Test

CT urogram

Order as

CT abdomen and pelvis, both with and without IV contrast

CPT

74170, 72194

Strengths: Hematuria evaluation. Known ureteral or kidney stones or bladder mass.
Limitations: If only for screening for stones, use CT abdomen and pelvis without IV contrast. Ultrasound may find stones, but relatively insensitive. CT near 100% sensitive for stone detection (even when using IV contrast)
Contraindications: 1) Allergy to contrast, but we will premedicate patient as necessary; 2) IV contrast will be dose-adjusted dependent upon creatinine clearance.

Patient preparation

NPO 4 hours, but can take meds. Drink 32 ounces of water one hour prior to appointment.

To schedule, call Orange Coast or Saddleback Medical Center — numbers on the contact page.