Policy Statement
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 HCPCS code 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:
