74261 CT colonography diagnosis
Also known as: virtual colonoscopy, CTC, CT colonography, VC
Computed tomography colonography (virtual colonoscopy) without therapeutic intervention, used for diagnostic evaluation of the colon and rectum.
In Plain Language
CT scan of the colon; virtual camera colonoscopy
Clinical Context
Used for colorectal cancer screening and diagnosis, particularly in patients who cannot tolerate conventional colonoscopy or have incomplete optical colonoscopy. Evaluates colonic polyps and masses.
RVU Breakdown
| Work RVU | 2.34 |
| Total RVU | 2.34 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
Radiology codes require a written order, clinical indication, and a formal interpretation report. The professional component (modifier -26) and technical component (modifier -TC) may be billed separately.
How This Code Compares
With a work RVU of 2.34, this code ranks in the 95th percentile among Radiology codes — 2.9x the median (0.81). The highest wRVU in this category is 11.57.
Specialties
Frequently Asked Questions
What is CPT code 74261?
CPT 74261 (CT colonography diagnosis) is a Radiology code. Computed tomography colonography (virtual colonoscopy) without therapeutic intervention, used for diagnostic evaluation of the colon and rectum.
Who uses CPT code 74261?
CPT 74261 is used by Radiology, Gastroenterology. Used for colorectal cancer screening and diagnosis, particularly in patients who cannot tolerate conventional colonoscopy or have incomplete optical colonoscopy. Evaluates colonic polyps and masses.
When is CPT 74261 used?
Used for colorectal cancer screening and diagnosis, particularly in patients who cannot tolerate conventional colonoscopy or have incomplete optical colonoscopy. Evaluates colonic polyps and masses.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.