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Radiologic examination, hip, unilateral; complete, minimum of 2 views

CPT4 code

Name of the Procedure:

Radiologic Examination, Hip, Unilateral; Complete, Minimum of 2 Views Commonly referred to as: Hip X-ray, Unilateral Hip Radiograph

Summary

In a radiologic examination of the hip, X-ray images are taken to capture detailed images of a single hip joint. This procedure involves at least two different views to provide comprehensive imaging, aiding in the diagnosis of various hip conditions.

Purpose

  • Medical Condition or Problem: Identifies fractures, arthritis, infections, and abnormalities in the hip joint.
  • Goals or Expected Outcomes: To diagnose the underlying cause of hip pain or dysfunction, confirm the presence of hip fractures, and plan surgical or medical treatment if needed.

Indications

  • Persistent hip pain or discomfort
  • Suspected hip fracture or dislocation from trauma
  • Limited range of motion or stiffness in the hip joint
  • Monitoring the progression of known hip conditions (e.g., arthritis)
  • Post-operative assessment following hip surgery

Preparation

  • Patients may be asked to remove metallic objects or wear a hospital gown.
  • No significant fasting or medication adjustments are usually required.
  • Inform the technician if there is any possibility of pregnancy.

Procedure Description

  1. The patient will be positioned on an X-ray table.
  2. At least two different views of the hip are taken, usually including:
    • An anterior-posterior (AP) view
    • A lateral or frog-leg lateral view
  3. The technician will position the X-ray machine and place lead shielding to protect other parts of the body from radiation.
  4. The patient must remain still while the images are captured.
    • Tools and Equipment: X-ray machine, lead shields.
    • Anesthesia: Not typically required.

Duration

The procedure generally takes about 15-30 minutes.

Setting

Performed in a radiology department, hospital, or outpatient clinic.

Personnel

  • Radiologic technologist to perform the imaging.
  • Radiologist to interpret the X-ray images.

Risks and Complications

  • Common Risks: Low level of radiation exposure.
  • Rare Risks: Allergic reactions to contrast material (if used) or discomfort from remaining still.

Benefits

  • Expected Benefits: Accurate diagnosis of hip conditions and effective treatment planning.
  • Timeframe: Results are generally available within a few hours to a couple of days.

Recovery

  • Post-Procedure Care: None required, patients can usually resume normal activities immediately.
  • Expected Recovery Time: Immediate.
  • Follow-Up: Based on findings, further medical treatment or consultations may be scheduled.

Alternatives

  • Other Treatment Options: MRI, CT scan, or ultrasound of the hip.
  • Pros and Cons: MRI and CT scans offer more detailed images but are more expensive and take longer; ultrasound does not involve radiation but may be less definitive.

Patient Experience

  • During the Procedure: The patient may feel slight discomfort from holding still or positioning.
  • After the Procedure: No significant pain; normal activities can be resumed immediately.

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