CPT® Code 71022

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1. Indications

The radiologic examination of the chest using CPT® 71022 is indicated for various clinical scenarios where detailed imaging of thoracic structures is necessary. The following conditions may warrant this procedure:

• Evaluation of Pulmonary Masses This procedure is performed to assess the presence, size, and characteristics of pulmonary masses or opacities that may indicate pathology such as tumors or infections.
• Assessment of Mediastinal Structures It is utilized to evaluate mediastinal masses or abnormalities, which may include lymphadenopathy or other conditions affecting the central thoracic compartment.
• Detailed Visualization of Cardiac Structures The oblique projections help in providing additional images of the heart and great vessels, which can be crucial for diagnosing cardiovascular conditions.

2. Procedure

The procedure for CPT® 71022 involves several key steps to ensure accurate imaging of the chest. The following outlines the procedural steps:

• Patient Positioning for Frontal View The patient is positioned facing the X-ray machine to obtain the frontal view. This positioning allows for a clear image of the heart and lungs from the front, capturing essential anatomical details.
• Patient Positioning for Lateral View After the frontal view is obtained, the patient is turned to position the side of the chest in front of the X-ray source for the lateral view. This view provides a side perspective of the thoracic structures, enhancing the overall assessment.
• Oblique Projections In addition to the frontal and lateral views, oblique projections are performed. The patient is rotated 45 degrees to obtain right and left anterior oblique views, with the arm closest to the X-ray cassette flexed and resting on the hip, while the opposite arm is raised. This positioning allows for targeted imaging of specific areas of interest within the chest.
• Posterior Oblique Views If the patient is unable to stand or lay prone, posterior oblique views may be obtained. These views are typically reserved for patients who are too ill to assume the anterior oblique position, ensuring that imaging can still be performed to gather necessary diagnostic information.

3. Post-Procedure

After the completion of the radiologic examination, the patient may be instructed to resume normal activities unless otherwise advised by the healthcare provider. The images obtained will be reviewed by a radiologist or the attending physician to interpret the findings. Any significant abnormalities or concerns identified in the images may lead to further diagnostic testing or interventions as deemed necessary. It is important for the healthcare team to communicate the results to the patient and discuss any follow-up actions required based on the findings of the chest examination.