Template List: Woodward
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Name: Mandible (Default) [Edit] [Delete]
CPT: 70100
MANDIBLE:
Frontal and oblique views of the mandible reveal no evidence for fracture, dislocation or other
significant bone or soft tissue abnormality. The TMJ's appear normal
IMPRESSION: Negative mandible.
Name: Facial Bones (Default) [Edit] [Delete]
CPT: 70140
FACIAL BONES:
Frontal, lateral and Waters views of the facial bones show no evidence for fracture or other
significant bone or soft tissue abnormality. The sinuses are clear.
IMPRESSION: Negative facial bones.
Name: FACIAL (Default) [Edit] [Delete]
CPT: 70150
COMPLETE FACIAL BONES:
Frontal, lateral and Waters views of the facial bones show no evidence for fracture or other
significant bone or soft tissue abnormality. The sinuses are clear.
IMPRESSION: Negative facial bones.
Name: NASAL (Default) [Edit] [Delete]
CPT: 70160
COMPLETE NASAL BONES:
Frontal and lateral views of the nasal bones reveal no fracture or other significant bone or soft
tissue abnormality.
IMPRESSION: Negative nasal bones.
Name: ORBITS (Default) [Edit] [Delete]
CPT: 70200
COMPLETE ORBITS:
Frontal and oblique views of the orbits reveal no fracture or other significant bone or soft tissue
abnormality. No radiopaque foreign body is evident.
IMPRESSION: Negative orbits.
Name: SINUS (Default) [Edit] [Delete]
CPT: 70220
COMPLETE PARANASAL SINUS SERIES:
Upright PA, lateral and Waters views of the paranasal sinuses show them to be clear throughout
with intact mucosal and bony margins.
IMPRESSION: Negative paranasal sinuses.
Name: Skull (Default) [Edit] [Delete]
CPT: 70250
SKULL SERIES:
Frontal and lateral views of the skull show the cranial vault to be intact. The sella is normal in
size and shape. The soft tissues are unremarkable.
IMPRESSION: Negative skull series.
Name: SKULL (Default) [Edit] [Delete]
CPT: 70260
COMPLETE SKULL:
Frontal and lateral views of the skull show the cranial vault to be intact. The sella is normal in
size and shape. The soft tissues are unremarkable.
IMPRESSION: Negative skull series.
Name: Sft Tissue Neck (Default) [Edit] [Delete]
CPT: 70360
SOFT TISSUE NECK:
Frontal, oblique and lateral views of the neck with emphasis on the soft tissues reveal no foreign
body, airway obstruction or other significant abnormality.
IMPRESSION: Negative soft tissue study of the neck.
Name: CHEST 1 VIEW (Default) [Edit] [Delete]
CPT: 71010
CHEST; SINGLE VIEW:
A single view of the chest shows the heart and mediastinum to be unremarkable, the lungs are
clear and the bones are intact.
IMPRESSION: No significant chest abnormality.
Name: Negative TBcode [Edit] [Delete]
CPT: 71010
CHEST; SINGLE VIEW:
A single view of the chest shows a normal heart and mediastinum. The lungs are clear and no
pleural effusion is evident. The bones are intact. There is no radiographic evidence for
tuberculosis, present or past.
IMPRESSION: 1. Negative chest. 2. Negative for tuberculosis.
Name: CH1 [Edit] [Delete]
CPT: 71020
CHEST; TWO VIEWS:
PA and lateral views of the chest show the heart and mediastinum to be unremarkable, the lungs
are clear and the bones are intact.
IMPRESSION: No significant chest abnormality.
Name: Negative TBCode [Edit] [Delete]
CPT: 71020
CHEST; TWO VIEWS:
PA and lateral views of the chest show a normal heart and mediastinum. The lungs are clear and
no pleural effusion is evident. The bones are intact. There is no radiographic evidence for
tuberculosis, present or past.
