1. (1) General scope of practice. The LXMO performs radiographic procedures and related techniques within the practice of radiography under the supervision of a licensed radiographer or other health care provider, consistent with the LXMO’s limited scope education, training, and examination.

2. (2) Applicable standards. The scope of practice of an LXMO includes all of the following, as defined in the ASRT Practice Standards for Medical Imaging and Radiation Therapy, 2019 American Society of Radiologic Technologists:

   1. (a) Applying principles of ALARA to minimize exposure to patient, self, and others.
   2. (b) Applying principles of patient safety during all aspects of patient care.
   3. (c) Assisting in maintaining medical records, respecting confidentiality and established policy.
   4. (d) Corroborating a patient’s clinical history with procedure and ensuring information is documented and available for use by a licensed practitioner.
   5. (e) Evaluating images for proper positioning and determining if additional images will improve the procedure or treatment outcome.
   6. (f) Evaluating images for technical quality and ensuring proper identification is recorded.
   7. (g) Identifying and responding to emergency situations.
   8. (h) Performing ongoing quality assurance activities.
   9. (i) Postprocessing data.
   10. (j) Preparing patients for procedures.
   11. (k) Providing education.
   12. (L) Providing optimal patient care.
   13. (m) Selecting the appropriate protocol and optimizing technical factors while maximizing patient safety.
   14. (n) Verifying archival storage of data.
   15. (o) Assisting a licensed practitioner or radiographer during static radiographic procedures.

   16. (p) Performing diagnostic radiographic procedures, as prescribed by a licensed practitioner, of a specific area of anatomical interest based on limited education, training, and licensure or certification within the individual’s scope of practice.

       Note: The standard is available from the American Society of Radiologic Technologists’ website at www.asrt.org.

3. (3) Computed tomography. Performing the aspects of computed tomography that involve applying x-rays to patients requires a radiographer license. Performing the aspects of computed tomography that do not involve applying x-rays to patients does not require a radiographer license or LXMO permit.

4. (4) Nuclear medicine.

   1. (a) Performing nuclear medicine without the use of x-rays does not require a radiographer license or LXMO permit.
   2. (b) Performing PET-CT or SPECT-CT does not require a radiographer license or LXMO permit if x-rays are applied only for the purpose of attenuation correction. A radiographer license is required if x-rays are applied for a purpose other than attenuation correction.
   3. (c) Performing nuclear medicine does not require a radiographer license or LXMO permit if x-rays are applied only for the purpose of attenuation correction. A radiographer license is required if x-rays are applied for a purpose other than attenuation correction.

History

History: CR 11-016: cr. Register August 2011 No. 668, eff. 9-1-11; CR 16-030: am. (2) Register January 2018 No. 745, eff. 2-1-18; CR 17-082: cr. (1) (title), renum. (2) to (2) (intro.) and am., cr. (2) (a) to (o) Register September 2018 No. 753, eff. 10-1-18; CR 19-084: am. (2) (intro.), (b), (k), (L), (m), r. (2) (o) Register February 2020 No. 770, eff. 3-1-20; CR 21-054: am. (1), r. and recr. (2) Register June 2022 No. 798, eff. 7-1-22; CR 25-036: cr. (3), (4) Register October 2025 No. 838, eff. 11-1-25.