All PlansBilling CodesMedium impact
[New York] Use JW and JZ modifiers correctly for drug waste and full‑dose billing
Anthem BCBS·NY · Oncology, Rheumatology, Gastroenterology +5 more·Pharmacy
We identified it
May 3, 2026
Summary
New York providers must use JW modifier when billing for discarded drug amounts and JZ modifier when billing for zero drug waste (full dose used). This ensures proper documentation and billing compliance for drug administration claims.
Action Required
Immediately: Billing team must update coding procedures to use JW modifier for any discarded drug portions and JZ modifier when the full drug dose is administered with no waste. Train staff on proper modifier application and update billing system edits to flag drug administration claims missing these modifiers.