How To Use CPT Code 73110

CPT 73110 refers to a complete radiologic examination of the wrist, requiring a minimum of three views. This diagnostic imaging procedure is essential for evaluating the wrist’s internal structures, particularly in cases of suspected fractures, swelling, or pain. By capturing multiple angles of the wrist, healthcare providers can obtain a comprehensive view of the bones, including the carpals, radius, and ulna, which aids in accurate diagnosis and treatment planning.

1. What is CPT code 73110?

CPT code 73110 represents a complete radiologic examination of the wrist, specifically requiring at least three distinct X-ray views. This procedure is crucial in the clinical setting for diagnosing various conditions affecting the wrist, such as fractures, arthritis, or other pathologies that may cause pain or dysfunction. The examination utilizes X-ray technology, which involves passing a controlled amount of radiation through the wrist to create images that highlight the dense structures of the bones. The resulting images allow healthcare professionals to assess the integrity of the wrist bones and identify any abnormalities that may require further intervention.

2. Qualifying Circumstances

This CPT code can be utilized in specific clinical circumstances where a thorough evaluation of the wrist is necessary. It is appropriate when a patient presents with symptoms such as pain, swelling, or limited mobility in the wrist, prompting the need for imaging to rule out fractures or other bone-related issues. However, it is important to note that this code should not be used if fewer than three views are taken, as it specifically requires a minimum of three distinct angles to provide a complete assessment. Additionally, if only two views are captured, CPT code 73100 should be reported instead. Proper documentation is essential to justify the use of this code, including details about the views taken and the patient’s positioning during the examination.

3. When To Use CPT 73110

CPT code 73110 is used when a comprehensive radiologic examination of the wrist is warranted, particularly when three or more views are obtained. It is important to ensure that the provider’s documentation clearly outlines each view taken, including the patient’s body position and the projection of the X-ray. This information is critical for accurately assigning the correct number of views and justifying the use of this code. If the examination involves only the physician’s interpretation of the images, the professional component modifier 26 should be appended to the code. Conversely, if only the technical component is reported, modifier TC should be used, although hospitals may be exempt from this requirement. It is crucial to avoid appending these modifiers when reporting a global service where both components are rendered by the same provider.

4. Official Description of CPT 73110

Official Descriptor: Radiologic examination, wrist; complete, minimum of 3 views.

5. Clinical Application

The clinical application of CPT code 73110 is primarily in the assessment of wrist injuries or conditions that may affect the bones and joints. This examination is vital for diagnosing fractures, dislocations, or degenerative changes in the wrist joint. By obtaining multiple views, healthcare providers can better visualize the complex anatomy of the wrist, which includes the eight carpal bones, the radius, and the ulna. This comprehensive imaging approach enhances the accuracy of the diagnosis and informs subsequent treatment decisions, whether that involves conservative management, physical therapy, or surgical intervention.

5.1 Provider Responsibilities

During the procedure, the provider is responsible for positioning the patient correctly to obtain clear and accurate X-ray images of the wrist. The provider will operate the X-ray machine, ensuring that the appropriate settings are used to minimize radiation exposure while capturing high-quality images. They will take at least three views of the wrist, which may include posteroanterior (back to front), lateral, and oblique angles. After capturing the images, the provider will review them for clarity and completeness, ensuring that all necessary views have been obtained for a thorough evaluation.

5.2 Unique Challenges

One of the unique challenges associated with this procedure is ensuring that the patient remains still during the imaging process to avoid motion artifacts that could compromise the quality of the X-ray images. Additionally, accurately positioning the wrist to capture the required views can be challenging, especially in patients with pain or limited mobility. Providers must also be vigilant in assessing the patient’s history and symptoms to determine the most appropriate views to take, which may vary based on the clinical scenario.

5.3 Pre-Procedure Preparations

Before the procedure, the provider must conduct a thorough evaluation of the patient’s wrist, including a physical examination and a review of the patient’s medical history. This assessment helps determine the necessity of the X-ray and informs the provider about any specific areas of concern that may need to be highlighted during imaging. Additionally, the provider should ensure that the patient understands the procedure and any necessary preparations, such as removing jewelry or clothing that may obstruct the imaging area.

5.4 Post-Procedure Considerations

After the X-ray examination, the provider will review the images for diagnostic quality and completeness. They may discuss preliminary findings with the patient and outline any further steps that may be necessary based on the results. Follow-up care may include additional imaging, referrals to specialists, or recommendations for treatment based on the findings from the X-ray. Proper documentation of the procedure and findings is essential for continuity of care and for any potential billing requirements.

6. Relevant Terminology

Carpals: A set of eight small bones that form the wrist joint, working together with the radius and ulna to facilitate wrist movement.

Radius: One of the two long bones in the forearm, located on the thumb side when the palm is facing up, playing a crucial role in wrist and forearm movement.

Ulna: The other long bone in the forearm, situated on the side of the small finger when the palm is facing up, contributing to the structure and function of the wrist joint.

7. Clinical Examples

1. A patient presents with wrist pain after a fall. The provider orders a complete wrist X-ray to check for fractures.

2. An athlete complains of swelling and limited range of motion in the wrist. A comprehensive X-ray examination is performed to assess for any injuries.

3. A patient with a history of wrist pain undergoes imaging to evaluate for possible arthritis or degenerative changes.

4. Following a workplace injury, a worker is referred for a wrist X-ray to rule out any fractures or soft tissue damage.

5. A child presents with wrist pain after a sports injury. The provider orders multiple views of the wrist to assess for growth plate injuries.

6. An elderly patient with osteoporosis experiences wrist pain. A complete X-ray examination is conducted to check for potential fractures.

7. A patient with a suspected wrist sprain is evaluated with a comprehensive X-ray to rule out any underlying bone injuries.

8. A patient undergoing pre-operative assessment for wrist surgery receives a complete X-ray examination to evaluate the anatomy of the wrist.

9. A patient with chronic wrist pain is referred for imaging to assess for any structural abnormalities in the wrist bones.

10. A patient involved in a motor vehicle accident presents with wrist pain, prompting a complete X-ray examination to evaluate for fractures or dislocations.