CMS Pub. 100-04, ch. 13, § 90.5

When a SNF bills for portable x-ray equipment transported to a site by van or other

vehicle, the SNF should bill for the transportation costs using one of the following

HCPCS codes along with the appropriate revenue code:

Code Description

R0070 Transportation of Portable x-ray Equipment and Personnel to Home or

Nursing Home, Per Trip to Facility or Location, One Patient Seen.

R0075 Transportation of Portable x-ray Equipment and Personnel to Home or

Nursing Home, Per Trip to Facility or Location, More than One Patient

Seen, Per Patient.

These HCPCS codes are subject to the fee schedule.

Effective April 1, 2006, SNFs are required to report the appropriate modifiers to identify

the number of patients served when billing for R0075. See section 90.3, of this chapter

for the list of modifiers used to identify on the claim the number of patients served.

MACs shall ensure that payment for R0075 is consistent with the definition of the

modifiers.

NOTE: When a SNF resident receives a portable x-ray service during the course of a

Medicare-covered stay in the SNF, only the service’s professional component

(representing the physician’s interpretation of the test results) is a separately billable

physician service under Part B (see §20.1 of this chapter and §20.1.1 of Chapter 6). By

contrast, the technical component representing the procedure itself, including any

associated transportation and setup costs, would be subject to consolidated billing (the

SNF “bundling” requirement for services furnished to the SNF’s Part A residents), and

must be included on the SNF’s Part A bill for the resident’s covered stay (Bill Type 21x)

rather than being billed separately under Part B (see §20.2.1of this chapter).