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Pelvimetry is a diagnostic procedure that involves measuring the dimensions of the pelvis, with or without the localization of the placenta. This assessment is particularly relevant in the context of pregnancy, as it helps to evaluate the potential for a successful vaginal delivery. The primary concern addressed by pelvimetry is cephalopelvic disproportion (CPD), a condition where the size of the fetal head is too large in relation to the dimensions of the mother's pelvis, potentially complicating the delivery process. Historically, pelvimetry was a routine procedure performed on pregnant women to assess their ability to deliver, especially in cases where the fetus is in a breech position. However, its use has diminished in contemporary practice. During the procedure, the patient is typically positioned standing, allowing for a lateral view of the pelvis and the pregnant uterus to be captured. Additional sagittal views may also be obtained to provide further insight. The physician conducts precise measurements of the pelvic inlet and outlet, which are then compared to the measurements of the fetal head. In instances where the fetus is in a breech position, the physician specifically evaluates the pelvic dimensions to ascertain whether a safe attempt at a breech delivery is feasible. Furthermore, the procedure may also involve determining the location of the placenta, which can be critical for planning the delivery approach.
© Copyright 2025 Coding Ahead. All rights reserved.
Pelvimetry is indicated for the following conditions:
The procedure of pelvimetry involves several key steps that are essential for accurate measurement and assessment:
After the pelvimetry procedure, the physician will review the measurements and imaging results to determine the implications for delivery. The patient may be advised on the findings, including whether a vaginal delivery is feasible or if a cesarean section may be necessary based on the pelvic dimensions and fetal presentation. Follow-up care may include monitoring the pregnancy and planning for delivery based on the results of the pelvimetry. It is important for the healthcare team to communicate the findings clearly to the patient and discuss the next steps in the delivery process.
| Short Descr | X-RAY MEASUREMENT OF PELVIS | Medium Descr | PELVIMETRY W/WOPLACENTAL LOCALIZATION | Long Descr | Pelvimetry, with or without placental localization | 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 | STV-Packaged Codes | Type of Service (TOS) | 4 - Diagnostic Radiology | Berenson-Eggers TOS (BETOS) | I1F - Standard imaging - other | MUE | Not applicable/unspecified. | CCS Clinical Classification | 226 - Other diagnostic radiology and related techniques |
| LT | Left side (used to identify procedures performed on the left side of the body) |
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| 2023-12-31 | Deleted | Code Deleted. |
| Pre-1990 | Added | Code added. |
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