02/01/2017

Proper Usage of FX Modifier When Billing for Standard X-Rays

WHEN BILLING FOR STANDARD X-RAYS IS THE FX MODIFIER NECESSARY WITH ALL INSURANCE CARRIERS OR ONLY FOR TRADITIONAL MEDICARE PLANS ? WHAT ABOUT MEDICARE ADVANTAGE PLANS?

The FX modifier is only required to be used if the physician uses an X-ray machine that produces results on film versus a digital image when performing a radiology procedure. If the machine uses film, then all radiology services must be appended with the modifier, which should be billed to all insurance carriers, not only Medicare and Medicare Advantage plans.