CPT® Code 71023

Deleted

1. Indications

The radiologic examination of the chest using CPT® 71023 is indicated for various clinical scenarios where detailed visualization of thoracic structures is necessary. The following conditions may warrant this procedure:

• Evaluation of Respiratory Symptoms Patients presenting with unexplained respiratory symptoms such as persistent cough, shortness of breath, or chest pain may require this examination to identify underlying issues.
• Assessment of Lung Pathologies This procedure is useful for detecting lung diseases, including pneumonia, tumors, or other pulmonary conditions that may affect lung function.
• Monitoring of Known Conditions Patients with pre-existing lung or heart conditions may undergo this examination to monitor disease progression or response to treatment.
• Evaluation of Chest Trauma Following an injury to the chest, this examination can help assess for fractures, contusions, or other traumatic injuries to the thoracic structures.

2. Procedure

The procedure for CPT® 71023 involves several key steps to ensure accurate imaging of the chest. First, the patient is positioned in front of the X-ray machine for the frontal view. This positioning allows the radiologic technologist to capture a clear image of the anterior chest structures. Once the frontal view is obtained, the patient is then instructed to turn to present the side of the chest for the lateral view. This lateral positioning is crucial as it provides a different perspective, allowing for a comprehensive evaluation of the thoracic anatomy. During the imaging process, a small burst of radiation is delivered for each view, and the images are recorded either on hard copy film or stored electronically as digital images. The unique aspect of this procedure is the incorporation of fluoroscopy, which involves the continuous passage of an X-ray beam through the chest. This real-time imaging technique enables the healthcare provider to observe the motion and function of various chest structures, including the lungs and diaphragm, on a monitor. The dynamic nature of fluoroscopy enhances the diagnostic capabilities of the examination, allowing for a more thorough assessment of the respiratory system.

3. Post-Procedure

After the completion of the radiologic examination, patients may be advised to resume their normal activities unless otherwise directed by their healthcare provider. There are typically no specific post-procedure care requirements associated with this examination, as the exposure to radiation is minimal and the procedure is non-invasive. However, patients should be informed about the importance of following up with their physician to discuss the results of the imaging study. Any abnormal findings may necessitate further evaluation or intervention, depending on the clinical context. It is also essential for patients to report any unusual symptoms or concerns to their healthcare provider following the procedure.