We understand that effective January 1, 2018, hospital outpatient facilities are required to use the “FY” modifier with the applicable HCPCS code(s) to describe an imaging service that is an X-ray taken using computed radiography technology. Do we need to report the “FY” modifier if an imaging study includes computed radiography x-rays and digital radiography images?
No. CMS clarified in the April 2018 OPPS Update Transmittal that the “FY” modifier is not required when the imaging service is comprised of multiple images that include both X-rays taken using computed radiography technology and images taken using digital radiography.
Modifier “FY” (X-ray taken using computed radiography technology/cassette-based imaging) is to be used with the applicable HCPCS code(s) to describe an imaging service that is an X-ray taken using computed radiography technology. The application of the modifier results in a payment reduction of 7% for calendar years 2018-2022, and 10% in 2023 and after. The payment adjustment applies to an imaging service that is an X-ray taken using computed radiography technology where the X-ray taken using computed radiography technology is not combined with digital radiography in the same imaging service.
The payment reduction is a result of provisions of the Consolidated Appropriations Act, 2016 designed to incentivize the transition from traditional X-ray imaging to digital radiography.
Article by Debbie Rubio
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