IMPRESSION: 1. Negative chest. 2. No evidence for tuberculosis.
Name: 4V CHEST (Default) [Edit] [Delete]
CPT: 71022
COMPLETE CHEST WITH OBLIQUE VIEWS:
PA, lateral and oblique views of the chest show the heart and mediastinum to be unremarkable,
the lungs are clear and the bones are intact.
IMPRESSION: Negative chest.
Name: RIBS [Edit] [Delete]
CPT: 71100
& RL& RIB SERIES:
Frontal and oblique views of the &rl& rib cage shows no evidence for fracture or other
significant bone or soft tissue abnormality or complication thereof.
IMPRESSION: Negative &rl& ribs.
Name: RIBS (Default) [Edit] [Delete]
CPT: 71101
COMPLETE &RL& RIB SERIES, INCLUDING FRONTAL VIEW CHEST:
PA filming of the chest reveals a normal heart and mediastinum, the lungs are clear and
emphasis placed on the &rl& ribs show no fracture or other significant bony abnormality or
complication thereof.
IMPRESSION: Negative PA chest/&rl& ribs.
Name: B RIBS (Default) [Edit] [Delete]
CPT: 71110
BILATERAL RIBS:
Frontal and oblique views of the right and left ribs show no fracture or other significant bony
abnormality or complication thereof.
IMPRESSION: Negative bilateral ribs.
Name: BI RIBS + CXR (Default) [Edit] [Delete]
CPT: 71111
COMPLETE &RL& RIB SERIES, INCLUDING FRONTAL CHEST VIEW:
The heart and mediastinum are normal, the lungs are clear and emphasis on the right and left ribs
show no fracture or other significant bony abnormality or complication thereof.
IMPRESSION: Negative PA chest/bilateral ribs.
Name: Sternum (Default) [Edit] [Delete]
CPT: 71120
STERNUM:
Lateral and oblique views of the sternum show no evidence for fracture or other significant bone
or soft tissue abnormality.
IMPRESSION: Negative sternum.
Name: C/S (Default) [Edit] [Delete]
CPT: 72040
CERVICAL SPINE:
AP and lateral views of the cervical spine show good alignment throughout with disc spaces
preserved and vertebral body height maintained. The neuroforamina are patent.
IMPRESSION: Negative cervical spine.
Name: CX2 [Edit] [Delete]
CPT: 72050
COMPLETE CERVICAL SPINE:
AP, lateral and oblique views of the cervical spine show good alignment throughout with disc
spaces preserved and vertebral body height maintained. The neuroforamina are patent.
IMPRESSION: Negative cervical spine.
Name: T/S (Default) [Edit] [Delete]
CPT: 72070
THORACIC SPINE:
AP and lateral views of the thoracic spine reveal good alignment throughout with disc spaces and
vertebral body height preserved.
IMPRESSION: Negative thoracic spine.
Name: 3V T/S [Edit] [Delete]
CPT: 72072
COMPLETE THORACIC SPINE:
AP, oblique and lateral views of the thoracic spine show good alignment throughout with disc
spaces preserved and vertebral body height maintained.
IMPRESSION: Negative thoracic spine.
Name: THO (Default) [Edit] [Delete]
CPT: 72074
COMPLETE THORACIC SPINE:
AP, lateral and oblique views of the thoracic spine show good alignment throughout with disc
spaces preserved and vertebral body height maintained.
IMPRESSION: Negative thoracic spine.
Name: SPINE (Default) [Edit] [Delete]
CPT: 72100
LUMBOSACRAL SPINE:
AP and lateral views of the lumbar spine reveal no fracture, subluxation or other significant
lumbar spine abnormality. The SI joints are unremarkable.
IMPRESSION: Negative lumbar spine.
Name: LS2 (Default) [Edit] [Delete]
CPT: 72110
COMPLETE LUMBOSACRAL SPINE:
AP, lateral and oblique views of the lumbosacral spine show good alignment throughout the
lumbar spine with disc spaces preserved and vertebral body height maintained. The SI joints are
normal.
