Unlisted fluoroscopic procedure (eg, diagnostic, interventional)
CPT4 code
Name of the Procedure:
Unlisted Fluoroscopic Procedure
Summary
This is a specialized imaging technique where fluoroscopy is used to visualize and guide various diagnostic or interventional procedures inside the body. Fluoroscopy provides real-time X-ray imaging that helps doctors see internal structures and perform minimally invasive treatments.
Purpose
The procedure is employed to diagnose or treat medical conditions requiring internal visualization. Goals include accurate diagnosis, targeted treatment, and minimizing invasiveness.
Indications
- Persistent or unexplained pain
- Abnormal results from other imaging tests
- Specific conditions like blockages, tumors, or structural anomalies
- Patients needing minimally invasive treatment procedures
Preparation
- Fasting for at least 6 hours before the procedure
- Medication adjustments as advised by your doctor
- Preliminary diagnostic tests such as blood work or other imaging studies
Procedure Description
- Preparation: The patient is positioned on the fluoroscopy table, and the target area is sterilized.
- Sedation/Anesthesia: Local anesthesia or mild sedation may be administered for comfort.
- Imaging Setup: Fluoroscopy equipment is positioned to provide the best view of the target area.
- Procedure: Using live X-ray guidance, the doctor performs the necessary diagnostic or interventional task which could include injecting contrast dye, guiding a catheter, or other specialized tools.
- Completion: The equipment is removed, and the area is cleaned and bandaged if needed.
Duration
Typically lasts between 30 minutes to 2 hours, depending on the complexity.
Setting
- Hospital interventional radiology suite
- Outpatient clinic with fluoroscopy capabilities
- Specialized surgical centers
Personnel
- Radiologist or interventional radiologist
- Assisting nurses or radiologic technologists
- Anesthesiologist or sedation nurse (if sedation is used)
Risks and Complications
- Exposure to low levels of radiation
- Potential contrast dye allergic reactions
- Infection at the intervention site
- Bleeding or localized bruising
- Rarely, complications related to sedation or anesthesia
Benefits
- Minimally invasive with shorter recovery times
- Real-time imaging provides high accuracy
- Reduced need for exploratory surgery
- Immediate results and potential for immediate treatment
Recovery
- Observation for a few hours if sedation was used
- Instructions on caring for any minor wounds or bandage sites
- Typically, patients can resume normal activities within a day
- Follow-up appointments as needed
Alternatives
- Traditional diagnostic imaging (MRI, CT scan)
- Open surgical procedures for intervention
- Pros: Alternatives can be more or less invasive and may have varying degrees of diagnostic accuracy or therapeutic effectiveness.
- Cons: Traditional imaging might not provide real-time results, and open surgery generally involves longer recovery times.
Patient Experience
- During: Slight discomfort from the positioning and potential mild pain from needle insertion if no sedation is used.
- Post-Procedure: Mild soreness at the site, potential minor bruising. Pain management is available if needed.
- Comfort: Local anesthesia and sedation ensure patient comfort, with most patients reporting minimal subsequent discomfort.