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Xray Exams - Pregnancy Screening                     Xray Exam on Female patient       Age 0-9 or >56 yrs old Age 10-55?       Shield patient, perform XR Any Chance of Pregnancy NO Why not? IUD/Birth control, ablation, Hysterectomy, absent uterus, Not sexually active   YES   When was LMP?   Shield patient, perform XR   <28d ago >28d ago       Shield patient and perform XR Is XRay of extremity, head or neck? NO Is XRay of Pelvis, Spine, Chest, or hips? YES Get urine pregnancy Test If HCG (+) notify physician. Is exam medically necessary? YES YES   Shield patient, perform XR   If HCG (-) Shield patient, perform XR Shield patient, perform XR, Note on film that provider approved exam.