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High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml

HCPCS code

Name of the Procedure:

Q9960: High Osmolar Contrast Material, 200-249 mg/ml Iodine Concentration, per ml

Summary

This procedure involves the administration of a high osmolar contrast material containing iodine to enhance the visibility of internal structures in medical imaging, such as X-rays, CT scans, or angiograms. It helps healthcare providers obtain clearer images for diagnostic purposes.

Purpose

High osmolar contrast material is used to improve the clarity of medical images. It is particularly beneficial in diagnosing conditions related to blood vessels, organs, and tissues. The goal is to provide precise imaging results for an accurate diagnosis and subsequent treatment planning.

Indications

The use of this contrast material is indicated for:

  • Suspected blood vessel abnormalities (e.g., aneurysms, blockages).
  • Organ diseases (e.g., kidney stones, tumors).
  • Conditions requiring detailed imaging for diagnosis, such as in oncology, cardiovascular diseases, or gastrointestinal problems.

Patient criteria may include those who need enhanced imaging for accurate assessment and have no contraindications to contrast material.

Preparation

  • Patients may need to fast for a certain period before the procedure.
  • They should inform their healthcare provider of any allergies, medications, or kidney-related issues.
  • Blood tests may be conducted to assess kidney function.

Procedure Description

  1. Patient Preparation: The patient is positioned appropriately and given an explanation of the procedure.
  2. Administration: The contrast material is administered intravenously.
  3. Imaging: Once the contrast is in the bloodstream, imaging begins. The procedure could involve X-rays, CT scans, or other imaging technologies.
  4. Observation: Healthcare personnel monitor the patient for any immediate reactions.

Duration

The administration of the contrast material typically takes a few minutes, but the entire imaging procedure may last between 30 minutes to 2 hours, depending on the complexity.

Setting

This procedure is performed in a radiology department within a hospital or an outpatient imaging clinic.

Personnel

  • Radiologists
  • Radiologic technologists
  • Nurses
  • In some cases, an anesthesiologist (if sedation is required)

Risks and Complications

  • Common Risks: Mild allergic reactions, such as itching or rash.
  • Rare Risks: Severe allergic reactions, kidney damage, or cardiac issues.
  • Management: Immediate medical intervention is available for any adverse reactions.

Benefits

This procedure provides high-quality images that significantly aid in the accurate diagnosis and treatment planning of various medical conditions. The benefits can often be realized immediately upon reviewing the imaging results.

Recovery

  • Patients are typically observed for a short period post-procedure.
  • They are advised to drink plenty of fluids to help flush the contrast material from their system.
  • Normal activities can usually be resumed immediately unless instructed otherwise by the healthcare provider.

Alternatives

  • MRI with contrast
  • Ultrasound
  • Non-contrast CT scan Each alternative has its own pros and cons, often related to clarity of images, risk factors, and specific diagnostic needs.

Patient Experience

During the procedure, patients might feel a warm sensation or slight discomfort at the injection site. Post-procedure, they might experience mild side effects, such as nausea or a metallic taste. Pain management and comfort measures will be provided as needed to ensure patient comfort.

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