# COMAR Title 10 — Maryland Department of Health

## Subtitle 32 — Board of Physicians

### Chapter 14 — Unlicensed Limited X-Ray Machine Operator

#### Regulation .06 Scope of Practice.

*COMAR 10.32.14.06*

A. An LXMO shall perform X-ray duties in a physician’s office under the immediately available supervision of a licensed physician or licensed radiologic technologist and in accordance with §B of this regulation.

B. An individual registered as an LXMO may perform X-ray duties without a license only if the duties:

  (1) Do not include:

    (a) Computerized or non-computerized tomography;

    (b) Fluoroscopy;

    (c) Invasive radiology;

    (d) Mammography;

    (e) Nuclear medicine;

    (f) Radiation therapy; or

    (g) Xerography; and

  (2) Are limited to X-ray procedures of the:

    (a) Chest;

    (b) Spine, including the:

      (i) Cervical spine;

      (ii) Lumbar spine;

      (iii) Sacroiliac joints;

      (iv) Sacrum and coccyx; and

      (v) Thoracic spine;

    (c) Lower extremities, including:

      (i) Toes;

      (ii) The foot;

      (iii) The ankle;

      (iv) The calcaneus;

      (v) The tibia and fibula;

      (vi) The knee and patella; and

      (vii) The femur; and

    (d) Upper extremities, including:

      (i) Fingers;

      (ii) The hand;

      (iii) The wrist;

      (iv) The forearm;

      (v) The elbow;

      (vi) The humerus;

      (vii) The shoulder;

      (viii) The clavicle;

      (ix) Acromioclavicular joints; and

      (x) The scapula.