AHA Coding Clinic® for HCPCS - 2017 Quarter 1; For Your Information
New CT modifier
As of January 1, 2017, modifier CT, Computed tomography services furnished using equipment that does not meet each of the attributes of the national electrical manufacturers association (NEMA) XR-29-2013 standard, was established to identify computed tomography (CT) scans that are furnished on equipment that does not meet the National Electrical Manufacturers Association (NEMA) Standard XR-29-2013, entitled “Standard Attributes on CT Equipment Related to Dose Optimization and Management.” Hospitals are required to use this modifier for computed tomography (CT) scans described by applicable HCPCS codes for non-NEMA Standard XR-29-2013-compliant equipment. The applicable CT services are listed in...
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Article Overview
This article covers the adoption of a new CT-related modifier, the equipment standard behind it, and the set of HCPCS CT imaging services associated with its use. It is relevant to hospital outpatient coding, radiology billing, and compliance teams that need to recognize which CT services fall under the new reporting requirement. The article presents the policy context and the applicable service list without delving into broader reimbursement policy.
Why This Topic Matters
Understanding the new modifier and the scope of affected CT services helps organizations align radiology charge capture and reporting processes with current requirements. It is especially useful for coding and billing staff responsible for CT imaging claims.
Article Sections
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Modifier CT background and effective date
Introduces the modifier, its effective date, and the equipment standard referenced in the article. It also frames the general compliance context for CT imaging services.
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Applicable HCPCS CT services
Lists the HCPCS CT imaging services associated with the modifier. The section presents the service categories and code references used for reporting.
What You Will Learn
- The policy context for a new CT-related modifier
- Which broad categories of CT imaging services are addressed
- How the article frames equipment-standard compliance for CT reporting
- Why hospitals and radiology billing teams should review the affected service list
Who Should Read This
- Hospital outpatient coders
- Radiology billing staff
- Compliance teams
- Revenue cycle professionals
- Health information management professionals
Codes Discussed
Modifiers Discussed
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