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Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views

CPT4 code

Name of the Procedure:

Radiologic Examination of the Spine

  • Common names: Spinal X-ray, Scoliosis Evaluation X-ray
  • Technical terms: Radiologic examination of the entire thoracic and lumbar spine, including the skull, cervical, and sacral spine

Summary

A radiologic examination of the spine is a type of X-ray imaging test that involves taking 2 or 3 views of the spine, from the skull to the sacral spine. This helps in evaluating the spine's alignment and identifying abnormalities such as scoliosis, fractures, or degenerative changes.

Purpose

  • Medical condition or problem addressed: Used to diagnose conditions affecting the spine such as scoliosis, fractures, and osteoarthritis.
  • Goals or expected outcomes: To provide detailed images that help doctors understand spinal issues, aiding in accurate diagnosis and appropriate treatment planning.

Indications

  • Symptoms or conditions warranting the procedure: Back pain, spinal curvature abnormalities, suspected fractures, degenerative diseases.
  • Patient criteria: Individuals with persistent back pain, abnormal spinal curvatures, trauma history, or suspected spinal conditions.

Preparation

  • Pre-procedure instructions: Typically, no special preparation is needed. Patients may be asked to remove jewelry and wear a hospital gown.
  • Diagnostic tests or assessments: No additional diagnostic tests are generally required beforehand.

Procedure Description

  • Step-by-step explanation:
    1. The patient stands or lies in various positions as directed by the technician.
    2. X-ray images are taken from different angles of the entire spine.
  • Tools, equipment, or technology used: X-ray machine.
  • Anesthesia or sedation: Not required for this procedure.

Duration

The procedure typically takes about 15 to 30 minutes.

Setting

Performed in a hospital radiology department or an outpatient radiology clinic.

Personnel

Involves radiologic technologists who operate the X-ray machine and a radiologist who interprets the images.

Risks and Complications

  • Common risks: Minimal exposure to radiation.
  • Rare risks: Slight risk of radiation overexposure, which is generally considered very low.

Benefits

  • Expected benefits: Provides clear images of the spine for accurate diagnosis, helps in planning treatment, and monitoring the progression of spinal conditions.
  • How soon benefits can be realized: Immediate results are available to guide treatment decisions.

Recovery

  • Post-procedure care and instructions: No special care is needed post-examination.
  • Expected recovery time: No recovery time is required.
  • Follow-up appointments: As determined by the treating physician based on the X-ray results.

Alternatives

  • Other treatment options: MRI or CT scans if more detailed images are necessary.
  • Pros and cons: MRI and CT scans provide more detailed images but are more expensive and time-consuming compared to X-rays.

Patient Experience

  • During the procedure: Patients might experience discomfort from holding still or being positioned in various ways, but it is generally painless.
  • After the procedure: No pain is expected post-procedure, and normal activities can be resumed immediately.
  • Pain management and comfort measures: Not usually needed as the procedure is non-invasive and painless.

Medical Policies and Guidelines for Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views

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