How are the FX and FY Modifiers Used?

Modifiers for CR, DR and Acetate Films

FX Modifier

1.      1. Modifier FX designates X-ray imaging services that are taken using traditional X-ray film rather than digital radiography (DR). Claims for X-rays using film are to include modifier FX.
2.      2. When modifier FX is submitted with modifier TC (Technical component), reimbursement will be at 80% of the TC allowable amount (20% reduction of the Technical component).
3.      3. This FX modifier will result in a 20% reduction to the Technical component (and the technical component of the Global fee).
4.      4. Applies to Medicare. Check with the policy of the individual commercial health insurance carriers.

FY Modifier

1.      1. Modifier FY designates imaging services that are X-rays taken using computed radiography (CR) rather than digital radiography (DR). Claims for X-rays using computed radiography are to include modifier FY.
2.      2. When modifier FY is submitted with modifier TC (Technical component), reimbursement will be 93% of the TC allowable amount (7% reduction of technical component).
3.      3. This FY modifier will result in a 7% reduction to the technical component (and the technical component of the global fee).
4.      4. This reduction was expected to last until 2023, when the reduction was slated to increase to 10%.
5.      5. Apples to Medicare. Check with the policy of the individual commercial health insurance carriers.

This is my opinion.

Michael G. Warshaw

DPM, CPC