The results of these techniques can be displayed on a video monitor as the procedure is being conducted, as well as recorded, to allow computer analysis or evaluation at a later time. Unlike standard x-rays, which take a single picture at one point in time, fluoroscopy provides motion pictures of the body. Videofluoroscopy and cineradiography are different names for the same procedure, which uses fluoroscopy to create real-time video images of internal structures of the body. One use of this technology may be to examine intervertebral flexion and extension. This moving image can then be reviewed by a physician, either alone or by using a computer, to evaluate several aspects of the body’s structure in order to determine the presence or absence of abnormalities. Using a computer program, the digitized snapshots are then put in order and played on a video monitor, creating a moving image of the inside of the body. Film x-rays are digitized into a computer for manipulation, while computer-based x-rays are automatically created in a digital format. ![]() Digital motion x-ray involves the use of either film x-ray or computer-based xray “snapshots” taken in sequence as a patient moves. Most spinal visualization methods use x-rays to create images either on film, video monitor, or computer screen. The following dynamic spinal visualization techniques are considered investigational, including, but not limited to:ĭynamic spinal visualization is a general term addressing different imaging technologies that technologies have been proposed for the evaluation of spinal disorders including neck and back pain. Service Investigational Dynamic spinal visualization (eg, The KineGraph VMA™) This policy informs them about when a service may be covered. A provider also can be a place where medical care is given, like a hospital, clinic, or lab. A provider can be a person, such as a doctor, nurse, psychologist, or dentist. The rest of the policy uses specific words and concepts familiar to medical professionals. Note: The Introduction section is for your general knowledge and is not to be taken as policy coverage criteria. Because there are not enough medical studies to show how well dynamic spinal visualization works, it’s considered unproven. Other technologies use fluoroscopy and MRI. Several x-rays are taken, assembled in order, and then played to create a moving image. Most techniques use x-ray to create images on film, a video monitor, or computer screen. There are several different ways to create moving images as the spine twists or turns. It’s thought that looking at moving images could help a healthcare professional diagnose the cause of neck or back pain or other problems with the spine. >2.5-3.76120 Cineradiography/videoradiography, except where specifically includedħ6125 Cineradiography/videoradiography to complement routine examination (list separately in addition to code for primary procedure)ħ6496 Unlisted fluoroscopic procedure (eg, diagnostic, interventional)ħ6499 Unlisted diagnostic radiographic procedureĭynamic spinal visualization is a way to see how the spine moves as a person bends or twists.part of a secondary survey or under the guidance of an authorized physician ensure this radiographic series is safe to perform, i.e.patients who feel unstable on their feet can sit in a chair for this examination.ensure the patient is aware when the examination is over as to avoid extended periods of time in that position.demonstrate to the patient what flexion and extension is before performing. ![]() extension images should demonstrate crowding of the spinous process.flexion images should demonstrate well separated spinous process.the image is labeled as 'flexion' or 'extension'.there should be clear visualization of C7 to T1.2.5 cm above the jugular notch at the level of C4.the patient will have the neck in the extended (chin up) or flexion (chin down) position depending on the projection.the detector is placed portrait, parallel to the long axis of the cervical spine on the patients left side.the patient is erect, left side against the upright detector.Note, such functional views should not be performed on trauma patients without the strict instructions of a qualified clinician. These views are specialized projections often requested to assess for spinal stability.
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