Healthcare Common Procedure Coding System (HCPCS) modifiers FX and FY
Effective January 1, 2024, we will reduce payment for radiology procedures billed with modifiers FX and FY to align with the Centers for Medicare & Medicaid Services (CMS) guidelines.
• Modifier FX (X-ray taken using film): A 20% payment reduction applies to the technical component (and the technical component of the global fee).
• Modifier FY (computed radiography X-ray): A 10% payment reduction applies to the technical component (and the technical component of the global fee).
Reimbursement for code A9279
(monitoring feature/device)
Effective January 1, 2024, Aetna® will no longer reimburse for code A9279, since it is considered statutorily non-covered.
Aetna Monthly OfficeLink Update