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