JG Modifier
Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes
HCPCS modifierJG
- Description
- Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes
- Short description
- 340b acquired drug
- Added
- January 1, 2018
- Last change
- January 1, 2025
What does the JG modifier mean?
The HCPCS Level II modifier JG means: “Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes”. Append it to a HCPCS or CPT code on the claim line when the payer’s policy calls for it; placement and payment effects are defined by each payer.
Other J modifiers
- J1 – Competitive acquisition program no-pay submission for a prescription number
- J2 – Competitive acquisition program, restocking of emergency drugs after emergency administration
- J3 – Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology
- J4 – Dmepos item subject to dmepos competitive bidding program that is furnished by a hospital upon discharge
- J5 – Off-the-shelf orthotic subject to dmepos competitive bidding program that is furnished as part of a physical therapist or occupational therapist professional service
- JA – Administered intravenously
- JB – Administered subcutaneously
- JC – Skin substitute used as a graft
- JD – Skin substitute not used as a graft
- JE – Administered via dialysate
- JK – One month supply or less of drug or biological
- JL – Three month supply of drug or biological
- JW – Drug amount discarded/not administered to any patient
- JZ – Zero drug amount discarded/not administered to any patient