Reimbursement
$182.70
Threshold
N/A
2026 Status
Active
What is CPT Code 74177?
CPT 74177 is defined as: Computed tomography, abdomen and pelvis; with contrast material(s). This is a combination code used when both the abdominal and pelvic regions are imaged using computed tomography with the administration of intravenous contrast.
This code is primarily used for Specialist services. It falls under the category of Diagnostic Radiology / CT and is valid for the 2026 calendar year according to the CMS Physician Fee Schedule.
2026 RVU Components
Relative Value Units (Non-Facility)
Work RVU
1.18
Physician Effort
PE (Non-Fac)
4.2
Practice Expense
Malpractice
Risk Factor
Total RVU
5.47
Note: [(Work RVU * Work GPCI) + (PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor
2026 CMS Policy Intelligence
efficiency adjustment
Non-time-based scanning is a primary target for the -2.5% productivity adjustment, reducing Technical Component (TC) value.
equipment throughput
CMS assumes modern scanners allow higher throughput, justifying the reduction in per-unit equipment cost allocation.
bundling mandate
74177 is a mandated combination code; separate billing of abdomen (74160) and pelvis (72193) components is prohibited.
Administrative Framework
Place of Service
NCCI Exclusions
Key Modifiers
Operational Requirements
minimum time
Procedure-based
staff type
Radiologist (interpretation), Radiologic Technologist (scan)
frequency
Based on medical necessity for staging or acute evaluation.
add on codes
contrast definition
Requires intravenous contrast. Oral-only contrast is coded as 'without contrast' (74176).
Compliance Checklist
Audit Defense
No specific audit defense elements defined.
Common Clinical Scenarios
CMS Eligibility: Evaluation of multi-organ systems in the abdomen and pelvis.. Acute or chronic evaluation.
Target Specialties & Utilization
Typical Clinical Indications (ICD-10)
Billing Differentiation
VS 74176
74176 is without contrast; 74177 is with contrast.
VS 74178
74178 is 'without, followed by with' (multi-phasic).
Frequently Asked Questions
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