I’m needing some clarification on billing for medication waste. If a patient receives 80 units of Botox and the remaining 20 units is wasted from a 100 unit vial,then I would bill as:
J0585 x80 units
J0585 x20 units JW

Now what if the insurance company doesn’t accept the JW modifier, then should I bill the above scenario as J0585 x80 units or J0585 x100 units?

Any guidance is appreciated!