CPT® Code 72010 | Case2Code

Code deleted, use 72082

Official Description

Radiologic examination, spine, entire, survey study, anteroposterior and lateral

Common Language Description

A radiologic examination of the spine, coded as CPT® 72010, involves a comprehensive diagnostic study that captures images of the entire spine. This procedure utilizes X-ray technology, which employs indirect ionizing radiation to create visual representations of internal structures. The principle behind X-ray imaging is based on the varying densities and compositions of human tissues. When X-rays are directed towards the body, some rays are absorbed by denser materials, while others pass through less dense areas. This differential absorption allows for the creation of a two-dimensional image that reveals the anatomical features of the spine.

The CPT® 72010 code specifically denotes a survey study that includes both anteroposterior (AP) and lateral views of the cervical, thoracic, and lumbosacral regions of the spine. This dual-view approach is essential for identifying potential curvatures or abnormalities, such as those associated with trauma or conditions like scoliosis. The survey study serves as an initial assessment tool, providing a broad overview of the spinal structure. If any irregularities are detected during this examination, further imaging studies may be warranted to focus on specific anatomical levels for a more detailed evaluation.

1. Indications

The CPT® 72010 procedure is indicated for various clinical scenarios where a comprehensive evaluation of the spine is necessary. The following conditions may warrant this radiologic examination:

Trauma: Assessment of the spine following an injury to identify fractures or dislocations.
Scoliosis: Evaluation of spinal curvature to determine the degree and nature of the condition.
Degenerative Conditions: Investigation of age-related changes in the spine, such as osteoarthritis or disc degeneration.
Spinal Abnormalities: Detection of congenital anomalies or other structural abnormalities in the spine.

2. Procedure

The procedure for CPT® 72010 involves several key steps to ensure a thorough examination of the entire spine. The following outlines the procedural steps:

Preparation: The patient is positioned appropriately, typically standing or sitting, to facilitate optimal imaging of the spine. Proper alignment is crucial to ensure accurate results.
Anteroposterior View: The first imaging step involves capturing an anteroposterior (AP) view of the spine. This is achieved by directing the X-ray beam from the front of the body towards the back, allowing visualization of the spinal alignment and any potential abnormalities.
Lateral View: Following the AP view, a lateral view is obtained. In this step, the X-ray beam is directed from one side of the body to the other, providing a side profile of the spine. This view is essential for assessing the curvature and overall structure of the spinal column.
Image Review: After the images are captured, they are reviewed for clarity and completeness. Radiologists or qualified personnel analyze the images to identify any abnormalities or areas of concern.

3. Post-Procedure

Post-procedure care for CPT® 72010 is generally minimal, as the examination is non-invasive and does not require any specific recovery time. Patients may resume normal activities immediately following the procedure. However, it is essential for healthcare providers to review the results with the patient and discuss any necessary follow-up actions based on the findings. If abnormalities are detected, further imaging studies or referrals to specialists may be recommended for additional evaluation and management.

Short Descr	X-RAY EXAM SPINE AP&LAT
Medium Descr	RADEX SPINE ENTIRE SURVEY STD ANTEROPOST & LAT
Long Descr	Radiologic examination, spine, entire, survey study, anteroposterior and lateral
Status Code	Active Code
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	1 - Diagnostic Tests for Radiology Services
Multiple Procedures (51)	0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50)	0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62)	0 - Co-surgeons not permitted for this procedure.
Team Surgery (66)	0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	Procedure or Service, Not Discounted when Multiple
Type of Service (TOS)	4 - Diagnostic Radiology
Berenson-Eggers TOS (BETOS)	I1B - Standard imaging - musculoskeletal
MUE	Not applicable/unspecified.
CCS Clinical Classification	226 - Other diagnostic radiology and related techniques

AT	Acute treatment (this modifier should be used when reporting service 98940, 98941, 98942)
GA	Waiver of liability statement issued as required by payer policy, individual case