CT scan of the abdomen and pelvis, with contrast
A CT scan of both abdomen and pelvis with IV dye — very common in ER for abdominal pain.
Based on typical US negotiated and cash-pay rates. Hospital charges can run significantly higher — often 2–10x these numbers. If your bill is well above this range, it's worth questioning.
- Billed alongside 74176 (without contrast) for the same session without medical justification.
- Separate abdomen and pelvis codes billed instead of the combined code.
The combined code (74177) replaces separate abdomen/pelvis codes. Unbundling into 74160 + 72193 is a billing error.
Frequently asked questions
What does CPT code 74177 mean?
A CT scan of both abdomen and pelvis with IV dye — very common in ER for abdominal pain. In billing terms it's categorized as "CT scan of the abdomen and pelvis, with contrast" under Imaging.
How much should CPT 74177 cost?
Typical negotiated and cash-pay rates run about $500–$2,500. Hospital list prices are often 2–10× higher, but insurers rarely pay those. If your bill is well above the top of this range, ask for an itemized bill and compare.
Is CPT 74177 covered by insurance?
Most commercial plans and Medicare cover ct scan of the abdomen and pelvis, with contrast when it's medically necessary and coded correctly. Denials usually come from missing prior authorization, incorrect modifiers, or the payer disputing medical necessity — all of which can be appealed.
What should I do if CPT 74177 looks wrong on my bill?
The combined code (74177) replaces separate abdomen/pelvis codes. Unbundling into 74160 + 72193 is a billing error.
Can I dispute a charge for CPT 74177?
Yes. You have the right to request an itemized bill, dispute the coding with the provider's billing office, and appeal the insurer's decision. Federal rules (including the No Surprises Act for emergency and out-of-network ancillary services) protect you from many surprise charges. BillCheck can generate the appeal or negotiation letter for you.
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BillCheck provides informational analysis only and is not legal, medical, or financial advice. Verify all details before submitting any correspondence to insurers or providers. Prices shown are typical ranges and vary by region, payer, and facility.