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HCPCS Modifier ED

Official Description

Hematocrit level has exceeded 39% (or hemoglobin level has exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle

Short Descr	Hct>39% or hgb>13g>=3 cycle
Medium Descr	Hct>39% or hgb>13g>=3 cycle
Coverage	Special coverage instructions apply
Processing Note	MEDICARE CLAIMS PROCESSING MANUAL PUB 100-4, CHAPTER 8, SECTION 60.4.
Added Date	1/1/2008

Modifiers

E1-EY E Modifiers

E1 Upper left eyelid

E2 Lower left eyelid

E3 Upper right eyelid

E4 Lower right eyelid

EA Esa, anemia, chemo-induced

EB Esa, anemia, radio-induced

EC Esa, anemia, non-chemo/radio

ED Hct>39% or hgb>13g>=3 cycle

EE Hct>39% or hgb>13g<3 cycle

EJ Subsequent claim

EM Emer reserve supply (esrd)

EP Medicaid epsdt program svc

ER Off-campus ed service

ET Emergency services

EX Expatriate beneficiary

EY No md order for item/service

Date	Action	Notes
2008-01-01	Added	Code added 1/1/2008

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