HCPCS Modifier EY

Published 07/16/2020

No physician or other licensed health care provider ordered an item or service.

Guidelines and Instructions
  • This modifier is purely informational for Medicare use and may be submitted with all HCPCS and CPT codes
  • When supplies are provided by DMEPOS suppliers without a physician's order, these suppliers should submit HCPCS modifier EY on each line item on the claim and National Provider Identifier (NPI) in the Ordering/Referring Provider Name fields on claims submitted on or after May 23, 2008, to secure a Medicare denial
  • Because this modifier is informational only, submit this modifier in the last modifier position, after any other appropriate modifiers

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