Radiology · CMS status A
74176
CT abdomen and pelvis, without contrast
Computed tomography of the abdomen and pelvis without contrast material. CMS 2026 global wRVU 1.74, total RVU approximately 6.08, Medicare global allowable approximately $203. The CT renal stone protocol code; replaces billing CT abdomen plus CT pelvis separately when both are acquired without contrast in the same encounter.
Work RVU
1.74
2026 Medicare pays
$203.08
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 1.74 + Practice 4.21 + Malpractice 0.13 = 6.08 total
Work (your effort)Practice expenseMalpractice
Billing guidance for 74176 is locked
- When to use it: the exact clinical situations that support billing 74176
- Documentation checklist: the 5 elements your note needs before submitting
- Common pitfalls: the 5 mistakes that get 74176 downcoded or denied
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Common modifiers
26TC
Common ICD-10 pairings
N20.0N13.30R10.0K56.609N17.9S39.81XA
Payer notes
Medicare covers 74176 for renal stone protocol and other no-contrast abdominal indications. Many commercial payers require prior authorization for outpatient abdominal CT; ED imaging is auto-approved post-care. Document the specific reason for no-contrast (renal stone, contrast allergy, AKI/CKD) — payers audit for whether contrast would have been preferable.
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.