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CPT 74022: Abdominal Radiography with Single Chest View for Acute Abdomen
CPT code 74022 denotes diagnostic radiography consisting of two or more views of the entire abdomen plus a single chest view for evaluation of a suspected acute abdomen — a condition requiring prompt diagnosis and intervention. This code is nationally relevant because imaging for acute abdominal complaints is a common and time-sensitive service across emergency departments, urgent care centers, and inpatient settings, affecting utilization patterns and clinical workflows.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for use of CPT code 74022, typical sites of service, and common billing practices. The publication outlines benchmarking metrics and payer coverage considerations where available, summarizes relevant policy and coding guidance, and clarifies service-level definitions to aid revenue cycle and clinical teams.
This summary equips clinicians, coding specialists, and payers with a concise reference on when CPT code 74022 is applied, how it fits into acute abdominal care pathways, and what documentation and service descriptions drive its use. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 74022 describes radiographic imaging of the abdomen and chest performed for assessment of a suspected acute abdomen. The service includes two or more views of the entire abdomen — covering the stomach, liver, spleen, large and small intestines, and diaphragm — plus a single view of the chest. This imaging is intended to support rapid diagnosis and treatment when an acute abdominal condition is suspected.
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Service type: Diagnostic radiography of the abdomen with chest view for acute abdominal assessment
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Typical site of service: Hospital emergency department, urgent care center, or hospital radiology department