AHA Coding Clinic® for HCPCS - 2025 Issue 2; For Your Information

Changes to the JW and JZ modifier policy

Discarded Drugs & Biologicals: Deleted HCPCS Code CMS has deleted HCPCS code J0739, Injection, cabotegravir, 1 mg, FDA-approved prescription, only for use as HIV pre-exposure prophylaxis (not for use as treatment for HIV), from the Discarded Drugs and Biologicals - JW Modifier and JZ Modifier Policy. For more information regarding modifiers JW and JZ, please refer to the JW Modifier and JZ Modifier Policy FAQ at:https://www.cms.gov/medicare/payment/part-b-drugs/discarded-drugs. ...

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