$328.77–$356.65
74178 includes diagnostic noncontrast imaging followed by contrast-enhanced imaging, as in some renal mass protocols. If the diagnostic images are acquired only after IV contrast, report 74177.
On this page
CMS RVU26D · Effective 2026-10-01
74177 CT abdomen and pelvis Medicare reimbursement rates in Florida
Computed tomography of the abdomen and pelvis after intravenous contrast, without a diagnostic precontrast series, is reported for abdominal pain, infection, trauma, or cancer staging. Compare 74177 office and facility rates across CMS payment localities in Florida.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 74177 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$292.04–$316.62
3 of 3 localities have a supported rate.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 74177 pays more and less in Florida
3 payment localities
$292.04 to $316.62
Radiology
About 74177: CT abdomen and pelvis with IV contrast
Computed tomography of the abdomen and pelvis after intravenous contrast, without a diagnostic precontrast series, is reported for abdominal pain, infection, trauma, or cancer staging.
This study images the abdomen and pelvis, generally from the diaphragm through the pubic symphysis, during one combined examination. Diagnostic images are acquired after iodinated intravenous contrast, without a diagnostic precontrast series. Common indications include suspected appendicitis or diverticulitis, abscess, bowel obstruction, blunt trauma, and cancer staging or surveillance. Technologists perform the scan in hospital CT departments, emergency departments, and freestanding imaging centers; a radiologist interprets the images and issues a report.
Report one unit when both regions are imaged as a combined contrast-enhanced exam; do not substitute separate abdomen-only and pelvis-only CT codes. Documentation should identify the regions scanned, intravenous contrast administration, the series acquired, and the findings. On physician fee schedule claims, modifier 26 identifies the radiologist's interpretation and modifier TC identifies the equipment-and-staff portion. Report the global service without either modifier when the same billing entity provides both components. The diagnostic imaging multiple procedure reduction can affect both professional and technical components when another eligible imaging study, such as chest CT, is performed in the same session.
CMS billing rules for 74177
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Diagnostic imaging multiple procedure reduction applies to the technical and professional components.
Where the value comes from
- Work RVU1.77 · 20%
- Practice expense (office) RVU7.09 · 79%
- Malpractice RVU0.13 · 1%
3.6M
Medicare services in 2024 · #52 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
74177 compared with similar codes
Office rates for Florida, from the same CMS release.
$368.05–$399.45
74174 is a CT angiogram with arterial-phase timing and angiographic image post-processing for vascular questions. A routine contrast-enhanced abdomen and pelvis CT is 74177.
$179.49–$193.68
74176 is the noncontrast study, used for kidney stone protocols or when IV contrast is contraindicated. Oral contrast alone still falls under 74176.
$223.47–$242.34
74160 covers the abdomen only. If the pelvis is also scanned in the same combined exam, 74177 replaces separate abdomen and pelvis CT codes.
Compare 74177 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
$306.86
Facility
Unavailable
Miami →
Office / nonfacility
$316.62
Facility
Unavailable
Rest Of Florida →
Office / nonfacility
$292.04
Facility
Unavailable
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74177 billing questions
Can CT abdomen with contrast and CT pelvis with contrast be billed separately when both are done in the same combined exam?
No. Report one unit of 74177 for the combined exam rather than 74160 plus 72193. The regional codes describe exams limited to their respective regions.
When should 74178 be used instead of 74177?
Use 74178 when a diagnostic noncontrast series is followed by contrast-enhanced imaging of the abdomen and pelvis. Use 74177 when the diagnostic acquisition is contrast-enhanced without a diagnostic precontrast series.
Does giving only oral contrast qualify the study as with contrast?
No. Oral contrast alone does not make this an intravenous contrast study; an abdomen and pelvis CT performed with oral contrast but without intravenous contrast is reported with 74176.
Which modifiers apply for split billing?
On physician fee schedule claims, the interpreting radiologist reports modifier 26 for the interpretation, while the provider billing for equipment and staff reports modifier TC. A billing entity that provides both components reports the global code without either modifier.
How is payment affected when CT chest is performed in the same session?
The diagnostic imaging multiple procedure reduction can affect the professional and technical components of eligible studies performed in the same session. A contrast-enhanced chest, abdomen, and pelvis staging exam may be reported with 71260 and 74177.
Do delayed images after intravenous contrast change the code to 74178?
No. Additional postcontrast images do not make the exam a without-and-with-contrast study; 74178 requires diagnostic imaging before contrast followed by contrast-enhanced imaging.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
8,31574176,,Ct abd & pelvis w/o contrast,A,,1.70,3.67,,3.67,NA,0.11,5.48,5.48,1,XXX,0.00,0.00,0.00,4,0,9,0,0,9,,33.4009,09,0,88,7.85,7.85,0.14
8,31674176,26,Ct abd & pelvis w/o contrast,A,,1.70,0.60,,0.60,,0.09,2.39,2.39,1,XXX,0.00,0.00,0.00,4,0,9,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,31774176,TC,Ct abd & pelvis w/o contrast,A,,0.00,3.07,,3.07,NA,0.02,3.09,3.09,1,XXX,0.00,0.00,0.00,4,0,9,0,0,9,,33.4009,01,0,88,7.25,7.25,0.05
8,31874177,,Ct abd & pelvis w/contrast,A,,1.77,7.09,,7.09,NA,0.13,8.99,8.99,1,XXX,0.00,0.00,0.00,4,0,9,0,0,9,,33.4009,09,0,88,11.27,11.27,0.14
8,31974177,26,Ct abd & pelvis w/contrast,A,,1.77,0.63,,0.63,,0.11,2.51,2.51,1,XXX,0.00,0.00,0.00,4,0,9,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,32074177,TC,Ct abd & pelvis w/contrast,A,,0.00,6.46,,6.46,NA,0.02,6.48,6.48,1,XXX,0.00,0.00,0.00,4,0,9,0,0,9,,33.4009,02,0,88,10.64,10.64,0.03
8,32174178,,Ct abd&plv wo cntr flwd cntr,A,,1.96,8.01,,8.01,NA,0.15,10.12,10.12,1,XXX,0.00,0.00,0.00,4,0,9,0,0,9,,33.4009,09,0,88,11.33,11.33,0.16