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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:
- The patient stands or lies in various positions as directed by the technician.
- 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.