jw modifier

  1. J

    Wiki JW Medication waste billing

    Has anyone come up with an efficient strategy to deal with reporting RX waste charges, when a vial size is used that leaves waste beyond the optimal vial size combination? "The units billed should where possible correspond with the smallest dose (vial) available for purchase from the...
  2. J

    Wiki Commercial Payers and Drug Waste

    Are there any commercial payers actually paying for drug waste, or those drugs billed with the JW modifier? I know that CMS now requires the reporting of drug waste, and reimbursement may be warranted when certain criteria is met, but this criteria is vague. If commercial payers are paying for...
  3. J

    Wiki Billing Wastage on Single-Use Vials when JW is not recognized

    I work with several neuro practices and ran into a situation with a third party biller in Rhode Island billing for Botox. This particular payer does not recognize the JW modifier. The provider injected 155 units for chronic migraine and discarded 45 units. I advised the billing company that they...
  4. candyjl78

    Wiki Botox Injections and Waste (Remaining given to another provider)

    I have a scenario where one provider gives the patient a Botox injection for a migraine and they want to give the remaining Botox to another physician in another clinic (but through the same hospital) to use for neuropathic pain on the same patient. The patient's insurance will pay for Botox...
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