CPT® Code 73540

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1. Indications

The radiologic examination of the pelvis and hips in infants or children, as described by CPT® Code 73540, is indicated for several clinical scenarios. These indications may include:

• Assessment of Hip Dysplasia This examination is often performed to evaluate developmental dysplasia of the hip, a condition where the hip joint does not properly form in infants and young children.
• Evaluation of Trauma In cases of suspected fractures or injuries to the pelvic region or hips due to trauma, this procedure provides essential imaging to confirm or rule out such injuries.
• Monitoring of Skeletal Development Regular imaging may be indicated to monitor the growth and development of the pelvic and hip structures in children, ensuring they are developing normally.
• Investigation of Pain or Abnormalities If a child presents with unexplained pain or abnormalities in movement, this examination can help identify underlying issues related to the pelvis or hips.

2. Procedure

The procedure for CPT® Code 73540 involves several key steps to ensure accurate imaging of the pelvis and hips. The following procedural steps are typically followed:

• Preparation of the Patient The infant or child is positioned appropriately for the X-ray examination. This may involve placing the patient on an examination table and ensuring they are comfortable and secure to minimize movement during imaging.
• Positioning for X-ray Views A minimum of two views of the pelvis and hips are obtained. Common views include anteroposterior (AP) and lateral projections, which provide comprehensive visualization of the hip joints and surrounding structures.
• Image Acquisition The radiologic technologist operates the X-ray machine to capture the necessary images. Care is taken to ensure that the images are of high quality and that the anatomical areas of interest are clearly visible.
• Image Review After the images are taken, they are reviewed for clarity and completeness. If necessary, additional views may be obtained to ensure that all relevant areas are adequately imaged.
• Documentation The results of the examination are documented, including any findings that may indicate abnormalities or require further investigation. This documentation is essential for the physician's interpretation and subsequent patient management.

3. Post-Procedure

After the radiologic examination is completed, there are typically no specific post-procedure care requirements for the infant or child. The child can usually resume normal activities immediately following the procedure. However, parents or guardians may be advised to monitor the child for any signs of discomfort or unusual behavior following the X-ray. The images obtained will be interpreted by a radiologist, and the results will be communicated to the referring physician, who will discuss any necessary follow-up actions or treatments based on the findings.