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Radiologic examination, spine, lumbosacral; 2 or 3 views

CPT4 code

Name of the Procedure:

Radiologic Examination, Spine, Lumbosacral; 2 or 3 Views
Common Name(s): Lower Back X-ray, Lumbar Spine X-ray
Technical Term: Lumbosacral Radiography

Summary

A radiologic examination of the lumbosacral spine uses X-rays to create images of the lower part of the spine. The procedure typically involves taking 2 or 3 different views to get a comprehensive look at the area.

Purpose

Medical Condition or Problem: This procedure is used to diagnose issues such as lower back pain, scoliosis, fractures, infections, or degenerative diseases of the spine.
Goals: The aim is to identify any abnormalities or injuries in the lumbosacral region that could be causing symptoms, allowing for appropriate treatment planning.

Indications

  • Persistent lower back pain
  • History of trauma to the lower back
  • Suspected spinal fractures
  • Degenerative conditions like arthritis
  • Suspected infections
  • Pre-surgery evaluation or post-surgery follow-up

Preparation

  • No special fasting or medication adjustments are usually required.
  • Patients may be asked to remove any metallic objects, such as jewelry, that could interfere with the imaging.
  • In some cases, a lead apron or other protective measures may be used to protect certain parts of the body from radiation.

Procedure Description

  1. The patient will be asked to lie on an X-ray table or stand, depending on the views required.
  2. Multiple views (typically 2 or 3) of the lower spine will be taken from different angles.
  3. The radiologic technologist will position the patient and the X-ray machine to capture clear images.
  4. The X-ray machine will emit a small dose of radiation to capture images on film or a digital system.
  5. No anesthesia or sedation is required for this non-invasive procedure.

Duration

The entire process typically takes about 10 to 20 minutes.

Setting

The procedure is usually performed in a hospital’s radiology department, an outpatient clinic, or a dedicated imaging center.

Personnel

  • Radiologic Technologist: Conducts the X-ray and positions the patient.
  • Radiologist: A medical doctor specializing in interpreting medical images will analyze the X-rays.

Risks and Complications

  • Common Risks: Exposure to a low level of radiation.
  • Rare Risks: Allergic reactions to contrast material if used, although contrast is not typically needed for basic X-rays.

Benefits

  • Provides valuable information to diagnose or rule out conditions causing lower back pain.
  • Helps guide treatment plans and monitor recovery.
  • Results are typically available quickly, aiding in prompt diagnosis and treatment.

Recovery

  • No specific recovery time is needed; patients can resume normal activities immediately.
  • Follow-up with the healthcare provider may be necessary to discuss the results and next steps in treatment.

Alternatives

  • MRI: More detailed images but more expensive and time-consuming.
  • CT Scan: Detailed imaging with more radiation exposure.
  • Physical Examination: Less detailed but non-invasive and without radiation.

Patient Experience

  • The procedure is painless, although some patients may feel temporarily uncomfortable staying still in certain positions.
  • No significant pain management is needed, and comfort measures include prompt positioning adjustments by the technologist.

This markdown text provides a comprehensive yet understandable guide to the radiologic examination of the lumbosacral spine, covering all critical aspects of the procedure in clear and concise sections.

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