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Radiologic examination; toe(s), minimum of 2 views

CPT4 code

Name of the Procedure:

Radiologic Examination of the Toe(s); minimum of 2 views
Common names: Toe X-ray, Digit Radiography

Summary

A radiologic examination of the toe involves taking X-ray images of the toe from different angles to help diagnose injuries, infections, or other conditions affecting the bones and joints of the toe.

Purpose

The procedure helps to diagnose conditions such as fractures, dislocations, infections, arthritis, and other abnormalities of the toe. The goal is to provide clear images that can guide appropriate treatment or further diagnostic evaluation.

Indications

  • Pain, swelling, or deformity in the toe
  • Suspected fractures or dislocations
  • Monitoring of chronic conditions like arthritis
  • Follow-up evaluation after surgery or treatment
  • Assessment of infections or tumors

Preparation

  • No special preparation is usually required.
  • Patients may need to remove jewelry or footwear and will wear a lead apron to protect other parts of the body from radiation.
  • Inform the radiologist if you are pregnant or suspect you may be pregnant.

Procedure Description

  1. The patient will be asked to sit or lie in a position that allows the radiologic technologist to capture the necessary views.
  2. Two or more X-ray images will be taken from different angles—typically dorsal (top) and lateral (side).
  3. The technologist will position the toe and the X-ray machine to obtain clear images.
  4. The toe must remain still while each X-ray is taken to avoid blurring the images.

Duration

The procedure typically takes about 15-30 minutes, including the time to position the toe and take multiple images.

Setting

The procedure is performed in a radiology department, hospital, or outpatient clinic equipped with an X-ray machine.

Personnel

  • Radiologic Technologist: Conducts the imaging
  • Radiologist: Analyzes and interprets the images
  • Supporting personnel: Nurses or medical assistants for patient comfort and preparation (if needed)

Risks and Complications

  • Minimal exposure to radiation, which is generally considered safe but should be limited, especially in children and pregnant women.
  • Rare risks may include discomfort from positioning the toe.

Benefits

  • Provides detailed images of the toe’s bones and joints to aid accurate diagnosis.
  • Helps determine the appropriate treatment or need for further tests.

Recovery

  • No specific recovery time is needed.
  • Patients can typically resume normal activities immediately.
  • Follow-up with a healthcare provider to discuss the results and next steps, if necessary.

Alternatives

  • MRI: Provides detailed images of soft tissues as well as bones.
  • Ultrasound: Useful for assessing soft tissue conditions but less detailed for bones.
  • CT Scan: Offers detailed cross-sectional images but involves higher radiation exposure.

Patient Experience

  • The patient might experience some discomfort from holding still in specific positions.
  • There is usually no pain associated with the X-ray itself.
  • Any discomfort can be managed with assistance from the technologist to find a comfortable position.

Medical Policies and Guidelines for Radiologic examination; toe(s), minimum of 2 views

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