MedicaidBilling CodesMedium impact
Newsletter Vol. 31, No.24
New Jersey Medicaid·NJ · OB-GYN·Provider Notice
We identified it
Jun 20, 2026
Summary
Insurance provider has revised the diagnosis codes for non-medically indicated early elective deliveries. This affects billing and documentation requirements for elective delivery procedures performed before 39 weeks gestation.
Action Required
Download and review the complete policy document from https://www.njmmis.com/documentDownload.aspx?document=31-24.pdf to identify the specific revised diagnosis codes. Update billing system and encounter forms with the new diagnosis codes for early elective deliveries. Train billing staff and providers on the revised coding requirements.