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Thread: JW Modifier

  1. #1

    Smile JW Modifier

    AAPC: Back to School
    Does anyone have any information on the JW modifier? Any help would be wonderful I have already been to the CMS website.
    Thanks Judy

  2. #2
    Join Date
    Apr 2007


    We use the JW modifier for drug wastage. We try to schedule our Botox patients in such a way that we don't have wastage but when we do you can bill that wastage to the insurance companies and get reimbursed for it. Example: Patient injected with 75 units of Botox, 25 units wastage - J0585 x 75 and J0585/JW x 25.

    Hope this helps!
    Susie Corrado, CPC
    ENT Coding/Billing

  3. #3


    For Illinois, WPS Medicare does not require the use of the JW modifier.

    You can optionally use it and would note the drug waste in Box 19 and use the JW modifier. This would be all on one line.

    This was per a Medicare response to our written inquiry on www.medicareinfo.com

    Tara Vancil, CPC

  4. #4

    Default jw modifier

    does anyone know how to use the jw modifier in a wound care setting.. for example for apligraft,dermagraft...how is the waste billed

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