Transportation of Portable X-Ray Equipment

Policy No: 147
Originally Created: 08/01/2022
Section: Administrative
Last Reviewed: 12/01/2023
Last Revised: 12/01/2023
Approved: 12/14/2023
Effective: 01/01/2024
Policy Applies To: Group and Individual & Medicare Advantage

This policy applies to physicians and other qualified health care professionals.

Healthcare Common Procedure Coding System (HCPCS) code R0070 – Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient served

HCPCS code R0075 – Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient served

Modifier UN – Two patients served

Modifier UP – Three patients served

Modifier UQ – Four patients served

Modifier UR – Five patients served

Modifier US – Six patients or more served

Establish appropriate use of and pricing methodology for modifiers UN, UP, UQ, UR and US.

If only one patient is served, report HCPCS code R0070 with no modifier as the description of this HCPCS code reflects only one patient served. The unit field for code HCPCS R0070 will always be reported as "1".

If more than one patient received portable x-ray services during a single trip, report HCPCS code R0075 regardless of whether all the patients have insurance or under which carrier. The unit field for HCPCS code R0075 will always be reported as "1".

For reimbursement to be considered, HCPCS code R0075 must have one of the modifiers listed above appended to indicate how many patients were served on that trip. The allowable for HCPCS code R0075 will be adjusted based on the modifier used as illustrated below:

When HCPCS code R0075 is reported with modifier US, the total payment for HCPCS code R0075 will be divided by 6 regardless of the number of patients seen.

HCPCS code R0075 will be denied if one of the listed modifiers is not appended.

Centers for Medicare and Medicaid (CMS), Medicare Claims Processing Manual Chapter 13 - Radiology Services and Other Diagnostic Procedures Section 90.3- Transportation Component (HCPCS Codes R0070 - R0076)

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