No. The FX modifier was developed for the Medicare program but has been adopted by some Medicaid plans. The purpose of modifier FX is to identify that radiographs were produced on film rather than digitally. Under Medicare, there is a 20% reduction in payment for the technical component of radiographic services when produced on film. When reporting only the professional component of radiographic services, modifier FX typically is not applicable. Those practices producing radiographs on film should verify requirements of individual payers.

The Medicaid plan may have adopted edits that prevent payment of both services on the same date, but no NCCI edit pairs these codes. As you note, CPT clearly states that code 99464 is separately reported when the same physician or physicians of the same specialty and same group practice provide attendance at delivery and initial newborn care at any level, including critical care. You may wish to...

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