All PlansBilling CodesMedium impact
PAP270 - Billing for Drug Waste - Added instructions for JZ modifier usage.
Blue Cross of Idaho·ID · Oncology, Rheumatology, Gastroenterology +1 more·Pharmacy
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho updated their drug waste billing policy PAP270 to add instructions for using the JZ modifier. When there is no discarded drug waste, providers must now bill with the JZ modifier to attest that no drug amounts were discarded.
Action Required
Immediately: Billing team must update billing procedures to include JZ modifier when no drug waste occurs for single-dose/single-use vials. Train staff to bill JZ modifier along with drug administration codes when entire vial contents are used with no discarded amounts. Update billing software rules to prompt for JZ modifier usage when appropriate.