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  • Ask the Expert Coding Competency

    Is JZ Modifier Only for Retina Practices?


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    We have heard about the modifier JZ and assume it is only for retina practices. Are there any other examples in ophthalmic practice?

    Answer:
    Yes, for any single-dose containers, vials and packages based on Food and Drug Administration (FDA)-approved labeling with discarded drugs less than 1 unit, append modifier JZ to the HCPCS code reported.

    Examples could include single-dose vials or packages of fluorouracil, Omidria and Mitosol, inserts or implants like Dextenza and Durysta. Drugs labeled as multidose vials are excluded from reporting modifier JZ or JW.

    To learn more, visit the Coding for Injectable Drugs and download the Table of Common Drugs and Fact Sheet: JW and JZ Modifier.