2017 Medicare Guidelines for Imaging

2017 Medicare Guidelines for Imaging – March 2017
by Margaret M. Maley, BSN, MS

Effective Jan. 1, 2017, “FX” is a new Medicare modifier used to indicate that X-ray images were taken using film. The FX modifier is appended to the global radiology code or the radiology code with the modifier TC (technical component) when submitting Part B claims to Medicare and using film instead of capturing X-ray images digitally. If your images are in digital format, you do not need to change your reporting at this time. Medicare reduces payment amounts under the Physician Fee Schedule (PFS) by 20 percent of the technical component when the FX modifier is appended. If a global radiology code is submitted (the X-ray code without a 26-modifier indicating the professional component or TC-modifier) a 20 percent reduction is taken off the technical component only (Table 1).

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