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Radiologic examination, spine, single view, specify level

CPT4 code

Name of the Procedure:

Radiologic examination, spine, single view, specify level
Common name(s): X-ray of the spine, spinal X-ray

Summary

A radiologic examination of the spine using X-ray technology to capture a single view of a specific spinal level (cervical, thoracic, or lumbar). This diagnostic test helps visualize bones and detect abnormalities.

Purpose

This procedure is used to diagnose fractures, dislocations, infections, tumors, and other spine-related conditions. It helps in assessing the alignment and integrity of the spinal column and aids in planning appropriate treatment.

Indications

  • Persistent or severe back or neck pain
  • Suspected fractures following an injury
  • Evaluating spinal deformities, such as scoliosis
  • Monitoring conditions like osteoporosis
  • Investigating unexplained neurologic symptoms

Preparation

  • No significant preparation is required.
  • Patients might be asked to remove any metallic objects (e.g., jewelry) that could interfere with imaging.
  • Inform the healthcare provider if there is a possibility of pregnancy.

Procedure Description

  1. The patient will be positioned on an X-ray table depending on the spinal level to be examined.
  2. The radiologic technologist will guide the patient to remain still to obtain a clear image.
  3. The X-ray machine will be aligned over the specific spinal segment.
  4. A single X-ray image will be taken.
  5. The technologist may step behind a protective shield while capturing the image to minimize radiation exposure.

Duration

The procedure typically takes about 10-15 minutes.

Setting

This procedure is performed in a radiology department within a hospital, outpatient clinic, or imaging center.

Personnel

  • Radiologic technologist
  • Radiologist (for interpreting the images)

Risks and Complications

  • Exposure to a small amount of ionizing radiation.
  • Rarely, there might be discomfort from staying in a certain position.

Benefits

  • Non-invasive and quick diagnostic tool.
  • Helps in accurately diagnosing spine-related conditions.
  • Aids in the development of an effective treatment plan.

Recovery

  • No specific recovery period; patients can usually return to normal activities immediately.
  • Follow any additional instructions provided by the healthcare provider, especially if further tests or treatments are required.

Alternatives

  • MRI or CT scan for more detailed imaging.
  • Ultrasound for certain cases, although less common for spine evaluation.
  • Pros of alternatives: More detailed imaging (MRI/CT), no radiation (MRI/Ultrasound).
  • Cons of alternatives: Higher cost, longer duration (MRI/CT), limited availability.

Patient Experience

  • Patients might feel slight discomfort while remaining still for the image but overall, the procedure is painless.
  • Little to no recovery time, allowing resumption of daily activities almost immediately.

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