RadPos
5/11/99
Radiology CPT Codes 1999
- 2 important codes to get paid
- describes what you did
- written reports
- a written report, signed by the interpreting physician, should be considered an integral part of a radiologic procedure or interpretation
- modifiers
- -22 when the services provided is greater than that usually required for the listed procedure e.g. 72052-22
- -52 under certain circumstances a service or procedure is partially reduced or eliminated at the physician's discretion e.g. 72120-52
- -26 certain procedures are a combination of a physician component and a technical component. When the physician component is reported separately, use –26 e.g. 72100-26
- w/o a modifier it is assumed that the one doc has preformed the technical and professional (reporting) for those x-rays
- cervical codes
- 72040 spine, cervical; anteroposterior and lateral—open mouth, lower cervical and lateral—3 views
- 72050 minimum four views—add obliques or flexion/extension—5 views
- 72052 complete, including oblique and flexion and/or extension studies—Davis series, 7 views
Cervical Positioning
- procedure
- measure the part in the position that the view will be taken and at the same phase of respiration
- calculate exposure on supertech
- set machine
- do positioning
- take into account where the flash is—make sure that it will not obstruct your view
- lateral side marker—always indicate the side that is closest to the film
- 12cm, smaller do not need a grid; larger needs a grid
- measure at the base of the neck
- the light represents the x-ray beam
- shoot into the concavity of the curve for scoliosis—the diverging beam tends to follow the disc planes of the curve
- take the AP and develop the film to find out what side you should shoot the lateral
- straight but towering spine may need to tilt the tube to go through the disc plane
- majority of fractures are at C5, C6, C7 do to trauma
- need to look at the anatomy labeled in the textbook to Id on the midterm
- lateral is done at 40inches
- ap open mouth
- top of the light falls at the bottom of the nose
- center of x goes into the mouth at the ulva
- doesn't go below the chin