MedicaidBilling CodesHigh impact
Newsletter Vol. 23, No.09
New Jersey Medicaid·NJ · Family Medicine, Internal Medicine, General Practice +2 more·Provider Notice
Effective date
Apr 1, 2013
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid now covers preventive care services with USPSTF A and B ratings without cost sharing, effective April 1, 2013. Providers must use modifier 33 with specific CPT codes when billing preventive services to identify them as covered preventive care.
Action Required
Immediately: Update billing system to add modifier 33 to all eligible preventive care service CPT codes listed in the guidelines when billing with the specified ICD-9 diagnosis codes. Train billing staff to identify covered preventive services and apply modifier 33 correctly to ensure proper reimbursement without patient cost sharing.