IMPRESSION: Negative lumbosacral spine.
Name: 1V PELVIS (Default) [Edit] [Delete]
CPT: 72170
AP PELVIS:
A single AP view of the pelvis reveals no fracture or other significant bone or soft tissue
abnormality.
IMPRESSION: Negative AP pelvis.
Name: PELVIS [Edit] [Delete]
CPT: 72190
COMPLETE PELVIS:
AP and both oblique views of the pelvis reveal no fracture or other significant bone or soft tissue
abnormality.
IMPRESSION: Negative three-view pelvis.
Name: BILAT SI JOINTS (Default) [Edit] [Delete]
CPT: 72202
COMPLETE SACROILIAC JOINTS:
AP and oblique views of the SI joints reveal no significant bone, joint or soft tissue abnormality.
IMPRESSION: Negative sacroiliac joints.
Name: SI JOINTS [Edit] [Delete]
CPT: 72202
COMPLETE &RL& SACROILIAC JOINTS:
AP and oblique views of the &rl& SI joints reveal no significant bone, joint or soft tissue
abnormality.
IMPRESSION: Negative &rl& sacroiliac joints.
Name: SACRUM/COCCYX (Default) [Edit] [Delete]
CPT: 72220
COMPLETE SACRUM/COCCYX:
AP and lateral views of the sacrum/coccyx reveal no evidence for fracture or other significant
bone or soft tissue abnormality.
IMPRESSION: Negative sacrum/coccyx.
Name: CLAVICLE (Default) [Edit] [Delete]
CPT: 73000
COMPLETE &RL& CLAVICLE:
AP and angled views of the &rl& clavicle show no evidence for fracture or other significant
bone or soft tissue abnormality. The A/C joint is normal.
IMPRESSION: Negative &rl& clavicle.
Name: SCAPULA (Default) [Edit] [Delete]
CPT: 73010
COMPLETE &RL& SCAPULA:
AP and tangential views of the &rl& scapula show no evidence for fracture or other significant
bone, joint or soft tissue abnormality.
IMPRESSION: Negative &rl& scapula.
Name: AP&TangShoulder [Edit] [Delete]
CPT: 73030
& RL& SHOULDER:
AP and tangential views of the &rl& shoulder show no fracture, dislocation or other significant
abnormality.
IMPRESSION: Negative &rl& shoulder including a tangential view.
Name: SHOULDER (Default) [Edit] [Delete]
CPT: 73030
COMPLETE &RL& SHOULDER:
AP views with internal and external rotation of the &rl& shoulder reveal no fracture or other
significant bone, joint or soft tissue abnormality.
IMPRESSION: Negative &rl& shoulder.
Name: AC Joints (Default) [Edit] [Delete]
CPT: 73050
AC JOINTS WITH AND WITHOUT WEIGHT-BEARING:
AP views of the A/C joints, with and without weight-bearing, reveal no fracture or other
significant bone, joint or soft tissue abnormality. The A/C joints are of normal width and in good
alignment.
IMPRESSION: Negative A/C joints.
Name: HUMERUS (Default) [Edit] [Delete]
CPT: 73060
COMPLETE &RL& HUMERUS:
AP and lateral views of the &rl& humerus show no evidence for fracture or other significant
bone or soft tissue abnormality.
IMPRESSION: Negative &rl& humerus.
Name: ELBOW (Default) [Edit] [Delete]
CPT: 73080
COMPLETE &RL& ELBOW:
AP, lateral and oblique views of the &rl& elbow show no evidence for fracture or other
significant bone, joint or soft tissue abnormality.
IMPRESSION: Negative &rl& elbow.
Name: FOREARM (Default) [Edit] [Delete]
CPT: 73090
COMPLETE &RL& FOREARM:
AP and lateral views of the &rl& radius/ulna show no evidence for fracture or other significant
bone or soft tissue abnormality.
