the other terminal branch is superficial temporal artery

What would be the CPT code to use if we performed a ultrasound of the temporal artery.

Exergen Temporal Artery Thermometer MODEL# 2000C TAT-2000C Battery

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  • TAG : Giant cell (Temporal) arteritis affecting temporal artery
  • The ESR is the most useful serum laboratory test for diagnosing polymyalgia rheumatica and temporal arteritis. Although the Creactive protein level is typically elevated in patients with these conditions, it provides no better data than the simpler and less expensive ESR.

    Neurologic findings are present in approximately 30 percent of patients with biopsy-proven temporal arteritis. Neuropathies secondary to occlusion of the nutrient arteries are most common. Transient ischemic attacks and strokes resulting from carotid or vertebrobasilar disease are the next most frequent events. Compromise of the arteries supplying the otic region can lead to tinnitus, hearing loss and vertigo. Thoracic aortic aneurysms have also been related to systemic vascular diseases such as temporal arteritis.

  • Inflammation of the arteries supplying the eyes can lead to anterior ischemic optic neuropathy, which can cause blindness, the most feared complication of temporal arteritis. Classically, the loss of vision is described as being painless. Other visual symptoms may include amaurosis fugax, diplopia and partial loss of vision. Ocular symptoms are initially unilateral, with the second eye becoming affected in one to 10 days.

    Another frequent complaint in temporal arteritis is jaw claudication resulting from inflammation of the maxillary artery. Chewing may produce pain bilaterally or predominantly on the affected side. Involvement of the lingual artery can result in pain and blanching of the tongue. Rarely, it can lead to gangrene of the tongue.

    Polymyalgia rheumatica

    Neoplastic disease

    Cervical spondylosis

    Rheumatoid arthritis

    Connective tissue disease



    Bone disease or osteomyelitis


    Miliary tuberculosis


    Temporal arteritis

    Dental conditions

    Trigeminal neuralgia

    Sinus disease

    Otologic conditions

    Retinal vascular accident

    Other causes of ophthalmoplegia

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    Elevation of the ESR is included in 89 percent of recommended criteria sets for the diagnosis of polymyalgia rheumatica. The ESR value most often used to define this elevation is 40 mm per hour. An ESR of greater than 100 mm per hour is common in temporal arteritis.

temporal arteritis examination )

Radiological examination of the temporal artery with yields a . Contrast enhanced brain MRI and CT is generally negative in this disorder. Recent studies have shown that 3T MRI using super high resolution imaging and contrast injection can non-invasively diagnose this disorder with high specificity and sensitivity.