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We also noted that this estimate is based on CY 2022 data for discarded drug amounts, which, for reasons discussed in the CY 2023 PFS final rule (87 FR 69716), we believe to be an underestimate due to the frequent omission of the JW modifier Claims edits for both the JW and JZ modifiers will likely increase accurate reporting of discarded drug amounts

weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a Medicare-enrolled Opioid Treatment Program )

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We codified this process in regulation at 414.940(e)

Hill, C

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