Pharmacy

For the Week of September 19, 2016

Does the JW modifier apply to drug overfill?

No, the JW modifier must not be used to report overfill wastage. Beginning January 1, 2011, Medicare issued regulations expressly prohibiting billing for overfill, which is any amount of drug greater than the amount identified on the package or label. Additional information on the overfill policy is available in the Physician Fee Schedule Final Rule published in the November 29, 2010 Federal Register (75 FR 73466-70) available at https://www.federalregister.gov/articles/2010/11/29/2010-27969/medicare-program-payment-policies-under-the-physician-fee-schedule-and-other-revisions-to-part-b-for.