CPT® Code 73085

1. Indications

Radiologic examination of the elbow through arthrography is indicated for various clinical scenarios where detailed visualization of the joint is necessary. The following conditions may warrant this procedure:

• Joint Pain Persistent or unexplained pain in the elbow that may suggest underlying pathology.
• Joint Instability Suspected instability or dislocation of the elbow joint that requires further evaluation.
• Injury Assessment Evaluation of acute or chronic injuries to the elbow, including ligament tears or cartilage damage.
• Arthritis Evaluation Assessment of inflammatory conditions such as rheumatoid arthritis or osteoarthritis affecting the elbow joint.
• Preoperative Planning Detailed imaging prior to surgical intervention to better understand the joint's anatomy and any existing abnormalities.

2. Procedure

The procedure for elbow arthrography involves several key steps that ensure accurate imaging and effective assessment of the joint. Each step is critical to the overall success of the procedure.

• Step 1: Preparation The patient is positioned comfortably, and the skin over the injection site is thoroughly cleansed to reduce the risk of infection. A local anesthetic is then injected to minimize discomfort during the procedure.
• Step 2: Aspiration A needle is carefully inserted into the elbow joint space. If there is any fluid present, it is aspirated using a syringe. This step is important to clear the joint of any existing fluid that may interfere with the imaging process.
• Step 3: Injection of Contrast Material After aspiration, a radiopaque contrast agent is injected into the joint. This substance is crucial for enhancing the visibility of the joint structures during imaging. The injection is typically performed under fluoroscopic guidance, allowing for real-time monitoring of the procedure.
• Step 4: Joint Manipulation Once the contrast material is injected, the joint is exercised or manipulated to ensure even distribution of the radiopaque substance throughout the joint space. This step is essential for obtaining comprehensive images that accurately reflect the joint's condition.
• Step 5: Radiographic Imaging After the contrast has been adequately distributed, radiographic images of the elbow are obtained. These images are captured under the supervision of a radiologist, who ensures that the quality and clarity of the images meet diagnostic standards.

3. Post-Procedure

After the completion of the elbow arthrography, the patient may be monitored for a short period to ensure there are no immediate adverse reactions to the contrast material. It is common for patients to experience mild discomfort or swelling at the injection site, which typically resolves quickly. Patients are usually advised to avoid strenuous activities involving the elbow for a short period following the procedure. A formal written interpretation of the radiographic images is provided after the procedure, which is essential for guiding further clinical management and treatment decisions based on the findings.