Reimbursement policy update: Pharmaceutical Waste — Professional and Facility

Effective September 13, 2023, the Related Coding section of the Pharmaceutical Waste —Professional and Facility reimbursement policy was updated to include modifier JZ (zero drug amount discarded or not administered to any patient) as a new informational modifier. This modifier will not affect reimbursement.

As a reminder, the intent of this policy is to require providers to use the most cost-effective vial or combination of vials of pharmaceutical when procuring and preparing a dose for administration to avoid pharmaceutical wastage. This applies to any non-self-administered drug or biologic dosage prepared from a single-dose vial (SDV).