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Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views

CPT4 code

Name of the Procedure:

Radiologic Examination, Hip, Unilateral, with Pelvis; Minimum of 4 Views

Summary

This procedure involves taking a series of X-ray images of one hip and the pelvis to diagnose or evaluate problems in the hip joint or pelvic bones. It typically includes at least four different views to provide a comprehensive assessment.

Purpose

The radiologic examination of the hip and pelvis is performed to identify abnormalities or conditions such as fractures, dislocations, arthritis, or infections in the hip joint or pelvic bones. The goal is to provide detailed images that can help in diagnosing the condition and planning appropriate treatment.

Indications

  • Persistent hip pain
  • Inability to move the hip properly
  • Suspected fractures or dislocations
  • Symptoms of arthritis (e.g., stiffness, swelling)
  • Post-surgical follow-up
  • Unexplained limp or difficulty walking

Preparation

  • The patient may be asked to remove any metal objects, jewelry, or clothing that could interfere with the X-ray images.
  • No specific fasting or medication adjustments are typically required.
  • The patient should inform the technician if they are pregnant.

Procedure Description

  1. The patient will be positioned on an X-ray table, sometimes lying down or standing depending on the specific view required.
  2. A lead shield may be provided to protect parts of the body from unnecessary radiation exposure.
  3. The X-ray technician will position a machine to take at least four different views of the hip and pelvis.
  4. The patient may need to hold still or be repositioned between views to ensure clear and comprehensive images.

Duration

The procedure typically takes about 15 to 30 minutes to complete.

Setting

The examination is usually performed in a radiology department of a hospital, outpatient clinic, or imaging center.

Personnel

  • Radiologic Technologist (performs the X-ray)
  • Radiologist (interprets the X-ray images)
  • Support Staff (assist as needed)

Risks and Complications

  • Minimal exposure to radiation; however, the risk is considered low.
  • Rare risk of allergic reaction if contrast material is used.
  • Misdiagnosis if images are not clear or comprehensive.

Benefits

  • Provides a clear and detailed assessment of the hip and pelvis.
  • Aids in accurate diagnosis and treatment planning.
  • Helps rule out serious conditions.

Recovery

  • No specific recovery time is needed.
  • Patients can usually resume normal activities immediately after the procedure.
  • Follow-up appointments may be scheduled to discuss results with the healthcare provider.

Alternatives

  • MRI (Magnetic Resonance Imaging): Provides more detailed images but is more expensive and time-consuming.
  • CT (Computed Tomography) Scan: Offers detailed cross-sectional images but involves higher radiation exposure.
  • Ultrasound: Less effective in visualizing bones but useful for soft tissues.

Patient Experience

  • Patients might feel some discomfort from lying still or being repositioned, but the procedure itself is painless.
  • There is no need for anesthesia or sedation; pain management is generally not required.
  • Any concerns or discomfort should be communicated to the technologist immediately.

Medical Policies and Guidelines for Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views

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