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Official Description

Radiologic examination, ribs, bilateral; 3 views

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 71110 refers to a radiologic examination of the ribs, specifically indicating a bilateral assessment with a total of three views. This procedure is commonly performed to evaluate the rib cage, particularly following incidents of trauma, to identify potential fractures or other internal injuries that may not be immediately visible. The examination typically involves obtaining rib radiographs, or X-rays, which are crucial for diagnosing conditions related to the ribs. The most frequently utilized views during this examination include the anteroposterior (AP) view, which provides a frontal perspective, and various oblique views. The oblique views are categorized into four positions: right anterior oblique, left anterior oblique, right posterior oblique, and left posterior oblique. In the anterior oblique views, the patient is positioned standing with their chest rotated at a 45-degree angle, allowing for optimal visualization of the ribs. The arm closest to the X-ray cassette is flexed and placed on the hip, while the opposite arm is raised to maximize exposure of the area being examined. Conversely, posterior oblique views are generally reserved for patients who are unable to stand or lie prone due to illness. The distinction between this code and others, such as CPT® 71100 and CPT® 71101, lies in the number of images obtained and the specific views utilized. For instance, CPT® 71100 captures two images of the ribs on one side, while CPT® 71101 captures three images on one side, including a posteroanterior (PA) view. In contrast, CPT® 71110 encompasses a comprehensive examination of both sides of the chest, yielding a total of three images. The physician is responsible for reviewing these images, identifying any abnormalities, and providing a detailed written interpretation of the findings, which is essential for accurate diagnosis and treatment planning.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The radiologic examination of the ribs, as described by CPT® Code 71110, is indicated for the following conditions:

  • Trauma to the Rib Cage - This procedure is commonly performed after incidents such as falls, accidents, or direct blows to the chest, where there is a suspicion of rib fractures or associated injuries.
  • Evaluation of Rib Fractures - The examination is essential for assessing the presence and extent of rib fractures, which can lead to complications such as pneumothorax or hemothorax.
  • Investigation of Chest Pain - Patients presenting with unexplained chest pain may undergo this examination to rule out rib-related injuries or other underlying conditions.
  • Assessment of Internal Injuries - The procedure aids in identifying potential internal injuries that may accompany rib fractures, such as damage to the lungs or other thoracic structures.

2. Procedure

The procedure for obtaining a radiologic examination of the ribs involves several key steps, which are detailed as follows:

  • Patient Positioning - The patient is positioned appropriately for the examination. For anterior oblique views, the patient stands with their chest rotated 45 degrees. The arm closest to the X-ray cassette is flexed and placed on the hip, while the opposite arm is raised to ensure the area of interest is adequately exposed. This positioning is crucial for obtaining clear images of the ribs.
  • Image Acquisition - A total of three images are captured during this examination. The first image is typically an anteroposterior (AP) view, providing a frontal perspective of the rib cage. The subsequent images are obtained from oblique angles, which may include right anterior oblique and left anterior oblique views, depending on the clinical requirements. These views allow for a comprehensive assessment of both sides of the rib cage.
  • Review and Interpretation - After the images are obtained, the physician reviews them for any signs of abnormalities, such as fractures or other injuries. The physician then provides a written interpretation of the findings, which is essential for guiding further management and treatment of the patient.

3. Post-Procedure

Post-procedure care following a rib radiologic examination typically involves monitoring the patient for any immediate reactions to the procedure, although the risks associated with X-ray exposure are minimal. Patients may be advised to follow up with their healthcare provider to discuss the results of the examination and any necessary further evaluations or treatments based on the findings. It is also important for patients to report any new or worsening symptoms, such as increased pain or difficulty breathing, as these may indicate complications that require prompt attention.

Short Descr X-RAY EXAM RIBS BIL 3 VIEWS
Medium Descr RADEX RIBS BILATERAL 3 VIEWS
Long Descr Radiologic examination, ribs, bilateral; 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) 2 - 150% payment adjustment 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 1
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.
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
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
GC This service has been performed in part by a resident under the direction of a teaching physician
50 Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d).
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).
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.
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.
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)
CC Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
CR Catastrophe/disaster related
FX X-ray taken using film
FY X-ray taken using computed radiography technology/cassette-based imaging
GA Waiver of liability statement issued as required by payer policy, individual case
GV Attending physician not employed or paid under arrangement by the patient's hospice provider
GW Service not related to the hospice patient's terminal condition
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
LT Left side (used to identify procedures performed on the left side of the body)
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
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
Q1 Routine clinical service provided in a clinical research study that is in an approved clinical research study
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
RT Right side (used to identify procedures performed on the right side of the body)
U6 Medicaid level of care 6, as defined by each state
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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