Modifier JZ

[drsmith1999@gmail.com]

I am having rejected claims from UHC Medicare Advantage saying the JZ modifier submitted is inappropriate. I am not understanding what needs to be done. Anyone else having this issue? I would appreciate any help. Thank you.

99214: EST PT - LVL 4 (30-39 MIN)
25: Significant Separately Identifiable E&M Service by the Same Physician on the Same Day

J1010: DEPO-MEDROL 1 MG (ADD QUANTITY) 40 U
JZ: ZERO DRUG AMOUNT DISCARDED/NOT ADMINISTERED TO ANY PATIENT

J1010: DEPO-MEDROL 1 MG (ADD QUANTITY) 40 U
JZ: ZERO DRUG AMOUNT DISCARDED/NOT ADMINISTERED TO ANY PATIENT

20610: INJECTION - MJR JOINT
50: Bilateral Procedure

 

[shanamarie]

I am having rejected claims from UHC Medicare Advantage saying the JZ modifier submitted is inappropriate. I am not understanding what needs to be done. Anyone else having this issue? I would appreciate any help. Thank you.

99214: EST PT - LVL 4 (30-39 MIN)
25: Significant Separately Identifiable E&M Service by the Same Physician on the Same Day

J1010: DEPO-MEDROL 1 MG (ADD QUANTITY) 40 U
JZ: ZERO DRUG AMOUNT DISCARDED/NOT ADMINISTERED TO ANY PATIENT

J1010: DEPO-MEDROL 1 MG (ADD QUANTITY) 40 U
JZ: ZERO DRUG AMOUNT DISCARDED/NOT ADMINISTERED TO ANY PATIENT

20610: INJECTION - MJR JOINT
50: Bilateral Procedure

Is the drug NDC a single use vial? If so then the JZ would be correct . If it’s not single use then the JZ would not be needed.
One other issue may be that you are putting the same drug/ same NDC on 2 lines. Insurance probably thinks it’s a duplicate. I would combine on 1 line for the drug if same NDC.

 

[drsmith1999@gmail.com]

Is the drug NDC a single use vial? If so then the JZ would be correct . If it’s not single use then the JZ would not be needed.
One other issue may be that you are putting the same drug/ same NDC on 2 lines. Insurance probably thinks it’s a duplicate. I would combine on 1 line for the drug if same NDC.

Thank you so much. I will look into the vial of the drug.