Medicare Claims Processing Manual (Pub. 100-04), Ch. 4 § 20.6.6

Modifiers for Radiology Services

Last amended: 2023Year: 2023Length: 108 wordsOfficial source
20.6.6 - Modifiers for Radiology Services (Rev. 11937; Issued: 03-31-23; Effective: 04-01-23; Implementation: 04-03-23) 52: Reduced services 59: Distinct procedural service 76: Repeat procedure or service by same physician or other qualified health care professional 77: Repeat procedure by another physician or other qualified health care professional Level II modifiers: use as applicable Modifiers 52, 59, 76, and 77, and the Level II modifiers apply to radiology services. When a radiology procedure is reduced, the correct reporting is to code to the extent of the procedure performed. If no HCPCS code exists for the service that has been completed, report the intended HCPCS code with modifier 52 appended.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 4 § 20.6.6: Modifiers for Radiology Services | Justis AI