CPT® Code 73092

1. Indications

The upper extremity X-ray examination of an infant, as described by CPT® Code 73092, is indicated for a variety of clinical scenarios. The following conditions may warrant this procedure:

• Fractures - Suspected or confirmed fractures in the upper extremity due to trauma or injury.
• Dislocations - Evaluation of potential dislocations in the shoulder, elbow, or other joints of the upper limb.
• Deformities - Assessment of congenital or acquired deformities affecting the structure of the upper extremity.
• Arthritis - Investigation of inflammatory conditions such as juvenile arthritis that may affect the joints in the upper limb.
• Pathological Lesions - Identification of lesions such as infections, bone tumors, or cysts that may be causing symptoms like swelling or pain.

2. Procedure

The procedure for conducting an upper extremity X-ray examination in an infant involves several critical steps to ensure accurate imaging while maintaining the safety and comfort of the young patient. The following procedural steps are typically followed:

• Preparation of the Patient - The infant is positioned appropriately on the X-ray table, ensuring that the upper extremity is accessible for imaging. Care is taken to comfort the infant and minimize any distress during the procedure.
• Use of Restraints - To prevent movement that could blur the images, various tools such as sponges, sandbags, and Velcro may be used to gently restrain the infant's arm. This is crucial for obtaining clear and diagnostic images.
• Positioning for Views - The technologist will position the infant's arm in specific orientations to capture the required views. Typically, at least two views are taken, which may include anteroposterior (AP) and lateral projections, depending on the clinical indications.
• Image Acquisition - The X-ray machine is activated to capture the images. The technologist must ensure that the X-ray beam is properly aligned and that the infant remains still during the exposure to avoid motion artifacts.
• Review of Images - After the images are obtained, they are reviewed for clarity and diagnostic quality. If necessary, additional views may be taken to ensure comprehensive evaluation of the upper extremity.

3. Post-Procedure

Following the upper extremity X-ray examination, the infant may be monitored briefly to ensure there are no immediate adverse reactions to the procedure. Parents or guardians are typically provided with instructions regarding any follow-up care or further evaluations that may be necessary based on the findings of the X-ray. The radiologist will analyze the images and provide a report detailing any abnormalities or concerns, which will be communicated to the referring physician for further management. It is important to reassure caregivers about the safety of the procedure, as the amount of radiation exposure during a standard X-ray is minimal and within acceptable limits for pediatric patients.