As part of the Transition from Traditional X-Ray Imaging to Digital Radiography, required by the Consolidated Appropriations Act of 2016, imaging facilities must apply modiﬁer FY (X-ray taken using computed radiography technology/cassette-based imaging) to technical component (TC) and global claims for x-ray exams performed using computed radiography (CR).
Medicare will also continue to reduce by 20% the TC payment for x-ray exams taken using ﬁlm. The payment reduction for ﬁlm x-rays began in 2017. Film x-rays must be reported with modiﬁer FX (X-ray taken using ﬁlm).
Eﬀective January 1, 2018, the technical component of x-ray taken using computed radiography technology/cassette-based imaging) must include the FY modiﬁer. The Medicare payment for the TC of exams that use CR will be reduced by 7% in 2018, and the reduction will increase to 10% in 2023.
CMS has declined to provide a list of codes to which providers should apply modiﬁers FX and FY.
If the modiﬁer is omitted, the facility will be overpaid, and this overpayment creates a refund obligation for the provider. Physicians utilizing ﬁlm x-ray or x-ray taken using computed radiography technology for imaging facilities should contact MSN so that the appropriate modiﬁers can be appended to the claims.
This requirement does not aﬀect the professional component of these services. Note that the beneﬁciary is not liable for the FX or FY modiﬁer payment reduction.
The oﬃcial instruction, CR 9727, issued to your MAC regarding this change is available at the following link:
Kim Snyder, CPC
Director, Physician Education
MSN Healthcare Solutions