ACloserLook Reimbursement Issues in Diagnostic Imaging

Processing Drug Claims with the JW Modifier

CMS issued Transmittal 1478 that provides additional clarification to Chapter 17, Section 40 of the CMS Manual System regarding the use of the JW modifier when processing all drugs except those provided under the Competitive Acquisition Program for Part B drugs and biologicals. The implementation date for this update was April 14 and the effective date is January 1, 2008.

Carriers may require use of the JW modifier to identify unused drug or biologicals from single use vials or single use packages that are appropriately discarded. This modifier will provide payment for the discarded drug or biological.

Spring 2008 Newsletter


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