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CT Head Without Contrast and CT Neck With Intravenous Contrast

Published: August 9, 2026Updated: August 17, 2026

CT imaging evaluates the head without contrast and the neck with intravenous contrast to examine bones, soft tissues, blood vessels, lymph nodes, and other structures.

Quick summary

["This combined CT study uses different contrast approaches for the head and neck to help identify injury, infection, inflammation, tumors, and other abnormalities."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
82804-6
Short code
CT Head WO+W and CT Neck W contr IV
Synonyms
CT Head WO+W and CT Neck W contr IV
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
22
Ref high
198
Critical range
— – 10000 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ct
CPT
82553
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?

This is a computed tomography (CT) examination that creates detailed cross-sectional images of the head and neck. The head is scanned without contrast, while the neck is scanned after intravenous contrast is given.

Why might I need this test?

A clinician may order this study to evaluate head or neck injury, unexplained swelling, infection, inflammation, or a suspected mass. It may also help assess lymph nodes, major blood vessels, and the relationship of abnormalities to nearby structures.

How is the test performed?

You will lie on a CT scanner table while the machine takes images from different angles. For the neck portion, contrast is usually injected through a vein in your arm, and the scan is completed shortly afterward.

How do I prepare for the test?

Follow the instructions provided by the imaging facility. Tell the care team if you have kidney disease, a previous contrast reaction, thyroid disease, or are pregnant or may be pregnant, because these factors may affect the use of contrast or the testing plan.

Reference range

Adult males: 22-198 U/L; Females: 22-198 U/LN/A

Specimen: serum

No special preparation required. Inform provider of any chest pain or symptoms.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Abnormal findings may indicate conditions such as bleeding, fracture, infection, inflammation, obstruction, or a tumor. The results are interpreted together with symptoms, physical examination, and other tests, and a radiologist may recommend additional imaging or clinical follow-up.

Short name

CT head and neck

Frequently asked questions

Why is contrast used for the neck but not the head?
Contrast can improve the visibility of certain soft tissues, blood vessels, and lymph nodes in the neck. The head portion is performed without contrast because it is generally better suited to evaluating acute bleeding and certain other findings.
Is the intravenous contrast used in this test different from oral contrast?
Yes. This test typically uses intravenous contrast injected through a vein, not contrast taken by mouth. Oral contrast is a different product and is not usually part of this examination.
Will I need additional imaging after this test?
Sometimes. The radiologist may recommend follow-up imaging or another type of scan if the findings are incomplete, need further characterization, or suggest an area that requires a closer look.
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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 17, 2026. · Read our editorial policy