BC Advantage - 2023 Issue 11

Update on Policy for Using Modifiers JW and JZ

Discarded Drugs from Single-Dose ContainersJW has been a requirement since 2017; however, Medicare is using the JW modifier and JZ modifier to calculate discarded drug refunds, effective January 1, 2023.  But did you know that as of July 1, 2023, providers and suppliers are required to report the JZ modifier on all claims that bill for drugs from single-dose containers that are separately payable under Medicare Part B when there are no discarded amounts?Overview: About JW and JZThe JW and JZ modifier policy applies to all providers and suppliers who buy and bill separately payable drugs...

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