Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views
CPT4 code
Name of the Procedure:
Radiologic Examination, Spine (Thoracic and Lumbar), including Skull, Cervical and Sacral Spine if necessary (e.g., Scoliosis Evaluation); 4 or 5 Views
Summary
A radiologic examination of the spine involves using X-rays to capture detailed images of the entire thoracic and lumbar spine. Depending on the clinical need, the skull, cervical, and sacral spine may also be included in the imaging process. This procedure typically includes 4 or 5 different views to provide a comprehensive assessment of the spine, particularly useful for evaluating conditions like scoliosis.
Purpose
The primary purpose of this procedure is to diagnose or monitor spinal conditions, including scoliosis, fractures, or degenerative spine diseases. The expected outcome is a detailed set of images that allow healthcare providers to make informed decisions about patient care and treatment options.
Indications
- Scapular or back pain
- Visible spine deformities such as a curved back
- Postural abnormalities
- Symptoms suggesting spinal injury or degeneration
- Routine surveillance in known cases of scoliosis
Preparation
- Typically, no special preparation such as fasting is required.
- Patients are asked to remove any metal objects (jewelry, belts) that could interfere with the imaging.
- In some cases, patients may be instructed to wear a hospital gown.
- Ensure the patient understands they need to hold still during the image capture.
Procedure Description
- Patient Positioning: The patient is positioned appropriately on the X-ray table.
- Image Capture: Several images are taken from different angles (AP, lateral, oblique views) to get a comprehensive view.
- Use of Tools: The radiologic technologist may use lead shields to protect other parts of the body from radiation.
- Duration: Each image acquisition takes a few seconds, but overall the procedure may last about 20-30 minutes.
- Technology: Standard X-ray machines are used for capturing the images.
- Anesthesia: Not required, as this is a non-invasive procedure.
Duration
Approximately 20-30 minutes.
Setting
Typically performed in a hospital radiology department or an outpatient imaging center.
Personnel
- Radiologic Technologist (operates the imaging equipment)
- Radiologist (interprets the images)
- Sometimes a referring physician is consulted for specific image requirements
Risks and Complications
- Exposure to low levels of radiation, which is generally considered safe but is minimized using protective measures.
- Very rare chance of improper image capture requiring a repeat procedure.
Benefits
- Provides critical information for diagnosing and managing spinal conditions.
- Non-invasive, quick, and generally painless.
- Immediately realized benefits, as images are often available for review shortly after they are taken.
Recovery
- There is no recovery period needed post-procedure.
- Patients can usually resume normal activities immediately after the examination.
- Follow-up appointments may be scheduled based on the radiologist’s findings.
Alternatives
- MRI or CT scans can be used for more detailed imaging of the spine if necessary.
- Physical examination and patient history can sometimes be sufficient for certain conditions.
- Pros and cons of alternatives typically involve trade-offs between detail of imaging, cost, and exposure to radiation (none in the case of MRI).
Patient Experience
- The procedure is generally painless.
- The patient might feel slight discomfort from having to stay still in certain positions.
- Radiologic technologists ensure the patient’s comfort and safety throughout the procedure.
- Pain management is usually not required, but communication with the technologist can help address any discomfort during positioning.