IMPRESSION: Negative &rl& radius/ulna.
Name: WRIST (Default) [Edit] [Delete]
CPT: 73110
COMPLETE &RL& WRIST:
PA, oblique and lateral views of the &rl& wrist show no evidence for fracture or other
significant bone or soft tissue abnormality.
IMPRESSION: Negative &rl& wrist.
Name: HAND (Default) [Edit] [Delete]
CPT: 73120
& RL& HAND:
PA and lateral views of the &rl& hand show no evidence for fracture or other significant bone or
soft tissue abnormality.
IMPRESSION: Negative &rl& hand.
Name: HAND (Default) [Edit] [Delete]
CPT: 73130
COMPLETE &RL& HAND:
PA, oblique and lateral views of the &rl& hand show no evidence for fracture or other
significant bone or soft tissue abnormality.
IMPRESSION: Negative &rl& hand.
Name: FINGERS (Default) [Edit] [Delete]
CPT: 73140
COMPLETE &RL& FINGERS:
PA, oblique and lateral views of the &rl& fingers show no evidence for fracture or other
significant bone, joint or soft tissue abnormality.
IMPRESSION: Negative &rl& fingers.
Name: R/L HIP 1 VIEW (Default) [Edit] [Delete]
CPT: 73500
& RL& HIP:
AP and frog-lateral views view of the &rl& hip reveal no fracture or other significant bone,joint
or soft tissue abnormality.
IMPRESSION: Negative &rl& hip.
Name: HIP (Default) [Edit] [Delete]
CPT: 73510
COMPLETE &RL& HIP SERIES:
AP filming of the pelvis with additional emphasis on the &rl& hip shows no fracture or other
significant bone, joint or soft tissue abnormality.
IMPRESSION: Negative &rl& hip including an AP view of the pelvis.
Name: B HIPS/PELVIS (Default) [Edit] [Delete]
CPT: 73520
BILATERAL HIPS INCL AP PELVIS:
An AP view of the pelvis plus additional views of the right and left hips reveal no fracture,
dislocation or other significant bone, joint or soft tissue abnormality.
IMPRESSION: Negative bilateral hips/pelvis.
Name: FEMUR (Default) [Edit] [Delete]
CPT: 73550
COMPLETE &RL& FEMUR:
AP and lateral views of the &rl& femur show no evidence for fracture or other significant bone
or soft tissue abnormality.
IMPRESSION: Negative &rl& femur.
Name: R/L KNEES (Default) [Edit] [Delete]
CPT: 73560
& RL& KNEE:
AP and lateral views of the &rl& knee reveal no fracture or other significant bone, joint or soft
tissue abnormality.
IMPRESSION: Negative &rl& knee.
Name: &RL& Knee (Default) [Edit] [Delete]
CPT: 73562
& RL& KNEE:
AP, lateral and tunnel views of the &rl& knee reveal no fracture, dislocation or other significant
bone, joint or soft tissue abnormality.
IMPRESSION: Negative &rl& knee.
Name: KNEE (Default) [Edit] [Delete]
CPT: 73564
COMPLETE &RL& KNEE:
AP, lateral, tunnel and oblique views of the &rl& knee show no evidence for fracture or other
significant bone, joint or soft tissue abnormality.
IMPRESSION: Negative 4-view &rl& knee.
Name: T/F (Default) [Edit] [Delete]
CPT: 73590
COMPLETE &RL& TIBIA/FIBULA:
AP and lateral views of the &rl& tibia/fibula show no evidence for fracture or other significant
bone or soft tissue abnormality.
IMPRESSION: Negative &rl& tibia/fibula.
Name: ANKLE (Default) [Edit] [Delete]
CPT: 73610
COMPLETE &RL& ANKLE:
AP, lateral and oblique views of the &rl& ankle show no evidence for fracture or other
significant bone, joint or soft tissue abnormality.
