# CPT 74178

> Medicare paid $373.05 for CPT 74178 in the office (non-facility) setting and $373.05 in a facility under the Q1 2022 Physician Fee Schedule, effective January 2022. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. Across payment localities, both settings' amount is $324.45–$492.98. This is a 1.9% decrease from the previous quarter.

## What it is

Abdomen and Pelvis CT With and Without Contrast

## Selected release

- Release: Q1 2022 (2022 A)
- Effective: January 1 – March 31, 2022
- Status indicator: A
- Office (non-facility) national allowed amount: $373.05
- Facility national allowed amount: $373.05
- Sequestration: not applied

## RVUs and formula

- Work RVU: 2.01
- Office (non-facility) practice expense RVU: 8.66
- Facility practice expense RVU: 8.66
- Malpractice RVU: 0.11
- Conversion factor: 34.6062
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2022)
- CMS file: https://www.cms.gov/files/zip/rvu22a.zip
- Parsed file: PPRRVU22_JAN.csv, row 12,881
- Canonical page: https://localishealth.com/cpt/74178/2022/A
- Release-specific citation URL: https://localishealth.com/cpt/74178/2022/A
- Last significant update: 2026-08-13T15:11:57+00:00