Discarded drugs: Your carrier now has the final say

Why This Topic Matters

Drug wastage reporting can vary by contractor, so readers need to know when local policy controls documentation and claim handling. The article helps billing staff and coders stay aligned with Medicare contractor requirements for discarded medication claims.

Article Sections

1. Modifier JW and carrier policy

   Introduces the topic of drug wastage reporting and the role of carrier or MAC policy in determining claim handling. The section focuses on Medicare contractor authority and local variation.

2. CMS policy changes and contractor flexibility

   Summarizes the CMS policy update and the shift toward local contractor discretion. It addresses the broader framework for how discarded drug information may be reported and documented.

3. Examples of MAC guidance and documentation expectations

   Describes how selected Medicare contractors have communicated their approach and what documentation elements may be required. It also notes the kinds of operational guidance contractors may provide to providers.