In the CY 2023 PFS, we finalized the requirement to use the JW modifier for single-dose container drugs that are separately payable under Part B, and we finalized the use of the JW modifier (or any successor modifier that includes the same data) to identify discarded billing units of a billing and payment code for the purpose of calculating the refund amount as described in section 1847A(h)(3) of the Act
[xvii] Poisonous and Deleterious Substances Control ActJapanese/EnglishJapanese Law Translation
(ii) The product of (A) The AMP for the Part D rebatable drug reported for the calendar quarter beginning January of the applicable period
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each additional 15 minutes (List separately in addition to code for primary service) (Use GCTB2 in conjunction with GCTB1) )
As previously noted, we currently require the transfer of care modifiers (-56 pre-operative care, -54 for procedures, and -55 for post-operative care) to be appended in cases where there is a formal documented transfer of care agreement, that is, in the form of a letter or an annotation in the discharge summary, hospital record, or Ambulatory Surgical Center (ASC) record (CMS Manual System, Pub 100-04 Medicare Claims Processing, Transmittal 11287)
