MedicaidBilling CodesMedium impact
Newsletter Vol. 29, No.01
New Jersey Medicaid·NJ · Psychiatry·Pharmacy
Effective date
Jan 1, 2019
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid clarified billing procedures for urine drug testing in substance use disorder programs, introducing a new code H0048 HF ($2.50) for collection-only services when samples are sent to external labs, while maintaining H0003 HF for on-site testing.
Action Required
By January 1, 2019: Billing teams at outpatient SUD treatment programs must update billing systems to use new HCPCS code H0048 HF ($2.50 reimbursement) when only collecting urine samples for external lab testing, while continuing to use H0003 HF for on-site rapid testing. Ensure CLIA Certificate of Waiver is obtained for each site performing on-site testing.