BC Advantage - 2023 Issue 11

Aetna Reimbursement Policy: Radiology Modifiers

According to October provider updates: Aetna will reduce the reimbursement rate for HCPCS radiology codes when modifiers FX and FY are appended.Modifier FX: The reimbursement rate will be reduced by 20% for the technical component (and the technical component of the global fee). X-ray images taken by using film.Modifier FY:The reimbursement rate will be reduced by 10% for the technical component (and the technical component of the global fee).Computed radiography X-ray.Effective for any date of service on or after January 1, 2024.Type of plans affected: commercial and Medicare lines of business plan types...

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