tci Outpatient Facility Coding Alert - 2019 Issue 2

Modifiers: Get Familiar With Modifier JW Use in OPPS Settings

See how guidelines differ in outpatient facility settings. When billing and reporting for the use of drugs and biologicals in your hospital-based outpatient department, it’s important to take numerous factors into consideration. After reporting the respective procedure, your next step in the process is to appropriately bill out for the type and amount of drug the physician administers. While that can be tricky in its own right, it gets even more complicated when you’ve got to factor in the amount of drug or biological discarded. That’s where modifier JW (Drug Amount Discarded/Not Administered to Any Patient)...

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