Name of the Procedure:

CT Studies Reported to a Radiation Dose Index Registry (HCPCS G9327)

Summary

CT (Computed Tomography) scans are imaging procedures used to obtain detailed internal pictures of the body. This specific procedure includes the reporting of radiation dose information to a registry that collects all necessary data to monitor and optimize patient safety.

Purpose

This procedure primarily helps in diagnosing various conditions by providing detailed images of organs, bones, and tissues. The goal is to obtain accurate diagnostic information while ensuring patient safety through the monitoring of radiation exposure.

Indications

• Unexplained pain or symptoms that require internal imaging.
• Monitoring of known conditions (e.g., cancer, internal injuries).
• Pre-surgical planning or post-surgical evaluation.
• Patients with a higher risk of exposure to radiation needing critical, monitored imaging procedures.

Preparation

• Patients may be asked to fast for a few hours before the procedure.
• Removal of any metal objects or jewelry.
• In some cases, the ingestion or injection of contrast material may be required for clearer images.
• Inform the medical team about allergies, current medications, and existing medical conditions.

Procedure Description

1. The patient is positioned on a motorized table that slides into the CT scanner.
2. Depending on the scan, contrast material may be administered.
3. The technologist operates the scanner from an adjoining room, communicating with the patient via an intercom.
4. The scanner rotates around the patient, taking multiple cross-sectional images.
5. The entire data, including the radiation dose, is collected and sent to the Radiation Dose Index Registry.

Duration

The procedure typically takes between 10 to 30 minutes, depending on the complexity and the area being scanned.

Setting

Performed in a hospital radiology department, outpatient imaging center, or medical clinic specializing in diagnostic imaging.

Personnel

• Radiologist or radiologic technologist
• Nursing staff (if contrast material is used)
• Medical physicist (in some cases for radiation dose monitoring)

Risks and Complications

• Exposure to a low level of ionizing radiation.
• Allergic reactions to contrast material.
• Discomfort or claustrophobia inside the scanner.
• Rare complications such as kidney problems from contrast material.

Benefits

• Accurate and detailed images aiding in proper diagnosis and treatment.
• Insights into medical conditions that may not be visible through other imaging methods.
• Enhanced patient safety through monitored radiation exposure.

Recovery

• Minimal recovery time; patients can usually resume normal activities immediately.
• If contrast material was used, staying hydrated is recommended to help flush it out.
• Follow-up appointments if necessary, based on results.

Alternatives

• MRI (Magnetic Resonance Imaging): Uses magnetic fields instead of radiation but may not be suitable for some conditions.
• Ultrasound: Lower cost and no radiation but less detailed for certain types of conditions.
• X-rays: Faster but provide less detailed information compared to CT scans.

Patient Experience

During the procedure, patients may feel brief discomfort from the injection of contrast material or staying still in the scanner. After the procedure, most patients report little to no pain, and any experienced discomfort is usually minimal and temporary. Pain management and comfort measures include clear communication, reassuring instructions, and prompt care if any adverse reactions occur.