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JW and JZ Modifiers for Single-Dose Container Compliance Under the CMS discarded drug policy effective January 1, 2017 and continuing through 2026, every HCPCS J-code billed alongside CPT 20610 for a Medicare Part B claim requires either the JW modifier (for discarded amounts from single-dose containers that qualify for separate payment) or the JZ modifier (as an attestation that no drug was discarded from the single-dose container)

If the liver is sluggish, it will cause a problem in T4-T3 conversion (6)

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