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Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views

CPT4 code

Name of the Procedure:

Radiologic Examination, Hip, Unilateral, with Pelvis When Performed; 2-3 Views

Summary

A radiologic examination of the hip involves taking X-ray images of one hip, along with the pelvis if necessary, in 2 to 3 different views. This helps doctors evaluate and diagnose issues related to the hip joint and surrounding structures.

Purpose

The procedure aims to identify fractures, dislocations, degenerative conditions, infections, tumors, or other abnormalities of the hip and pelvis. The goal is to provide an accurate diagnosis to guide treatment and management of hip-related conditions.

Indications

  • Hip pain or discomfort
  • Suspected hip fracture or dislocation
  • Degenerative joint disease (e.g., osteoarthritis)
  • Hip infections
  • Evaluation of hip replacement status
  • Trauma or injury to the hip or pelvis

Preparation

  • No special preparation is generally needed.
  • Remove any metal objects from the area being examined.
  • Inform the radiologist if you are pregnant or suspect you might be.

Procedure Description

  1. The patient is positioned on the X-ray table, lying down or standing as required.
  2. The radiologic technician positions the X-ray machine to capture images in 2 to 3 different views.
  3. The patient may need to hold their breath or remain still while each image is taken to prevent blurring.
  4. The images are reviewed to ensure they are clear and cover the necessary areas.

Tools, equipment, or technology used:

  • X-ray machine
  • Image receptor

No anesthesia or sedation is typically required for this procedure.

Duration

The procedure typically takes about 15-30 minutes.

Setting

The procedure is performed in a radiology department, which can be part of a hospital, outpatient clinic, or specialized imaging center.

Personnel

  • Radiologic technologist (performs the imaging)
  • Radiologist (interprets the X-ray images)

Risks and Complications

  • Exposure to a small amount of radiation
  • Rare allergic reactions to contrast material (if used)
  • Minor discomfort from positioning

Benefits

  • Accurate diagnosis of hip and pelvis conditions
  • Helps in planning appropriate treatment
  • Non-invasive with minimal discomfort

Recovery

  • No recovery time is typically needed; patients can resume normal activities immediately.
  • Follow any additional instructions provided by the healthcare provider.

Alternatives

  • MRI or CT scan of the hip (provides more detailed images)
  • Ultrasound (limited use for bone imaging)

    Pros and cons:

  • MRI/CT: more detailed but more expensive and time-consuming
  • Ultrasound: less detailed but avoids radiation exposure

Patient Experience

  • The patient may feel some discomfort from holding still or certain positions but should not experience pain.
  • Efforts are made to ensure the patient’s comfort during the procedure.
  • Any pain management needed would be minimal and typically involves simple measures like adjusting positions.

Medical Policies and Guidelines for Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views

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