My office has been taking FMX as follows: Pano, 4 BWX, and 4 anterior PAs (3 on top and 1 on bottom).
What does your office do?
Tags fmx Radiographs
The last office I worked in was 18 films, including the BWX. If a pano was needed, it would be taken at an OS or ortho office.
I agree with Sue. We do 18 films and we let the OS do the pano. My last office considered a FMX as pano with 4BW but I prefer the 18 films as I can see the bone loss and calculus better.
At my office our FMX is 20 films which include the 4 BWX. I prefer 5 anterior films on max and mand, but our carousel will only take 4 anterior film slots. I use size 2 for posterior PA’s, size 1 for max anterior PA’s and size O for mand anterior PA’s and size 2 for the bitewings. We still use the denoptix scanner with phosphor plates. Maybe soon we will have gendex sensors and the planmecca cb pano.
I agree with Kara. An FMX is 18 films. In our office we start with pano and BWX at age 8 and transition to FMX at age 18 and older.
A PAN is a PAN… not a true FMX. Way different image quality. Need an FMX to get true detail and bone levels. If I am correct – when billing ins. they are different codes? I know that typically they will allow PAN or FMX with the pts frequency but I don’t think ant PA’s are usually covered with that (had that issue last week – ins. won’t take a Pan, 4BWX AND ant. PA’s). So they must be billing it out as FMX?
At my office an FMX is 18 xrays and a pano is a pano.
When patient is due for 1yr xrays we take 4bw and 3 anterior pa’s (0220,0230,0230)
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