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2025 CPT code 71120

Radiologic examination of the sternum; minimum of two views.

* Report a minimum of two views. Additional views should be reported separately.* Modifier 26 (professional component) should be appended if only professional interpretation is reported.* Modifier TC (technical component) may be appended if only technical component is reported, but payer policies may vary (hospital billing may be exempt).* Do not append modifiers if reporting a global service.* Ensure that all views are clearly documented.

Modifiers 26 (professional component) and TC (technical component) are applicable depending on who performs which portion of the service. Other modifiers might apply based on individual circumstances (e.g., 52, 76, 77).

Medical necessity for this procedure is established by the presence of a clinical indication, such as chest pain, suspected sternal injury or infection, follow-up after sternotomy, or other conditions requiring evaluation of the sternum.

The clinical responsibility lies with the radiologist who interprets the images and generates a report.The technician is responsible for the technical aspects of the X-ray procedure (positioning, image acquisition).

In simple words: This is an X-ray exam of your breastbone (sternum) to check for problems.The doctor will take at least two pictures from different angles to get a good look at the bone.

This diagnostic procedure involves a radiological study of the sternum (breastbone) using X-rays, with a minimum of two views obtained to identify potential issues related to the sternum.The patient is positioned prone on a table, head turned to the left, left arm around the head, and right arm alongside the body. The patient is rotated approximately ten degrees to the right to optimally project the sternum.The X-ray tube is centered on the sternum, and the patient holds their breath briefly for image clarity.Typically, anteroposterior (AP) and posteroanterior (PA) views are obtained. Dense structures like bone appear white, while softer tissues appear darker on the resulting image.

Example 1: A patient presents with chest pain localized to the sternum.A two-view X-ray of the sternum is ordered to rule out fracture or other bony abnormalities., A patient has undergone a previous sternotomy (surgical opening of the sternum) and follow-up imaging is required to assess the healing process.A two-view X-ray of the sternum is performed to evaluate bone integrity., A patient presents with a suspected sternal infection (osteomyelitis).Two-view X-rays of the sternum are used to assess for bone destruction or other radiographic signs of infection.

* Patient demographics* Reason for examination (clinical indication)* X-ray images (minimum two views - AP and PA)* Radiologist's interpretation report including specific findings* Date and time of the procedure

** This code describes a basic two-view X-ray exam.Additional views or special imaging techniques may require separate coding.

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