CPT® Code 71035

Deleted

1. Indications

The indications for performing a radiologic examination of the chest using special views, as represented by CPT® Code 71035, include the following:

• Fluid Accumulation Special views, particularly lateral decubitus, are utilized to identify the presence of fluid in the pleural space, which can be critical for diagnosing conditions such as pleural effusion.
• Painful Respiration Patients experiencing painful respiration may require special views to assess underlying causes, such as pleuritis or other thoracic abnormalities.
• Clinical Indicators Clinical signs, such as a friction rub, may prompt the need for special views to further investigate potential pathologies affecting the chest.

2. Procedure

The procedure for obtaining special views of the chest, as outlined in CPT® Code 71035, involves several key steps:

• Patient Positioning The patient is positioned appropriately for the lateral decubitus view, lying on their side. The patient's head is supported on one arm, while the other arm is raised over the head with the elbow bent. This positioning is crucial for obtaining clear images of the thoracic structures.
• Image Acquisition The radiologic technologist will then use the imaging equipment to capture the lateral decubitus view. It is important to specify whether the view is right lateral decubitus or left lateral decubitus, as this detail is essential for accurate diagnosis.
• Bucky Studies If a Bucky study is indicated, the technologist will utilize a specialized screen-film radiology device to obtain the images. This device enhances the quality of the radiographic images by minimizing scatter radiation, resulting in clearer visualization of the chest structures.
• Image Review After the images are obtained, the physician will review them for any abnormalities. This step is critical for interpreting the findings accurately and determining the next steps in patient care.
• Documentation Finally, the physician will provide a written interpretation of the findings based on the reviewed images. This documentation is essential for medical records and for guiding further clinical decisions.

3. Post-Procedure

Post-procedure care following a radiologic examination using CPT® Code 71035 typically involves monitoring the patient for any immediate reactions to the imaging process, although such reactions are rare. Patients may resume normal activities unless otherwise instructed by their healthcare provider. The physician will discuss the results of the imaging study with the patient, including any findings that may require further investigation or treatment. It is also important for the physician to ensure that the patient understands the implications of the findings and any necessary follow-up actions.