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Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views

CPT4 code

Name of the Procedure:

Radiologic Examination, Hips, Bilateral, with Pelvis (Minimum of 5 views)

Summary

A radiologic examination of both hips and the pelvis involves taking a series of X-ray images to visualize the bones and joints. The imaging helps in diagnosing potential issues within the hip or pelvic regions.

Purpose

This examination addresses suspected hip or pelvic problems, such as fractures, arthritis, or other bone abnormalities. The goal is to obtain detailed images to aid in diagnosis and guide treatment.

Indications

  • Persistent hip or pelvic pain
  • Suspected fractures
  • Arthritis evaluation
  • Unexplained hip joint issues
  • Pre- or post-surgical assessment

Preparation

  • Wear loose-fitting clothing; you may need to change into a hospital gown.
  • Remove metal objects such as jewelry.
  • Inform the technician if you are pregnant.
  • No special fasting or medication adjustments are typically required.

Procedure Description

  1. The patient lies on an X-ray table in specified positions.
  2. A radiologic technician positions the X-ray machine over the targeted areas.
  3. A minimum of 5 different views are taken to capture comprehensive images.
  4. The patient may need to hold still or adjust their position as directed by the technician.
  5. The process is repeated for both hips and the pelvis.

Duration

The procedure typically takes 15-30 minutes.

Setting

This procedure is performed in a radiology department, hospital, or outpatient imaging center.

Personnel

  • Radiologic Technician
  • Radiologist (reviews and interprets the images)

Risks and Complications

  • Minimal exposure to radiation, with very low risk
  • Rarely, discomfort during positioning
  • Potential for misinterpretation if images are not clear, necessitating repeat X-rays

Benefits

  • Accurate diagnosis of hip and pelvic conditions
  • Helps in planning surgical or non-surgical treatment
  • Immediate imaging results for quicker medical interventions

Recovery

  • No recovery time needed as it is a non-invasive procedure.
  • Patients can resume normal activities immediately.
  • Follow-up appointments may be scheduled based on results.

Alternatives

  • MRI or CT scans for detailed imaging
  • Ultrasound for soft tissue evaluation
  • Bone scintigraphy for bone activity assessment
  • Each alternative has its own benefits and limitations, such as detail, exposure to radiation, and cost.

Patient Experience

  • Patients may feel slight discomfort from having to hold still in specific positions.
  • Generally painless, with no need for sedation or anesthesia.
  • Technicians may provide pillows or supports for comfort.
  • Any discomfort typically ends as soon as the X-rays are complete.

Medical Policies and Guidelines for Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views

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