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Official Description

Computed tomographic (CT) colonography (ie, virtual colonoscopy); diagnostic

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

Computed tomographic (CT) colonography, commonly referred to as virtual colonoscopy, is a non-invasive imaging procedure that utilizes advanced CT technology to produce detailed cross-sectional images of the colon. This diagnostic tool is primarily employed to screen for and diagnose conditions such as colon cancer. During the procedure, a series of X-ray images are taken from different angles, which are then processed by a computer to create comprehensive visual representations of the colon's interior. This method allows healthcare professionals to identify abnormalities, polyps, or other potential issues within the colon without the need for traditional invasive colonoscopy techniques. CT colonography is particularly beneficial for patients who may be at higher risk for colon cancer or those who prefer a less invasive option for screening. The detailed images generated by this procedure can significantly aid in the early detection and diagnosis of colorectal diseases, ultimately contributing to improved patient outcomes.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

CT colonography is indicated for the following conditions:

  • Screening for Colon Cancer This procedure is utilized as a screening tool for individuals at average risk for colorectal cancer, particularly those aged 50 and older, to detect early signs of cancer or precancerous polyps.
  • Evaluation of Colonic Symptoms It is indicated for patients presenting with unexplained gastrointestinal symptoms, such as rectal bleeding, changes in bowel habits, or abdominal pain, to assess for potential underlying colonic pathology.
  • Post-Polypectomy Surveillance CT colonography may be used for surveillance in patients who have a history of colorectal polyps, to monitor for the recurrence of polyps or the development of new lesions.

2. Procedure

The procedure for CT colonography involves several key steps to ensure accurate imaging and patient safety.

  • Preparation Prior to the procedure, patients are required to undergo bowel preparation, which typically includes a clear liquid diet and the use of laxatives to ensure the colon is free of stool, allowing for optimal visualization during imaging.
  • Patient Positioning During the procedure, the patient is positioned on the CT scanner table, usually lying on their back. A small tube is inserted into the rectum to introduce air or carbon dioxide, which helps to inflate the colon and improve the quality of the images obtained.
  • Image Acquisition The CT scanner then takes a series of images of the colon from multiple angles. This process typically lasts only a few minutes, and the patient may be asked to hold their breath briefly while the images are captured to minimize motion artifacts.
  • Image Processing After the images are acquired, they are processed using specialized software to create detailed 2D and 3D representations of the colon, allowing for thorough examination by the interpreting physician.

3. Post-Procedure

After the CT colonography procedure, patients may experience mild discomfort or cramping due to the air introduced into the colon. It is generally recommended that patients resume normal activities shortly after the procedure, although they may be advised to drink plenty of fluids to help alleviate any residual discomfort. The results of the imaging study are typically reviewed by a radiologist, who will provide a report to the referring physician. Follow-up care may be necessary depending on the findings, particularly if any abnormalities are detected that require further investigation or intervention.

Short Descr CT COLONOGRAPHY;DX
Medium Descr CT COLONOGRAPHY;DX
Long Descr CT COLONOGRAPY DX
APC Status Indicator Codes That May Be Paid Through a Composite APC
Type of Service (TOS) 4 - Diagnostic Radiology
Berenson-Eggers TOS (BETOS) none
MUE Not applicable/unspecified.
CCS Clinical Classification 76 - Colonoscopy and biopsy
Date
Action
Notes
2010-01-01 Deleted -
2005-01-01 Added Code added.
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