CPT® Code 71034

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1. Indications

The CPT® Code 71034 is indicated for a variety of clinical scenarios where detailed imaging of the chest 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 Pulmonary Conditions This procedure is useful in diagnosing and monitoring pulmonary conditions, including pneumonia, lung tumors, or chronic obstructive pulmonary disease (COPD).
• Investigation of Cardiac Issues The examination can help evaluate cardiac conditions by providing images of the heart's size and shape, as well as its relationship to surrounding structures.
• Detection of Mediastinal Abnormalities The procedure is indicated for detecting abnormalities in the mediastinum, such as masses or lymphadenopathy.
• Preoperative Assessment Prior to surgical interventions involving the thoracic cavity, this examination may be performed to assess the anatomy and function of the chest structures.

2. Procedure

The procedure for CPT® Code 71034 involves several key steps to ensure comprehensive imaging of the chest. The following outlines the procedural steps:

• Patient Positioning The patient is positioned appropriately based on the views required. For the frontal view, the patient stands facing the x-ray machine. For the PA view, the patient turns around so that their back faces the machine. The lateral view requires the patient to turn sideways, presenting the side of the chest to the x-ray apparatus.
• Image Acquisition A minimum of four views are obtained, which may include frontal, PA, lateral, apical lordotic, and oblique views. Each view is captured to provide a comprehensive assessment of the thoracic structures. The technician ensures that the x-ray machine is properly aligned and that the patient remains still during the imaging process to avoid motion artifacts.
• Fluoroscopy During the procedure, fluoroscopy is utilized to observe the motion and function of the chest structures in real-time. A continuous x-ray beam is directed through the chest, and the images are transmitted to a monitor, allowing for detailed evaluation of the respiratory tract's dynamics.
• Image Recording The images obtained are either recorded on hard copy film or stored electronically as digital images. This allows for easy access and review by the physician.
• Interpretation of Findings After the images are captured, the physician reviews them for any abnormalities. The physician notes significant findings and provides a written interpretation, which is essential for further clinical decision-making.

3. Post-Procedure

After the completion of the CPT® Code 71034 procedure, the patient may be advised to resume normal activities unless otherwise directed by the physician. There are typically no specific post-procedure care requirements associated with this imaging study. However, the physician may discuss the findings with the patient during a follow-up appointment, where any necessary treatment plans or further diagnostic evaluations will be outlined based on the results of the chest examination. It is important for the patient to understand the significance of the findings and any subsequent steps that may be required for their health management.