Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique)
HCPCS code
Name of the Procedure:
Radiological Imaging with Dose Reduction Techniques
(HCPCS Code: G9637)
Summary
This procedure involves advanced radiological imaging techniques that use one or more methods to reduce the radiation dose received by the patient during scans, such as automated exposure control, adjusting milliampere (mA) and kilovolt (kV) settings according to patient size, or using iterative reconstruction technology.
Purpose
The procedure addresses the need for high-quality imaging with minimized radiation exposure, particularly important for patients requiring repeated scans. It aims to capture precise diagnostic images while significantly lowering the potential risks associated with radiation.
Indications
- Recurrent imaging requirements
- Increased sensitivity to radiation
- Pediatric and elderly patients
- Patients with medical conditions that necessitate minimal radiation exposure
Preparation
- Follow fasting guidelines if contrast media is used.
- Inform the healthcare provider about any current medications.
- Complete any preliminary diagnostic assessments such as blood tests or prior imaging.
Procedure Description
- Setup: The patient is positioned on the imaging table.
- Imaging: Using automated exposure control, the mA and kV are adjusted based on the patient’s size.
- Techniques: Iterative reconstruction is applied to produce clearer images with lower dose radiation.
- Monitoring: Continuous observation to ensure patient safety and optimal image quality.
- Completion: The patient is assisted off the table and given post-procedure guidance.
Duration
Typically, the procedure takes about 30 minutes to an hour, depending on the complexity and specific imaging requirements.
Setting
The procedure is performed in a radiology department, either in a hospital or an outpatient imaging center.
Personnel
- Radiologist
- Radiologic Technologist
- Radiology Nurse (if sedation is used)
Risks and Complications
- Rare risks include slight discomfort or allergic reaction to contrast media.
- Minimal risk of radiation-induced injuries due to dose reduction techniques.
- Potential for need of repeat imaging if initial results are inconclusive.
Benefits
- Reduced radiation exposure, particularly beneficial for vulnerable populations.
- High-quality diagnostic images aiding accurate medical assessments.
- Canonical use of the latest technology ensures optimal patient safety.
Recovery
- Immediate resumption of normal activities in most cases.
- Specific instructions if contrast media was used (hydration, monitoring for reactions).
- Follow-up appointments as advised by the healthcare provider.
Alternatives
- Conventional radiological imaging techniques (higher radiation exposure).
- Ultrasound or MRI, depending on the clinical indication and area being examined.
- Trade-offs include varying levels of image quality and procedural suitability.
Patient Experience
During the procedure, the patient might feel minimal discomfort from remaining still. Post-procedure, there may be a slight fatigue or discomfort if contrast media was used. The center ensures pain management and provides comfort measures to minimize any discomfort throughout the process.