Flanders A E, Flanders S J, Friedman D P, Tartaglino L M, Russell K M
Department of Radiology, Division of Neuroradiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA.
Radiology. 1996 Mar;198(3):825-30. doi: 10.1148/radiology.198.3.8628878.
To determine the level of participation by nonradiologists in performing neuroradiologic examinations.
Medicare part B claims data from fiscal year 1992 were analyzed for CPT (current procedural terminology) codes related to computed tomography (CT) and magnetic resonance (MR) imaging of the brain, head and neck, and spine, as well as myelography, angiography, and diskography. Data were tabulated by place of service (hospital-based vs freestanding imaging centers) and by medical specialty.
Among 363,224 Medicare claims for CT and MR imaging of the brain, head and neck, and spine, 91% of the examinations were performed in hospitals and 9% in offices or freestanding centers; 98% of studies were interpreted by a radiologist. The largest share of radiology billing by nonradiologists was from office-based or freestanding imaging centers (9%), versus 2% at hospital-based facilities.
Radiologists perform the vast majority of neuroradiologic examinations. Most neuroradiologic examinations performed by nonradiologists are from neurologists at freestanding/office-based imaging centers.
确定非放射科医生参与神经放射学检查的程度。
分析了1992财年医疗保险B部分的理赔数据，以获取与脑部、头部和颈部以及脊柱的计算机断层扫描（CT）和磁共振成像（MR），以及脊髓造影、血管造影和椎间盘造影相关的现行程序术语（CPT）代码。数据按服务地点（医院内设影像中心与独立影像中心）和医学专业进行列表统计。
在363,224份关于脑部、头部和颈部以及脊柱的CT和MR成像的医疗保险理赔中，91%的检查在医院进行，9%在办公室或独立中心进行；98%的检查由放射科医生解读。非放射科医生进行的放射学计费中，最大份额来自办公室或独立影像中心（9%），而医院内设机构为2%。
放射科医生进行绝大多数的神经放射学检查。非放射科医生进行的大多数神经放射学检查来自独立/办公室影像中心的神经科医生。
