Wiki Procrit modifier EA,EB,EC for Medicare

[jhack]

I need to know which modifier to use if the patient has a dx of 285.9 and 238.72 and the hct level is above 30???????

 

[kbarron]

What about when pt supplies own medication? Do I still use the J0885?

 

[mitchellde]

If the patient supplies the drug then you do not bill the J code

 

[kbarron]

I was under the impression that when pt supplies medication, we need to use the J code with zero charge.

 

[jhack]

Dr supplied the drug. We are billing the drug.

 

[mitchellde]

I was under the impression that when pt supplies medication, we need to use the J code with zero charge.

When the STATE or gov't provides the drug you for some payers provide the J code with a 0 charge. But when the pt supplies it you should not list it.

 

[kbarron]

Debra, Can you provide that in writing...They always want it in writing for proof.