Background: The existence of multiple code systems and standards has highlighted the necessity for innovative solutions to bridge these discrepancies. Objectives: This research investigates the utilisation of TermX to tackle the challenges of interoperability in radiology procedures, with a specific emphasis on angiography and X-ray modalities. Results: The study produced a revised RadLex data model and mapping guide, designed to classify radiology services using TermX. In total, 380 concepts were required to comprehensively describe all 622 procedures examined. Conclusions: Our study demonstrates the effectiveness of TermX in simplifying the process of mapping between code systems, thus enabling more efficient analysis, and reporting of data.