Pharmacy Question for the Week of May 25, 2020

Pharmacy Compliance Question of the Week


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?


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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