Pharmacy Question for the Week of March 5, 2018

Pharmacy Compliance Question of the Week

Question:

When using the JW modifier, should the dollar amount be included on the wastage line or should the line reflect units only?

Answer:

According to the Centers for Medicare & Medicaid Services (CMS), general billing rules may require a charge be included on each line on the claim. Also, each Medicare administrative contractor (MAC) that processes claims may have specific billing policies or guidance for certain items or services where there is not national billing guidance from CMS. Please contact your local MAC for further billing information.

 

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.