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Radiologic examination, abdomen; complete, including decubitus and/or erect views

CPT4 code

Name of the Procedure:

Radiologic Examination, Abdomen; Complete, Including Decubitus and/or Erect Views

Summary

This procedure involves a series of X-ray images focused on the abdomen. It includes taking images while the patient is lying down (decubitus) and standing up (erect). This helps doctors see the abdomen in different positions to diagnose various conditions.

Purpose

Radiologic examination of the abdomen helps diagnose issues such as bowel obstructions, perforations, abnormal masses, and other gastrointestinal problems. The goal is to obtain clear images from multiple angles to provide a comprehensive assessment.

Indications

  • Severe abdominal pain
  • Suspected bowel obstruction
  • Unexplained gastrointestinal symptoms
  • Trauma to the abdomen
  • Monitoring known abdominal conditions

Preparation

  • Patients may be asked to fast for a few hours before the procedure.
  • Remove any jewelry or metallic objects.
  • Inform the healthcare provider of any medications being taken.
  • Women should inform the technician if they are pregnant.

Procedure Description

  1. The patient is positioned on the X-ray table.
  2. Initial images are taken while the patient is lying on their back (supine) and, if needed, on their side (decubitus).
  3. The patient is then asked to stand for erect views.
  4. The radiologic technician adjusts the X-ray machine for each view.
  5. Multiple images are taken to capture the area of interest.
  6. The patient may be required to hold their breath briefly during imaging to prevent movement.

Duration

The procedure typically takes between 15 to 30 minutes.

Setting

The procedure is performed in the radiology department of a hospital, outpatient clinic, or diagnostic imaging center.

Personnel

  • Radiologic Technologist
  • Radiologist (for image interpretation)

Risks and Complications

  • Minimal exposure to radiation.
  • Discomfort from holding still or from positional changes.
  • Rarely, allergic reaction to contrast material if used.

Benefits

  • Provides detailed images for accurate diagnosis.
  • Non-invasive with no recovery time needed.
  • Helps in early detection and treatment planning for abdominal conditions.

Recovery

  • No recovery time is needed.
  • Normal activities can be resumed immediately.
  • Follow-up with the doctor for results and potential further testing or treatment.

Alternatives

  • Ultrasound: no radiation, but may not provide as detailed images.
  • CT Scan: more detailed than X-ray but involves higher radiation.
  • MRI: highly detailed, no radiation, but more expensive and time-consuming.

Patient Experience

  • Patients might feel slight discomfort during positioning.
  • The procedure itself is painless.
  • Clear communication with the technologist enhances comfort.
  • No pain management usually necessary, as the procedure is quick and non-invasive.

This markdown provides clear, concise, and comprehensive information about the procedure in a structured format.

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