tci Outpatient Facility Coding Alert - 2016 Issue 6

Reader Question: Modifier JW Will Help Make Up for Discarded Drugs

Question: Our pain management practice is losing quite a bit of money on discarded drugs; we often don’t need the entire single-use vial of a drug, meaning we have to throw the remaining quantity away — and not get paid for it. Is there a way to get paid for unused portions of drugs? New Mexico Subscriber Answer: On July 1, things will change concerning how you report discarded drugs for Medicare. That’s the day the new CMS change request (CR 9603) for the JW modifier (Drug amount discarded/not administered to any patient) goes into effect, CMS...

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