HCPCS Modifier EY

Description
No physician or other licensed health care provider order for this item or service.

Guidelines/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

Contact Palmetto GBA JM Part B Medicare

Email Part B

Contact a specific JM Part B department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

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Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

MolDX

National Supplier Clearinghouse MAC

PDAC

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RRB Specialty MAC Beneficiaries

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