HCPCS ‘J’ Modifiers

ModifierDescription
J1Competitive acquisition program no-pay submission for a prescription number

J2Competitive acquisition program, restocking of emergency drugs after emergency administration
J3Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology

J4Dmepos item subject to dmepos competitive bidding program that is furnished by a hospital upon discharge
J5Off-the-shelf orthotic subject to dmepos competitive bidding program that is furnished as part of a physical therapist or occupational therapist professional service
JAAdministered intravenously
JBAdministered subcutaneously
JCSkin substitute used as a graft
JDSkin substitute not used as a graft
JEAdministered via dialysate
JGDrug or biological acquired with 340b drug pricing program discount, reported for informational purposes

JKOne month supply or less of drug or biological
JLThree month supply of drug or biological
JWDrug amount discarded/not administered to any patient
JZZero drug amount discarded/not administered to any patient

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