Description: CT scan of the abdomen and pelvis without and with intravenous contrast.
Exam: CT scan of the abdomen and pelvis without and with intravenous contrast.
Clinical Indication: Left lower quadrant abdominal pain.
Comparison: None.
Findings: CT scan of the abdomen and pelvis was performed without and with intravenous contrast. Total of 100 mL of Isovue was administered intravenously. Oral contrast was also administered.
The lung bases are clear. The liver is enlarged and decreased in attenuation. There are no focal liver masses. The adrenal glands, pancreas, spleen, and right kidney are normal.
A 9-mm simple cyst is present in the inferior pole of the left kidney. There is no hydronephrosis or hydroureter.
The appendix is nonremarkable.
There are multiple diverticula in the rectosigmoid. There is evidence of focal wall thickening in the sigmoid colon with adjacent fat stranding in association with a diverticulum. These findings are consistent with diverticulitis. No pneumoperitoneum is identified. There is no ascites or focal fluid collection.
The aorta is normal in contour and caliber.
Impression: Findings consistent with diverticulitis.
Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

74178 is the correct CPT code for a CT scan of the abdomen and pelvis with and without contrast, which matches the procedure described. K57.92 is the correct ICD-10-CM code for diverticulitis without bleeding, which matches the diagnosis.

Description: CT Scan of the Abdomen and Pelvis Without and with Intravenous