Formal Radiology Report

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    Strehlow, DC, DACBR
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    STREHLOW RADIOLOGY CONSULTING supports the MERCY CONFERENCE GUIDELINES, “Unique radiology reports are generated for each study. The use of checklist forms is not supported. The necessary components of a formal written radiology report… include patient identification, location where the studies were performed, study dates, types of studies, radiographic findings, diagnostic impressions and signature with professional qualifications.” Page 14.

    STREHLOW RADIOLOGY CONSULTING utilizes the standard A.B.C.S. search pattern. For each projection, we evaluate the alignment & anatomy, bone structures, cartilage spaces and regional soft tissue structures. Our radiology reports follow the conventional format; findings, impressions & recommendations. Standard postural / biomechanical adaptations or compensations are always included. We are always willing to work with the referring physician on preferred phraseology and specific lines of mensuration. We will also offer suggestions to improve the technical component of your radiographs.

    Explanation of X-Ray Fees

    There are two fees involved with any radiographic examination. The first fee is for the clinical production or technical component of the procedure. The second fee is for the interpretative or professional component of the procedure. These fees together are referred to as the global or total x-ray fee.

                                                Production / technical (-27 modifier)
        Global / total x-ray fee  <
                                                Interpretation / professional (-26 modifier)

    We will provide a PRIMARY RADIOGRAPHIC CONSULTATION and bill the primary interpretation or professional component of the total x-ray fee using a -26 modifier on the end of the appropriate CPT code. The referring physician performs and bills the production or technical component of the total x-ray fee using a -27 modifier on the end of the same CPT code. This splits the total x-ray fee. If the referring physician requests a SECOND OPINION, we will bill using appropriate CPT codes.