IMPRESSION: Negative &rl& ankle.
Name: R/L FOOT (Default) [Edit] [Delete]
CPT: 73620
& RL& FOOT:
AP, oblique and lateral views of the &rl& foot reveal no fracture or other significant bone, joint
or soft tissue abnormality.
IMPRESSION: Negative &rl& foot.
Name: FEET W/WT (Default) [Edit] [Delete]
CPT: 73630
COMPLETE &RL& FOOT WITH NONWEIGHTBEARING VIEWS:
AP, oblique and lateral views of the &rl& foot show no evidence for fracture or other significant
bone, joint or soft tissue abnormality.
IMPRESSION: Negative &rl& foot.
Name: FEET WITH WT (Default) [Edit] [Delete]
CPT: 73630.1
COMPLETE &RL& FOOT WITH WEIGHTBEARING AND NONWEIGHTBEARING
VIEWS:
The lateral weightbearing view gives measurements indicating preservation of the longitudinal
arch. The remaining features of the &rl& foot are also unremarkable.
IMPRESSION: Negative &rl& foot including preservation of the longitudinal arch as
determined on a lateral weightbearing view.
Name: HEEL (Default) [Edit] [Delete]
CPT: 73650
COMPLETE &RL& HEEL:
Lateral and tangential views of the &rl& heel reveal no spur formation or other significant bony
abnormality.
IMPRESSION: Negative &rl& heel.
Name: TOE (Default) [Edit] [Delete]
CPT: 73660
COMPLETE &RL& TOES:
AP and lateral views of the &rl& toes with attention to the toe show no evidence for fracture or
other significant bone, joint or soft tissue abnormality.
IMPRESSION: Negative &rl& toes.
Name: AP ABDOMEN (Default) [Edit] [Delete]
CPT: 74000
AP ABDOMEN:
A single AP view of the abdomen shows no evidence for renal or ureteral calculi. The intestinal
gas pattern is not remarkable. The bones are intact.
IMPRESSION: Negative AP abdomen.
Name: KUB [Edit] [Delete]
CPT: 74000
COMPLETE KUB:
The intestinal gas pattern is not remarkable. No free air is evident and no abnormal soft tissue
mass or calcification is observed. The bones are intact.
IMPRESSION: Negative KUB.
Name: SUPINE ABDOMEN [Edit] [Delete]
CPT: 74000
SUPINE ABDOMEN:
A supine view of the abdomen shows the intestinal gas pattern to be unremarkable without
evidence for abnormal soft tissue mass or calcification. The bones are intact.
IMPRESSION: Negative supine abdomen.
Name: 2 View Abd (Default) [Edit] [Delete]
CPT: 74010
ABDOMEN; TWO VIEWS:
IMPRESSION:
Name: FLAT & UP ABD (Default) [Edit] [Delete]
CPT: 74020
FLAT & UPRIGHT ABDOMEN:
Flat and upright views of the abdomen show no evidence for free air. The intestinal gas pattern is
not remarkable. Abnormal soft tissue mass or calcification is not observed. The bones are intact.
IMPRESSION: Negative flat and upright abdomen.
Name: ABD (Default) [Edit] [Delete]
CPT: 74022
ACUTE ABDOMINAL SERIES :
CHEST: The PA view of the chest shows the heart and mediastinum are not remarkable,the
lungs are clear and the bones are intact. ABDOMEN: Flat and upright views of the abdomen
show no evidence for obstruction, ileus or urinary tract stone. The bones are intact. No soft tissue
mass or abnormal calcification is observed.
IMPRESSION: Negative acute abdominal series.
Name: Breast US State [Edit] [Delete]
CPT: 76445
:
IMPRESSION: NOTE: Ultrasound is not the preferred modality for the evaluation of
microcalcifications which is an important diagnostic factor for breast malignancy.
Mammography or MRI of the breast is recommended for a more reliable evaluation for breast
carcinoma.