74150 is for an abdominal CT without contrast; 74160 is for one performed with contrast.
On this page
CMS RVU26D · Effective 2026-10-01
74160 Abdominal CT Medicare reimbursement rates in Iowa
Reports diagnostic CT imaging of the abdomen performed with contrast when the study covers the abdomen without including the pelvis. Compare 74160 office and facility rates across CMS payment localities in Iowa.
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 74160 in Iowa?
Iowa has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$212.53
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
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.
Diagnostic imaging
About 74160: Abdominal CT with contrast
Reports diagnostic CT imaging of the abdomen performed with contrast when the study covers the abdomen without including the pelvis.
This service covers CT image acquisition of the abdomen using contrast, followed by interpretation of the images. It is commonly performed in hospital radiology departments and outpatient imaging centers. A technologist operates the scanner and supports image acquisition; a radiologist or other qualified physician interprets the examination and issues a report. Abdominal CT may be ordered to assess findings such as abdominal pain, a suspected mass, or an intra-abdominal infection.
Select this code when the documented examination is an abdominal CT with contrast, rather than a noncontrast study, a study performed both without and with contrast, or imaging that also includes the pelvis. The record should support the body region, contrast protocol, images obtained, and interpretation. The service has separately billable professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and an unmodified claim represents the global service. CMS applies the diagnostic imaging multiple procedure reduction to both components when applicable.
CMS billing rules for 74160
- 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 RVU1.24 · 18%
- Practice expense (office) RVU5.56 · 81%
- Malpractice RVU0.09 · 1%
70.8K
Medicare services in 2024 · #669 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.
74160 compared with similar codes
Office rates for Iowa, from the same CMS release.
Ct abd wo cntrst flwd cntrst
74170 describes abdominal CT imaging both without and with contrast. Use 74160 when the documented study is with contrast only.
74177 includes both abdomen and pelvis with contrast. Use 74160 when the examination covers the abdomen without the pelvis.
Cta abdomen w/contrast
74175 is for abdominal CT angiography, a vascular-focused examination. 74160 is for routine diagnostic abdominal CT with contrast.
Compare 74160 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.
1 of 1 payment localities
Iowa →
Office / nonfacility
$212.53
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 74160 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
8,303
- Code
- 74160
- Physician work
- 1.24
- Practice expense
- 5.56
- Malpractice
- 0.09
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.24 | × 1.000 | 1.2400 |
| Practice expense | 5.56 | × 0.915 | 5.0874 |
| Malpractice | 0.09 | × 0.397 | 0.0357 |
| Total RVUs | 6.3631 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$212.53
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.24 | 1 |
| Practice expense | 5.56 | 0.915 |
| Malpractice | 0.09 | 0.397 |
(1.24 × 1 + 5.56 × 0.915 + 0.09 × 0.397) × $33.4009 = $212.53
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
74160 billing questions
When should 74160 be chosen over 74170?
Use 74160 for an abdominal CT performed with contrast. Use 74170 when the examination includes imaging both without and with contrast.
Does this code include the pelvis?
No. It represents abdominal imaging; choose a code for abdomen and pelvis when both regions are examined.
How are the professional and technical services billed?
Report modifier 26 for the physician's interpretation and modifier TC for the technical service. Reporting without either modifier represents the global service.
Does the multiple procedure reduction affect both components?
Yes. CMS applies the diagnostic imaging multiple procedure reduction to the technical and professional components.
What documentation supports reporting 74160?
The record should identify the abdominal region examined, the contrast protocol, the images obtained, and the physician's interpretation.
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.
