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Radiologic examination, wrist; complete, minimum of 3 views

CPT4 code

Name of the Procedure:

Radiologic Examination, Wrist; Complete, Minimum of 3 Views
Common name(s): Wrist X-ray, Radiograph of Wrist

Summary

A radiologic examination of the wrist is an imaging test that uses X-rays to capture detailed pictures of the bones and tissues in the wrist. It typically involves taking at least three different views (angles) of the wrist to provide a comprehensive image set for diagnosis.

Purpose

This procedure is used to diagnose and assess various conditions affecting the wrist, such as fractures, dislocations, infections, arthritis, and other bone-related issues. The goal is to obtain clear images that help healthcare providers understand the source of wrist pain or dysfunction and to plan appropriate treatment.

Indications

  • Acute wrist pain or injury
  • Suspected fracture or bone dislocation
  • Chronic wrist pain or discomfort
  • Signs of arthritis or joint degeneration
  • Detection of bone infections or tumors

Preparation

  • No special preparation is usually required.
  • Patients may need to remove any jewelry or metal objects from their wrist and hand.
  • Inform the radiologist if there is a possibility of pregnancy.

Procedure Description

  1. The patient is positioned on an X-ray table or seated next to the X-ray machine.
  2. The wrist is placed in different positions to capture the required views, typically including the frontal (AP), lateral, and oblique views.
  3. The radiologic technologist positions the X-ray machine and places lead shields on the patient as needed to protect other parts of the body.
  4. The patient is asked to remain still while the images are taken.
  5. Images are captured, checked for clarity, and additional views may be taken if necessary.

Duration

The procedure generally takes about 15-30 minutes.

Setting

Radiologic examinations are performed in a hospital radiology department, outpatient imaging center, or a specialized clinic.

Personnel

  • Radiologic Technologist: Conducts the X-rays and handles equipment
  • Radiologist: Reviews and interprets the images

Risks and Complications

  • Minimal exposure to radiation, but generally considered safe.
  • Very rare possibility of allergic reaction to contrast material if used, though not typical for wrist X-rays.

Benefits

  • Accurate diagnosis of bone fractures, dislocations, and other wrist conditions.
  • Facilitates appropriate treatment planning.
  • Non-invasive, quick, and relatively inexpensive.

Recovery

  • No recovery time is necessary.
  • Patients can resume normal activities immediately following the procedure.
  • Follow-up appointments might be scheduled to discuss the results.

Alternatives

  • MRI or CT scan: Provide more detailed images but are more time-consuming and expensive.
  • Ultrasound: Useful for soft tissue injuries but less detailed for bone assessments.

Patient Experience

  • The procedure is generally painless.
  • There may be slight discomfort from holding the wrist still or in specific positions.
  • Minimal wait time for the procedure and quick results turnaround.
  • Any discomfort is brief and manageable.

Medical Policies and Guidelines for Radiologic examination, wrist; complete, minimum of 3 views

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