[Intl_DxMedPhys] Are shielding surveys for replacements required?

Ryan Fisher rfisher1 at metrohealth.org
Mon Sep 8 15:34:53 EDT 2025


Does TJC require that for fluoro? The original language was specific to just CT / PET / NM services, though I’m having trouble tracking down the replacement mentioned in this table.
[cid:image001.png at 01DC20D3.1DF27710]

I can’t help on TX regs, but Ohio<https://urldefense.com/v3/__https://codes.ohio.gov/ohio-administrative-code/rule-3701:1-66-02__;!!KGKeukY!1DTfNQ9aFrMNX2qqHFnZN8HMkxT2vuiHMvzBZX0G1K-mPje7a-8AoUoAy091zr2pYY84VjuDdvZc697Ba9kCstureKt3fuGtf5EE4YXwa93e$ > has the following, with the highlighted bit giving us the flexibility to not redo surveys if nothing changed.
[cid:image002.png at 01DC20D6.1DC8A090]

Ohio regs are basically just CRTL+V the CRCP SSRs, so presumably a decent number of states have similar carveouts.


Ryan


From: Intl_dxmedphys_wd_osu_list <intl_dxmedphys_wd_osu_list-bounces+rfisher1=metrohealth.org at lists.osu.edu> On Behalf Of Nima Kasraie via Intl_dxmedphys_wd_osu_list
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Subject: [Intl_DxMedPhys] Are shielding surveys for replacements required?

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Hi all, If you replace a fluoro room with a similar model and vendor with no changes to room shielding and walls, do you still need to do a shielding survey, legally speaking? TJC says yes. But what about the states? For example, in Texas, I
Hi all,

If you replace a fluoro room with a similar model and vendor with no changes to room shielding and walls, do you still need to do a shielding survey, legally speaking?

TJC says yes.

But what about the states?

For example, in Texas, I find no mention of the state regs where they compel a shielding survey for diagnostic X-ray/fluoroscopy rooms. It’s not in TAC 289.227, nor any of the adopted rules I could find.

But if the state doesn’t ask for it, can they expect a post-installation shielding confirmation—especially for high-dose fluoro rooms—even if that expectation isn't explicitly stated in 227?


I find it hard to accept that the state wouldn’t have any specific language on this issue.



Nima


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