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Oncology & Hematology Coding Alert

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Get Up to Speed on CMS's Modifier JW and 99406/99407 Announcements

Published on Sun Aug 22, 2010

If you were confused by Transmittal 1962, you weren't alone. Coding for discarded drugs and tobacco cessation counseling just got a little clearer. Check out these two recent CMS transmittals to be sure you're applying the rules correctly. 1. Look to Contractor for JW Details Medicare's recent update regarding modifier JW (Drug amount discarded/not administered to any patient) caused enough confusion that CMS has released a clarification. What you need to know: Your contractor determines: whether it requires modifier JW for discarded-drug claims the details of how to document the discarded drug information the details of how to apply those rules on the claims The contractor is also responsible for notifying your practiceabout those rules. So in addition to reading through the official CMS guidance, be sure to reference your specific MAC or local carrier website for any additional requirements regarding modifier JW and discarded-drug claims. You'll find the original transmittal [...]
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