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j0885 medicare modifiers

  1. #1
    Default j0885 medicare modifiers
    Medical Coding Books
    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. Default
    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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