Changes to the JW and JZ modifier policy

Discarded Drugs & Biologicals: Deleted HCPCS Code   CMS has deleted HCPCS code J0739 , Injection, cabotegravir, 1 mg, FDA-approved prescription, only for use as HIV pre-exposure prophylaxis (not for use as treatment for HIV) , from the Discarded Drugs and Biologicals - JW Modifier and JZ Modifier Policy. For more information regarding modifiers JW and JZ, please refer to the JW Modifier and JZ Modifier Policy FAQ at: https://www.cms.gov/medicare/payment/part-b-drugs/discarded-drugs . ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article provides a short CMS policy update for people involved in Medicare Part B drug billing and compliance. It notes a change to the discarded drugs and biologicals policy and points readers to CMS guidance for the JW and JZ modifier framework, so coders and billers can stay current with affected HCPCS content.

Why This Topic Matters

Policy changes in Medicare drug billing can affect claim submission, compliance reviews, and internal charge capture processes. This update is relevant for coders, billers, compliance staff, and pharmacy-related reimbursement teams monitoring CMS drug policy changes.

Article Sections

  1. Discarded Drugs & Biologicals: Deleted HCPCS Code

    This section announces a CMS update affecting the discarded drugs and biologicals policy. It identifies the affected HCPCS item and directs readers to CMS resources for related modifier policy information.

What You Will Learn

  • What CMS changed in the discarded drugs and biologicals policy
  • Which HCPCS item is affected by the update
  • Where to find CMS guidance related to the JW and JZ modifier policy
  • How the update fits within Medicare Part B drug billing and compliance

Who Should Read This

  • Medical coders
  • Medical billers
  • Compliance staff
  • Revenue cycle teams
  • Pharmacy billing personnel

Codes Discussed

Modifiers Discussed


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