Test·CPT 74177
CT abdomen and pelvis with IV contrast
Order as
CT abdomen and pelvis with IV contrast
CPT
74177
- Strengths
- great for acute abdominal pain workup. >96% sensitive for etiology. Oral contrast generally NOT needed unless recent surgery, chronic symptoms (> 3-5 days), tumor evaluation or in thin patients (helps to delineate bowel loops and mesentery).
- Limitations
- Consider ultrasound first for: high suspicion of gallbladder/biliary disease; women with suspected adnexal pathology; children. CT better if suspected bowel, mesenteric or retroperitoneal etiology and provides more "complete" view overall.
- 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 with small sip of water.
To schedule, call Orange Coast or Saddleback Medical Center — numbers on the contact page.
§Suggested for
Suspected pancreatitisPalpable abdominal massSuspected small bowel obstructionAcute abdominal painSuspected appendicitisRUQ painAcute onset flank pain. Suspected stone diseaseSuspected pyelonephritis> 3 days of pain/symptoms. Suspected postoperative abscess.Suspected renal stone. Flank pain.Unexplained weight loss. Suspected neoplasm. Chronic symptoms.JaundiceBlunt abdominal trauma