If any of the above procedures (HSCs X 81 through X 88A) are performed without fluoroscopy, the NOFLSP modifier should be applied. The benefit rate will be adjusted according to the Price List.
As stated in G.R. 11.1.1, claims for services in the Diagnostic Radiology section will not be payable unless the physician has been approved by the CPSA to provide those services.
Category: | T Test |
---|---|
Base rate: | $250.77 |
Type | Code | # of calls | Explicit | Action | Amount |
---|---|---|---|---|---|
XRAY | CINE | Yes | Increase Base To | 150% | |
XRAY | STEREO | Yes | Increase By | $17.58 | |
NOFL | NOFLSP | Yes | Reduce Base By | $11.03 |
No Governing Rules.
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