JUL 20, 2023
Do We Use Modifier -JW with Residual Eylea?
Our ophthalmologist reports that if we have Eylea remaining in the syringe after an injection, we should bill the waste with modifier -JW. Is this correct?
The syringes are prepared with overfill to allow the delivery of the appropriate dosage. Overfill is not considered reportable waste with modifier JW per CMS. When a prefilled syringe of Eylea is injected, 2 mg/0.05 ml, the procedure note should state “residual medication less than 1 unit was discarded.”
The claim should be coded J0178 – JZ, 2 units.
Visit aao.org/retinapm for injectable drugs coding guidance, Table of Common Retina Drugs, and Fact Sheet JZ and JW Modifier.