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Radiologic examination, chest; 4 or more views

CPT4 code

Name of the Procedure:

Radiologic Examination, Chest; 4 or More Views

Summary

A radiologic examination of the chest using four or more views is a detailed X-ray procedure aimed at capturing multiple angles of the chest area. This comprehensive imaging helps in diagnosing conditions affecting the lungs, heart, and surrounding structures.

Purpose

  • Medical Condition or Problem: This procedure is used to diagnose issues such as pneumonia, bronchitis, lung cancer, heart enlargement, fractures, and other chest-related abnormalities.
  • Goals or Expected Outcomes: The goal is to obtain a detailed view of the chest to aid in accurate diagnosis and guide appropriate treatments.

Indications

  • Persistent cough or chest pain
  • Shortness of breath
  • Suspected infections like pneumonia or tuberculosis
  • Trauma to the chest
  • Unexplained fever
  • Pre-surgical evaluation or post-procedure follow-up

Preparation

  • Pre-Procedure Instructions: Patients may be asked to remove any clothing, jewelry, or metallic objects from the upper body and wear a hospital gown.
  • Diagnostic Tests/Assessments: No specific tests are typically required. Inform your healthcare provider if you are pregnant or suspect you might be.

Procedure Description

  1. Patient Positioning: The patient is positioned standing, sitting, or lying down.
  2. Equipment Used: An X-ray machine with the capability to capture multiple views.
  3. Imaging Process: The radiologic technologist takes several images from different angles, including front, sides, and sometimes at an angle.
  4. Anesthesia or Sedation: None required.

Duration

The procedure typically takes about 15-30 minutes.

Setting

Radiologic examinations are usually performed in a hospital radiology department or an outpatient imaging center.

Personnel

  • Radiologic Technologist
  • Radiologist (to interpret the images)

Risks and Complications

  • Common Risks: Minimal exposure to radiation.
  • Rare Risks: Allergic reaction to contrast material if used, though it's not typical for this procedure.
  • Management: Protective measures are taken to ensure minimal radiation exposure.

Benefits

  • Expected Benefits: Accurate diagnosis of various chest conditions, facilitating timely and appropriate treatment.
  • Realization Time: Images are usually reviewed by a radiologist within a few hours to a day; results are often available within 24-48 hours.

Recovery

  • Post-Procedure Care: No special care is needed post-procedure.
  • Expected Recovery Time: Immediate return to normal activities.
  • Follow-Up Appointments: Depending on the findings, follow-up visits may be scheduled.

Alternatives

  • Other Options: CT scan, MRI, or ultrasound of the chest.
  • Pros and Cons: While CT scans and MRIs provide more detailed images, they are more expensive and require more time.

Patient Experience

  • During the Procedure: The patient might need to hold their breath for a few seconds while each image is taken.
  • After the Procedure: Generally, there is no discomfort post-procedure, and patients can resume normal activities immediately. Pain management is not typically necessary.

Medical Policies and Guidelines for Radiologic examination, chest; 4 or more views

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