74160 Abdominal CT Medicare reimbursement rates in Massachusetts

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.