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Official Description

Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 71101 refers to a radiologic examination of the ribs on one side of the body, specifically a unilateral examination. This procedure includes a posteroanterior (PA) view and requires a minimum of three distinct views to be captured. Rib radiographs, commonly known as X-rays, are essential diagnostic tools typically utilized following trauma to the rib cage. The primary purpose of these radiographs is to assess for potential fractures or other internal injuries that may not be immediately visible through physical examination alone. The standard views employed during this examination include the anteroposterior (AP) view, which is a frontal view, and various oblique views. The oblique views are obtained by positioning the patient in specific orientations: right anterior oblique, left anterior oblique, right posterior oblique, and left posterior oblique. For anterior oblique views, the patient stands with their chest rotated at a 45-degree angle, with the arm closest to the X-ray cassette flexed and resting on the hip, while the opposite arm is raised. This positioning allows for optimal visualization of the ribs on the side being examined. Conversely, posterior oblique views are generally reserved for patients who are unable to stand or lie prone due to illness. In comparison to other related codes, such as CPT® 71100, which captures two images of the ribs on one side, CPT® 71101 specifically requires three images, ensuring a more comprehensive assessment. The PA view, where the patient's back faces the X-ray machine, is crucial for accurate interpretation. Other codes, such as CPT® 71110 and CPT® 71111, involve bilateral examinations with varying numbers of views. Ultimately, the physician reviews the obtained images, identifies any abnormalities, and provides a detailed written interpretation of the findings, which is essential for guiding further clinical management.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The radiologic examination of the ribs, as described by CPT® Code 71101, is indicated in various clinical scenarios, particularly following trauma to the rib cage. The following conditions may warrant this procedure:

  • Trauma to the Rib Cage This includes any injury sustained from accidents, falls, or direct blows that may lead to rib fractures or associated internal injuries.
  • Suspected Rib Fractures Patients presenting with localized pain, tenderness, or swelling in the rib area may require imaging to confirm or rule out fractures.
  • Evaluation of Chest Pain Unexplained chest pain, especially in the context of trauma, may necessitate rib imaging to assess for underlying skeletal injuries.
  • Assessment of Internal Injuries In cases where there is a concern for potential internal injuries related to rib trauma, such as pneumothorax or hemothorax, rib X-rays can provide critical information.

2. Procedure

The procedure for CPT® Code 71101 involves several key steps to ensure comprehensive imaging of the ribs. The following procedural steps are typically followed:

  • Step 1: Patient Positioning The patient is positioned appropriately for the examination. For the posteroanterior (PA) view, the patient stands with their back facing the X-ray machine. This positioning is crucial for obtaining clear images of the ribs.
  • Step 2: Obtaining the PA View The first image captured is the PA view, where the X-ray beam passes from the back to the front of the chest. This view allows for visualization of the ribs and any potential abnormalities.
  • Step 3: Obtaining Additional Views Following the PA view, two additional views are obtained to fulfill the requirement of a minimum of three images. These may include anteroposterior (AP) and oblique views, which provide different angles and perspectives of the rib cage, enhancing the diagnostic accuracy.
  • Step 4: Image Review Once the images are captured, the physician reviews them for any signs of fractures, dislocations, or other abnormalities. This step is critical for accurate diagnosis and subsequent management.
  • Step 5: Documentation The physician provides a written interpretation of the findings based on the reviewed images. This documentation is essential for medical records and further clinical decision-making.

3. Post-Procedure

After the completion of the rib radiologic examination, there are several considerations for post-procedure care. Patients may be advised to avoid strenuous activities or movements that could exacerbate any potential injuries. The physician will typically discuss the findings with the patient, explaining any abnormalities noted in the images and outlining the next steps for treatment or further evaluation if necessary. Follow-up appointments may be scheduled to monitor the patient's condition and assess recovery, especially if fractures or significant injuries are identified.

Short Descr X-RAY EXAM UNILAT RIBS/CHEST
Medium Descr RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS
Long Descr Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views
Status Code Active Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 1 - Diagnostic Tests for Radiology Services
Multiple Procedures (51) 0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator STV-Packaged Codes
ASC Payment Indicator Packaged service/item; no separate payment made.
Type of Service (TOS) 4 - Diagnostic Radiology
Berenson-Eggers TOS (BETOS) I1B - Standard imaging - musculoskeletal
MUE 2
CCS Clinical Classification 226 - Other diagnostic radiology and related techniques
26 Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number.
LT Left side (used to identify procedures performed on the left side of the body)
RT Right side (used to identify procedures performed on the right side of the body)
TC Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles
X5 Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician
FY X-ray taken using computed radiography technology/cassette-based imaging
GC This service has been performed in part by a resident under the direction of a teaching physician
Q6 Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area
CR Catastrophe/disaster related
GW Service not related to the hospice patient's terminal condition
59 Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25.
77 Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service.
AQ Physician providing a service in an unlisted health professional shortage area (hpsa)
GA Waiver of liability statement issued as required by payer policy, individual case
Q5 Service furnished under a reciprocal billing arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area
X1 Continuous/broad services: for reporting services by clinicians, who provide the principal care for a patient, with no planned endpoint of the relationship; services in this category represent comprehensive care, dealing with the entire scope of patient problems, either directly or in a care coordination role; reporting clinician service examples include, but are not limited to: primary care, and clinicians providing comprehensive care to patients in addition to specialty care
52 Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use).
73 Discontinued out-patient hospital/ambulatory surgery center (asc) procedure prior to the administration of anesthesia: due to extenuating circumstances or those that threaten the well being of the patient, the physician may cancel a surgical or diagnostic procedure subsequent to the patient's surgical preparation (including sedation when provided, and being taken to the room where the procedure is to be performed), but prior to the administration of anesthesia (local, regional block(s) or general). under these circumstances, the intended service that is prepared for but cancelled can be reported by its usual procedure number and the addition of modifier 73. note: the elective cancellation of a service prior to the administration of anesthesia and/or surgical preparation of the patient should not be reported. for physician reporting of a discontinued procedure, see modifier 53.
76 Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service.
AG Primary physician
ET Emergency services
F1 Left hand, second digit
FX X-ray taken using film
GV Attending physician not employed or paid under arrangement by the patient's hospice provider
GX Notice of liability issued, voluntary under payer policy
GY Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit
GZ Item or service expected to be denied as not reasonable and necessary
KT Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item
KX Requirements specified in the medical policy have been met
MA Ordering professional is not required to consult a clinical decision support mechanism due to service being rendered to a patient with a suspected or confirmed emergency medical condition
MC Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of electronic health record or clinical decision support mechanism vendor issues
PC Wrong surgery or other invasive procedure on patient
PD Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days
PN Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital
Q1 Routine clinical service provided in a clinical research study that is in an approved clinical research study
QJ Services/items provided to a prisoner or patient in state or local custody, however the state or local government, as applicable, meets the requirements in 42 cfr 411.4 (b)
SA Nurse practitioner rendering service in collaboration with a physician
T1 Left foot, second digit
TR School-based individualized education program (iep) services provided outside the public school district responsible for the student
UH Services provided in the evening
X4 Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period
XE Separate encounter, a service that is distinct because it occurred during a separate encounter
XP Separate practitioner, a service that is distinct because it was performed by a different practitioner
XS Separate structure, a service that is distinct because it was performed on a separate organ/structure
XU Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
Date
Action
Notes
2013-01-01 Changed Short Descriptor changed.
2009-01-01 Changed Code description changed
Pre-1990 Added Code added.
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