Awareness : OBC Tips

JW Modifier

JW modifier: Drug amount discarded/not administered to any patient

Effective July 1, 2016, providers are required to:

  • Use the JW modifier for claims with unused drugs or biologicals from single use vials or single use packages that are appropriately discarded (except those provided under the competitive acquisition program (CAP) for Part B drugs and biologicals); and
  • Document the discarded drug or biological in the patient’s medical record when submitting claims with unused Part B drugs or biologicals from single use vials or single use packages that are appropriately discarded.

Remember that the JW modifier is not used on claims for CAP drugs and biologicals.