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Procrit modifier EA,EB,EC for Medicare

  1. #1
    Default Procrit modifier EA,EB,EC for Medicare
    Exam Training Packages
    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???????

  2. #2
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    What about when pt supplies own medication? Do I still use the J0885?
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  3. #3
    Location
    Columbia, MO
    Posts
    12,561
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    If the patient supplies the drug then you do not bill the J code

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    I was under the impression that when pt supplies medication, we need to use the J code with zero charge.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  5. #5
    Default
    Dr supplied the drug. We are billing the drug.

  6. #6
    Location
    Columbia, MO
    Posts
    12,561
    Default
    Quote Originally Posted by kbarron View Post
    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.

    Debra A. Mitchell, MSPH, CPC-H

  7. #7
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    Debra, Can you provide that in writing...They always want it in writing for proof.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

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