Korbc
Guru
does anyone know if this is a drug that you can charge for the discarded amount for with the JW modifier. CMS's verbiage on their website was a bit confusing
There is an AAPC article on this: https://www.aapc.com/blog/88325-master-modifiers-jw-and-jz-rules/does anyone know if this is a drug that you can charge for the discarded amount for with the JW modifier. CMS's verbiage on their website was a bit confusing
thanks a ton! and do some insurance carriers honor this do you know or is jw and jz specifically only for medicare?There is an AAPC article on this: https://www.aapc.com/blog/88325-master-modifiers-jw-and-jz-rules/
It should be required for any Medicare Advantage (MA) plans, but on commercial plans, the required use of the modifiers JW & JZ it is going to be carrier specific. The commercial carrier I work for requires them, but I know others don't. The best recommendation is to check with the carriers you contract with and make a list of who does and does not require these modifiers.thanks a ton! and do some insurance carriers honor this do you know or is jw and jz specifically only for medicare?
thank you so much!It should be required for any Medicare Advantage (MA) plans, but on commercial plans, the required use of the modifiers JW & JZ it is going to be carrier specific. The commercial carrier I work for requires them, but I know others don't. The best recommendation is to check with the carriers you contract with and make a list of who does and does not require these modifiers.
thanks so much!My reference sheet shows methotrexate is available in both single dose and multi dose vials so it is possible you would need to bill it using a JZ or JW modifier, depending on your payer requirements. In my experience, the payers have policies directly addressing the use of the JZ/JW modifiers. And all the Medicare Advantage plans we work with require as does Medicare (obviously ). In our area, only two of the "big payers" don't require the waste modifiers.