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NEWS ALERT!- Mammography requirement
To All Members,
New York State Department of Health requires
that all patients having a screening mammogram study have a
prescription requesting such exam. This requirement comes from
regulation that requires a prescription for ordering the application
of radiation from radiation equipment to a patient:
16.19 Limitations on application of radiation to humans.9
(a) Diagnostic x-ray equipment. No person other than a professional
practitioner, as defined in section 16.2(a)(85) of this part; a
physician's assistant working under the authority of a physician in
accordance with Article 37 of the Public Health Law; or, a certified
nurse practitioner working in accordance with Article 139 of the
Education Law, within a practice agreement with a physician, or
under the authority of a Medical Director or Medical Board in an
Article 28 facility, shall direct or order the application of
radiation from radiation equipment, as defined in section
16.2(a)(97) of this Part to a human being... Such direction or order
to apply, or application of, radiation shall be in the course of the
practitioner's professional practice and shall comply with the
applicable provisions of Part 89 of this Title and article 35 of the
Public Health Law of the State of New York.
This includes self-referral patients and self-requesting
patients. New York State regulations supersede MQSA regulations
which do not require a prescription. Self-referred patients are
those who come for mammography but have no health care provider, who
decline a health care provider, or for whom the provider declines
responsibility. Self-requesting patients are those who come for
mammography, but are able to name a health care provider (or accept
a health care provider offered by the facility) who accepts
responsibility for that patient’s clinical breast care. If the
health care provider declines to accept the mammography report from
the facility, then those patients should be treated as
self-referred.
Facilities that want to perform screening mammography on self
referred patients need to apply to the Department of Health and
comply with the regulations listed under section
16.22 of Part 16 of the
Public Health Law, using the following link:
http://www.nyhealth.gov/environmental/radiological/radon/radioactive_material_licensing/docs/part16.pdf
Facilities performing screening mammography on self referral patients
still require a prescription, which must be written by a qualified
person as defined in section
16.19 above. Radiologists may write the prescription for these
patients. Any further questions may be addressed to me at the e-mail
address below.
Sincerely,
George Autz, MD
Chair, Mammography Committee
New York State Radiological Society
gaport @optonline.net
Recent Society Reports
- CAC Report 08/2010 CAC Report 10/2010 CAC Report 04/2011
- Interspecialty Committee Report 04/2011
- Mammography Report
- Physics Report 08/2010 Physics Report 10/2010 Physics Report 04/2011
- Residents and Fellow Section Report
- Insurance and Compensation Report 10/2010 Insurance and Compensation Report 10/2011
