2025 HCPCS Modifiers EC

Erythropoetic stimulating agent (esa) administered to treat anemia not due to anti-cancer radiotherapy or anti-cancer chemotherapy

TAGS: radiotherapy agent stimulating erythropoetic chemotherapy administered anemia treat

Short Description	Esa, anemia, non-chemo/radio
Product Note	0147
HCPCS Action Code	N - No maintenance for this code
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Code Added Date	January 01, 2008
HCPCS Action Effective Date	January 01, 2008

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• 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