Pharmacy

Pharmacy Question for the Week of May 25, 2020

Pharmacy Compliance Question of the Week

Question:

Instead of reporting a second line with the discarded drug amount and price, may a provider/supplier report one line with the amount used and the adjusted price?

Answer:

No. To identify and monitor billing and payment for discarded drugs under Medicare Part B, CMS requires the use of the JW modifier on a separate claim line.


This question was answered in our annual CT/MR Coding: Best Practices and Avoiding Common Mistakes webcast. For more hot topics relating to radiology services, please visit our store or call us at 1.800.252.1578, ext. 2.

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