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CT Colonography (Virtual Colonoscopy) of the Colon/Rectum — Without IV Contrast, With Air Contrast Per Rectum

Published: August 9, 2026Updated: August 16, 2026

A CT scan that uses air inserted through the rectum to examine the colon for polyps and other abnormalities without injecting IV contrast.

Quick summary

["This imaging test uses rectal air and CT scans to look for colon polyps and disease without an injected dye."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
79071-7
Short code
CT Colon+Rect WO contr IV+W air contr PR
Synonyms
CT Colon+Rect WO contr IV+W air contr PR
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ct
CPT
86592
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

CT colonography, also called virtual colonoscopy, creates detailed pictures of the inside of the colon using a CT scanner. Air is introduced through the rectum to expand the colon so the lining can be examined.

Why might I need this test?

It may be used to look for polyps, colorectal cancer, diverticular disease, narrowing, bleeding, or other colon problems. It may be considered when standard colonoscopy cannot be completed or is not appropriate.

How is the test performed?

A small tube is placed in the rectum, and air is pumped in to distend the colon. CT images are taken as you change positions. The air contrast is inserted through the rectum; no IV contrast dye is injected during this test.

How do I prepare for the test?

Follow the imaging center's instructions, which usually include a clear-liquid diet and laxatives or an enema to empty the bowel. Tell the staff about medicines, blood-thinning agents, mobility problems, or possible pregnancy before the appointment.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

The scan may identify polyps, tumors, diverticula, narrowing, inflammation, or a possible source of bleeding. Suspicious or symptomatic findings may require a standard colonoscopy for direct viewing, removal, or biopsy. CT colonography can still miss small or flat lesions, so results should be interpreted together with symptoms and other screening history.

Short name

CT colonography without IV contrast

Frequently asked questions

Is CT colonography the same as a colonoscopy?
No. CT colonography is an imaging test and does not use a long camera scope. It cannot remove a polyp or take a tissue sample during the same procedure.
What does "air contrast" mean?
It means air is gently pumped into the rectum to expand the colon for clearer CT images. It is different from injected IV contrast dye.
Why is bowel preparation important?
The colon must be as clean as possible so stool does not hide polyps or other findings. Incomplete preparation can make the images less useful and may require repeating the test.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy