X-RAY PROTOCOLS - Imaging Healthcare

1 71045CR Chest 1V1 Chest 1 view, Chest PA/AP, Pos PPD71046CR Chest 2V2 CXR, Chest PA and LAT 71047CR Chest 2V w/ Apical Lordotic3 CXR w/apical lordotic, Chest 3V71022CR Chest 2V w/ Obl4 Asbestos Study, CXR w/obliques71120CR Sternum Min 2V2 Sternum, Breast bone71101CR Ribs Min 2V (Lt or Rt) w/ Chest 1V3-5L or R Ribs 71111CR Ribs Bilat Min 2V w/ Chest 1V3-7 Ribs Bilat, Bilateral Ribs, Ribs L and R70360CR Neck for Soft Tissue1-2 Soft Tissue Neck, Neck, Neck Foreign Body72040CR Cervical Spine 2V/3V2-3C-spine, CS spine72050CR Cervical Spine 4V/5V4-5C-spine w/ obliques, C-spine complete72052CR Cervical Spine w/ Flex & Ext Min 5V5-7C-spine flex/ext, C-spine with bending72052 DSCR Cervical Spine 7V Davis7-8C-spine Complete w/ flex/ext, C-spine w/ obliques flex/ext,72070CR Thoracic Spine 2V/3V2-3T-spine, upper back, Thoracic spine72074CR Thoracic Spine Min 4V4-5T-spine w/ obliques, T-spine w/ flex/ext72100CR Lumbar Spine 2V/3V2-3L-S spine, Lumbar spine, lower back72110CR Lumbar Spine Min 4V4-5L-spine complete, L spine 5 view.

2 L-spine w/obliques72114CR Lumbar Spine Min 5V w/ Bending5-7L-spine complete with bending, L spine w/ flex/ext, L-spine complete w/ flex/ext72069CR Scoliosis2-4 Scoliosis screening, Scoli, Thoraco-lumbar for scoliosis72220CR Sacrum Coccyx Min 2V2-3 Sacrum/Coccyx, sacral spine, tailbone72170CR Pelvis 1V/2V1-2AP Pelvis, Pelvis, Weight bearing Pelvis73510CR Hip Lt or Rt (includes Pelvis & Hip)2-3Lt or Rt hip, Hip and Pelvis73520CR Hip Bilat Min 2V 2-5 Bilateral Hips, Bilat Hips and Pelvis72202CR Sacroiliac Joints Min 3V3SI Joints, Sacroiliac Jts, 73030CR Shoulder Min 2V 2-6Lt, Rt, or Bilat Shoulder73010CR Scapula 2-4Lt, Rt, or Bialt Scapula, Shoulder Blade73000CR Clavicle 2-4Lt, Rt, or Bilat Clavicle, Collar bone73050CR Acromioclavicular Joint2-4AC joints, AC joints w and w/o weight74018CR Abdomen 1V1 KUB, 1VW ABD 74019CR Abdomen Complete 2V2 ABD Upright and Supine74022CR Acute Abdomen 2V w/ Chest 1V3 AAS, Acute Abdomen SeriesCHEST & BONY THORAXSPINEPELVIS/HIPSHOULDERABDOMENCPT CODE# VIEWSEXAM DESCRIPTIONCOMMON WRITTEN ORDER EXAMPLESX-RAY PROTOCOLS If number of views is listed on the order, default to the order If number of views is not listed on the order.

