Modifier FY (Computed Radiography X‑ray modifier)
This Humana Medicare Advantage claims payment policy governs use of modifier FY to report X‑ray services performed using computed radiography (CR) and describes Humana's payment reductions to the technical component (TC) for such services; it applies to providers billing Humana Medicare Advantage products.
No material clinical or coverage changes in this revision.
Coverage and Payment Criteria
Modifier FY coverage and payment criteria
Payment adjustments and billing expectations for CR X‑ray services:
TC reimbursement reduction (by date of service)
- 7% reduction to the technical component (TC) reimbursement for dates of service beginning January 1, 2018 through December 31, 2022.
- 10% reduction to the technical component (TC) reimbursement for dates of service beginning January 1, 2023 and subsequent years.
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