Radiologic examination, osseous survey; complete (axial and appendicular skeleton)
CPT4 code
Name of the Procedure:
Radiologic examination, osseous survey; complete (axial and appendicular skeleton)
Summary
A complete radiologic examination of the osseous (bone) system is a comprehensive imaging procedure that captures X-ray images of the entire skeleton, including the axial (head, spine, and torso) and appendicular (limbs) regions.
Purpose
The procedure is used to diagnose conditions affecting the bones, such as fractures, infections, bone cancers, and metabolic bone diseases. The goal is to provide a full evaluation of bone health and detect any abnormalities.
Indications
- Unexplained bone pain or tenderness
- Suspected bone metastasis in cancer patients
- Unexplained fractures or recurring fractures
- Suspected metabolic bone diseases (e.g., osteoporosis)
- Monitoring bone disease progression or treatment response
Preparation
- Patients may be asked to remove jewelry and wear a hospital gown.
- Inform the radiologist of any metal implants, previous surgeries, or pregnancy.
- No special dietary restrictions or fasting typically required.
Procedure Description
- The patient is positioned on the X-ray table, and the technologist ensures proper alignment of the body parts to be imaged.
- Sequential X-ray images are taken of various bone structures.
- The patient may need to change positions multiple times to capture different views.
- The radiologist oversees the process to ensure high-quality images.
Tools: X-ray machine, lead aprons (for radiation protection), positioning aids.
Anesthesia: Not required; the procedure is non-invasive and painless.
Duration
The procedure usually takes about 30-60 minutes, depending on the number of images required.
Setting
The procedure is performed in a radiology department within a hospital, outpatient clinic, or diagnostic imaging center.
Personnel
- Radiologic technologist: Conducts the imaging process.
- Radiologist: Reviews and interprets the images.
Risks and Complications
- Minimal radiation exposure.
- Very rare risk of allergic reaction to contrast material, if used.
Benefits
- Provides a comprehensive assessment of bone health.
- Helps in early detection and accurate diagnosis of bone-related disorders.
- Informative for treatment planning and monitoring.
Recovery
No recovery time needed; patients can resume normal activities immediately. Follow-up appointments may be scheduled for further evaluation or treatment based on the findings.
Alternatives
- MRI: More detailed soft tissue imaging, but less effective for bone structure assessment.
CT scan: Offers cross-sectional images but involves higher radiation exposure.
Pros and cons vary based on specific conditions but typically involve balancing imaging detail, radiation exposure, and cost.
Patient Experience
Patients may feel discomfort from holding still or positioning but will not feel pain from the imaging itself. Technologists provide assistance to maintain comfort, and the procedure is generally well-tolerated.