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Thread: j0885 medicare modifiers

  1. #1
    Join Date
    Apr 2007

    Default j0885 medicare modifiers

    AAPC: Back to School
    How do I know when to use EA, EB, or EC modifier with the diagnosis. Is there a listing of diagnosis that are used with each modifier listed somewhere?

  2. #2


    EA- ESA, Anemia, Chemo induced (covered when medical necessity met)
    EB- ESA, Anemia, Radioinduced (never covered)
    EC- ESA, Anemia, Non Chemo/Radio Induced (covered when medical necessity met)

    See CMS Transmittals 1412 & 1413, in addition to the LCD for ESA

    Hope this helps,
    Anthony McCallum, CPC, CIRCC, CPC-I, CCS

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