Medicare Claims Processing Manual (Pub. 100-04), Ch. 4 § 20.6.15

Modifier FY

Last amended: 2023Year: 2023Length: 201 wordsOfficial source
20.6.15– Modifier FY (Rev. 11937; Issued: 03-31-23; Effective: 04-01-23; Implementation: 04-03-23) FY: X-ray taken using computed radiography technology/cassette-based imaging A. General Consistent with the requirements set forth in section 1833(t)(16)(F)(ii) and in accordance with provisions allowed under section 1833(t)(16)(F)(iv) of the Act, CMS established modifier FY to identify an imaging service that is an X-ray taken using computed radiography technology. Effective January 1, 2018, hospitals are required to use this modifier to report imaging services that are X-rays taken using computed radiography technology. B. Effect on Payment Payment for x-ray services taken using computed radiography technology will be reduced by 7 percent from January 1, 2018, through December 31, 2022, and thereafter to 10 percent beginning January 1, 2023. We note that when payment for an x-ray service taken using computed radiography technology is packaged into the payment for another item or service under the OPPS, no separate payment for the x-ray service taken using computed radiography technology is made. Accordingly, the payment reduction in this instance would be 0 percent (that is, 20 percent of $0). All imaging services that are x-rays are listed in the OPPS Addendum B, which is available via the Internet on the CMS Web site.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 4 § 20.6.15: Modifier FY | Justis AI