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Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml

HCPCS code

Name of the Procedure:

Low Osmolar Contrast Material Injection
Common name(s): Contrast dye injection, Low osmolar contrast dye
Technical/Medical Term: Low osmolar contrast material, 100-199 mg/ml iodine concentration (Q9965)

Summary

The procedure involves the injection of a low-osmolarity iodine-based contrast material into the body to enhance imaging quality for diagnostic tests such as CT scans, X-rays, or MRIs. This helps to provide clearer images of internal organs and structures for accurate diagnosis.

Purpose

  • Medical Conditions: Helps diagnose conditions like cancers, blockages, vascular diseases, infections, and skeletal disorders.
  • Goals: To provide clear and detailed images of body structures, enabling accurate diagnosis and treatment planning.

Indications

  • Symptoms like unexplained pain, swelling, or abnormal blood test results.
  • Conditions like suspected tumors, vascular diseases, kidney stones, or spine injuries.
  • Patients needing detailed imaging for accurate diagnosis.

Preparation

  • Pre-procedure Instructions: Fasting for 4-6 hours prior to the procedure may be necessary.
  • Medication Adjustments: Certain medications might need to be paused.
  • Diagnostic Tests: Blood tests to assess kidney function are often required.

Procedure Description

  1. Step-by-Step:
    • Patient is positioned on the imaging table.
    • The contrast material is administered intravenously.
    • Imaging equipment captures detailed images.
    • Monitoring of patient’s response to contrast material ensures safety.
  2. Tools/Equipment: Injection needle/catheter, imaging equipment (CT/X-ray/MRI machines).
  3. Anesthesia/Sedation: Typically not required; local anesthesia may be used for the injection site.

Duration

The procedure itself often takes about 10-30 minutes, but imaging may take longer depending on the type.

Setting

Commonly performed in hospital radiology departments, outpatient clinics, or specialized imaging centers.

Personnel

  • Radiologist
  • Radiology technician
  • Nursing staff
  • Possibly a physician for monitoring

Risks and Complications

  • Common Risks: Mild allergic reactions, nausea.
  • Rare Risks: Severe allergic reactions, kidney function impact.
  • Management: Immediate medical attention for any adverse reactions, pre-screening to assess allergy risk.

Benefits

  • Provides high-quality, detailed images essential for accurate diagnosis.
  • Helps detect abnormalities that may not be visible with standard imaging techniques.
  • Benefits often realized immediately as images are reviewed.

Recovery

  • Post-procedure Care: Hydration to help flush out the contrast material.
  • Recovery Time: Usually minimal, most patients resume normal activities within a few hours.
  • Follow-ups: As required based on imaging results.

Alternatives

  • Other imaging procedures like ultrasound or non-contrast MRI.
  • Pros & Cons: Alternatives may be less detailed or specific depending on the diagnostic requirement. Contrast-enhanced images often provide better diagnostic information.

Patient Experience

  • During the Procedure: May feel a slight pinprick from the needle and a warm sensation when the contrast material is injected.
  • After the Procedure: Usually comfortable with rare instances of mild discomfort which is manageable with prescribed medications.

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