Radiologic examination, hand; minimum of 3 views
CPT4 code
Name of the Procedure:
Radiologic Examination, Hand; Minimum of 3 Views
(Common names: Hand X-ray, Radiographic Hand Imaging, Hand Radiograph)
Summary
A radiologic examination of the hand involves taking X-ray images from at least three different angles to provide a comprehensive view of the bones and joints. This non-invasive procedure helps in diagnosing various conditions related to the hand's skeletal structure.
Purpose
The primary purpose of this procedure is to diagnose fractures, dislocations, infections, arthritis, and other conditions affecting the bones and joints of the hand. The expected outcome is to accurately identify and assess any abnormalities to guide appropriate treatment.
Indications
This procedure is indicated for patients experiencing symptoms such as pain, swelling, reduced range of motion, or after sustaining an injury to the hand. It is also appropriate for monitoring the progress of previously diagnosed conditions.
Preparation
No special preparation is typically required for the patient. However, the patient may need to remove any jewelry or metal objects from the hand and wrist area. They should inform the healthcare provider if they are pregnant.
Procedure Description
- The patient will sit or stand beside the X-ray machine.
- They will place their hand on an imaging plate in different positions as instructed by the radiologic technologist.
- The technologist will take X-ray images from at least three different angles to capture a comprehensive view.
- Protective lead aprons may be used to minimize radiation exposure to other parts of the body.
Duration
The procedure typically takes about 10-15 minutes.
Setting
This procedure is usually performed in a radiology department within a hospital, outpatient clinic, or a specialized imaging center.
Personnel
- Radiologic Technologist: Conducts the X-ray imaging.
- Radiologist: Analyzes and interprets the X-ray images.
- Referring Physician: Consulted for the patient's overall care and treatment plan.
Risks and Complications
- Common: Minimal exposure to radiation.
- Rare: Allergic reaction to contrast material (if used).
- Management: Adhering to standard safety protocols significantly reduces risks.
Benefits
- Accurate diagnosis of hand-related conditions.
- Quick and non-invasive with immediate results.
- Facilitates appropriate and timely treatment.
Recovery
There is no recovery time needed after a hand X-ray. Patients can resume normal activities immediately. Follow-up appointments may be scheduled based on the X-ray findings.
Alternatives
- MRI: Provides detailed images of soft tissues but is more expensive and time-consuming.
- CT Scan: Offers detailed bone imaging but involves more radiation exposure.
- Ultrasound: Useful for soft tissue evaluation but not ideal for bone assessment.
Patient Experience
During the procedure, the patient might feel slight discomfort while positioning their hand, but it is generally painless. Post-procedure, there are no lingering effects or pain, and normal activities can be resumed immediately.