The Record - for physicians and other health care providers to share with their office staffs Forward to a friend  |  Subscribe  |  The Record Archive  |  Contacts  |  bcbsm.com  |  Print this article
December 2015

Reminder: ClaimsXten™ to perform multiple radiology reduction for professional radiology services

Effective first quarter 2016, when a member receives multiple radiology services on the same date, Blue Cross Blue Shield of Michigan will pay for the first one at the highest allowed amount. Subsequent procedures will be paid at 75 percent of the allowed amount.

The appropriate modifier may be appended to indicate the subsequent service(s) are separate and distinct.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2014 American Medical Association. All rights reserved.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.