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X-Rays with no Fluro

  1. Default X-Rays with no Fluro
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    What code(s) should be reported when an x-ray is taken of the abdomen and pelvis, after organs of the genitourinary system have been filled with radiopaque contrast in a retrograde fashion by the ER doctor, and no fluoroscopy is used to evaluate the anatomy. Traditionally, these exams are performed in the radiology department using fluoroscopy, with supervision/interpretation by the radiologist but sometimes they are preformed withut fluro. Thanks for any help

    Scenarios:
    XR Urogram – The doctor will inject contrast via a catheter into the ureters to visualize the kidney. The Tech will take a static image while contrast is being injected. No fluoro is involved.
    XR Cystogram – The doctor will inject contrast using a catheter or syringe to visualize the bladder. The Tech will take a static image after contrast has been injected. No fluoro is involved.
    XR Urethrogram – The doctor will inject contrast using a catheter or syringe to visualize the urethra. The Tech will take a static image while contrast is being injected. No fluoro is involved.
    These procedures are being performed in ER and OR.

  2. #2
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    Quote Originally Posted by michaelrcpc View Post
    What code(s) should be reported when an x-ray is taken of the abdomen and pelvis, after organs of the genitourinary system have been filled with radiopaque contrast in a retrograde fashion by the ER doctor, and no fluoroscopy is used to evaluate the anatomy. Traditionally, these exams are performed in the radiology department using fluoroscopy, with supervision/interpretation by the radiologist but sometimes they are preformed withut fluro. Thanks for any help

    Scenarios:
    XR Urogram – The doctor will inject contrast via a catheter into the ureters to visualize the kidney. The Tech will take a static image while contrast is being injected. No fluoro is involved.
    XR Cystogram – The doctor will inject contrast using a catheter or syringe to visualize the bladder. The Tech will take a static image after contrast has been injected. No fluoro is involved.
    XR Urethrogram – The doctor will inject contrast using a catheter or syringe to visualize the urethra. The Tech will take a static image while contrast is being injected. No fluoro is involved.
    These procedures are being performed in ER and OR.
    I am not sure I can give a good answer but I have a couple of questions about your examples.
    1) What type of machine is the tech using to take "static images"?

    2) How is the doctor "visualizing" after the injection but before the static image is taken?

    3) Is the doctor (injecting) a radiologist? and is he/she giving a interpretaion of the images.
    Danny L. Peoples
    CIRCC,CPC

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