and pelvis is a diagnostic imaging test used to help detect diseases of the small bowel, colon and other internal organs and is often used to determine the cause of unexplained pain. New cpt code for lung cancer screening 71271 computed tomography, thorax, low dose for lung cancer screening, without contrast materials created to establish a permanent cpt code as an alternative to hcpcs code g0297, which was created by cms in 2015 patients should meet the following criteria. Use at least 22g needle follow gfr and metformin protocols for contrast studies lmp on pts of childbearing age. S35 ct urography radiographics rsna publications online. Urogram 74178 please authorize all codes listed for that study. Various ct urography protocols and tech niques have been studied 1. Ct urography is a rapidly evolving technique made possible by recent advances in ct technology. Find out if this procedure is right for you in the benefits and risks of ct urography section. Oct 05, 2020 imaging techniques, especi ally intravenous urography ivu.
An mri urogram is very similar to the procedure known as an intravenous. Ct exam cpt code reference ct urogram for hematuria cpt. It is not any ct scan performed for a urinary tract complaint. Cpt codes streamline the reporting of immunizations for the novel. Mr urography new york city mr urogram main street radiology. The patient is not exposed to any radiation during an mri procedure. Update to workers compensation medical fee schedule. All patients received ct scan with or without intravenous contrast medium administration, except patients who had allergy history or poor renal function. Ct urography ctu or ct ivu has now largely replaced traditional ivu in imaging the genitourinary tract. After an initial unenhanced acquisition, nephrographic phase images are acquired 90100. Radiologists have used the imaging techniques of excretory urography to develop ct urographic protocols.
In studying the urinary tract, mr urography has been utilized as an alternative to conventional ivp for patients who cannot receive iodinated contrast due to allergy or renal insufficiency. Body part reason for exam iv contrast procedure to pre cert cpt code to schedule an appointment. Risks there is an extremely small risk of developing an infection less than 1 in 1,000 at the site where the patients skin is punctured to establish the intravenous drip iv. Urogram ct abdomen and pelvis w and wo contrast w 3d reconstruction. For routine fu thoracic aneurysm noncontrast not needed. Ct urography shows normal left kidney but no right right paravertebral regions shows a single right ureter but a complete left ureteral duplication, by contrast in the bladder. Ct cpt codes intermountain medical imaging ct pelvis wo contrast. Cpt codes for 3d rendering should not be billed in conjunction with computer. Computerized tomography ct urogram ct urogram for hematuria.
1587 318 440 408 137 94 662 15 865 1097 429 1038 209 1531 495 811 401 1430 27 1299 1600 471 1005 732 310 1402 216 797 116 1068 1064 439 513 1579 1409 1444 1089 734 1106