3 Follow Imaging Healthcare Specialists PROTOCOLS NOTE: Only the most common exams are listed below IHS PROTOCOLS X- rays only: Walk-in/No Appt X-RAY must be scheduled when ordered with other examsImaging Healthcare Specialists T 866 558 4320 F 866 558 4329 V (Continued on next page)73060CR Humerus 2-4Lt, Rt, or Bilat Humerus, Upper Arm73070CR Elbow 2V 2-4Lt, Rt, or Bilat Elbow, Elbow limited73080CR Elbow Min 3V 3-8Lt, Rt, or Bilat Elbow, Elbow complete73090CR Forearm 2V2-4Lt, Rt, or Bilat Forearm, Lower Arm73100CR Wrist 2V2-4Lt, Rt, or Bilat Wrist, Wrist limited73110CR Wrist Min 3V3-8Lt, Rt, or Bilat Wrist, Wrist complete73120CR Hand 1V/2V (includes fingers)2-4Lt, Rt, or Bilat Hand, Hand limited73130CR Hand Min 3V (includes fingers)3-7Lt, Rt, or Bilat Hand, Hand Complete73140CR Finger Min 2V2-4Lt, Rt, or Bilat Finger or Thumb77072CR Bone Age Study1 Bone Age, Hand 1V for bone age73550CR Femur 2V2-8Lt, Rt, or Bilat Femur, Thigh, Upper leg73560CR Knee 1V/2V2-4Lt, Rt, or Bilat Knee 2 view, AP/Lat, limited73562CR Knee 3V3-6Lt, Rt, or Bilat Knee 3 view, complete, AP/Lat/OBL73564CR Knee Min 4V4-9Lt, Rt, or Bilat Knee 4 view, as ordered 4V73590CR Tibia/Fibula 2V2-6Lt, Rt, or Bilat Tib/Fib, Lower leg, shin73600CR Ankle 1V/2V1-4Lt, Rt, or Bilat Ankle 2V, AP/Lat, limited73610CR Ankle 3V3-6Lt, Rt, or Bilat Ankle 3V, complete, APOL73620CR Foot 2V (includes toes)2-4Lt, Rt, or Bilat Foot 2V, AP/LAT, limited73630CR Foot Min 3V (includes toes)

4 3-6Lt, Rt, or Bilat Foot 3V, complete, APOL73650CR Heel Min 2V2-6Lt, Rt, or Bilat Heel, Calcaneus, Os Calcis73660CR Toe Min 2V2-6Lt, Rt, Toes, or individual toe70250CR Skull Less than 4V1-3 Skull AP/LAT, Skull 2V, Skull limited70260CR Skull Min 4V4-5 Skull complete, Skull Min 3V70210CR Sinus Less than 3V1-2 Sinus Waters, Sinus 2V, Sinus Limited70220CR Sinus Min 3V3-5 Sinus, Sinus Complete, Sinus 3V70140CR Facial Bone Less than 3V1-2 Facial Bone limited, Facial bone PA Lat70150CR Facial Bone Min 3V3-4 Facial Bones, Zygoma, Maxillae 70200CR Orbit Min 4V4-6Lt, Rt, or Bilat Orbits, Facial Orbits70030CR Orbit Detection of Foreign Body1-2MR Metal screening, Orbit Metal screening70100CR Mandible Partial Lt, Rt3-4Lt, Rt Mandible, Jaw70110CR Mandible Min 4V4-8 Mandible, Jaw70330CR TMJ Bilat4-6 TMJ, Temporomandibular Joint 70160CR Nasal Bone Min 3V3 Nose, Nasal bone70130CR Mastoid3-5 MastoidsUPPER EXTREMITYLOWER EXTREMITYSKULL/HEADCPT CODE# VIEWSEXAM DESCRIPTIONCOMMON WRITTEN ORDER EXAMPLES77075 Bone Survey Adult19X-ray Bone Survey, Bone study, METS study77076 Bone Survey Infant9-23X-ray Bone Survey, X-RAY Bone studyBONE SURVEY73592CR Lower Extremity Infant3-8 Pediatric leg, lower limb, Hip-foot76010CR Nose to Rectum for Foreign Body1-2 Pediatric foreign body, Swallow FB check73092CR Upper Extremity Infant2-6 Pediatric arm, Shoulder-hand, upper limbPEDIATRIC SPECIALSI maging Healthcare Specialists T 858 658 6500 F 866 558 4329 V