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Newsletter Vol. 23, No.09
Act
immediately
Effective date
Apr 1, 2013
Identified
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.
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What to do
immediately · 2 steps
01Update 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.
02Train billing staff to identify covered preventive services and apply modifier 33 correctly to ensure proper reimbursement without patient cost sharing.
Codes mentioned
993859938699387993959939699397G044476700767057677076775G03899940899409G0442G0443G0396G03979940699407800618246583718837198372184478G04478227082274G0104G0105G0121G03284438844389443904439144392443934439444395443964439745330453314533345334453384533945378453804538145382453834538445385453864538745388453894539045391453927426382947830368295082951829529780297803G0446867018670286703873898739087391G0432G0433G0435G04458659297799906549065690658906609071490715907169065090649907369070790732906449073390734906329063390636907409074690747
Original notice
Newsletter Vol. 23, No.09
njmmis.com · Always check the source before changing claims.
Related changes
See all New Jersey Medicaid changes →Newsletter Vol. 32, No.13MediumEffective May 1, 2022 · Medical PolicyNewsletter Vol. 12, No. 82HighEffective Sep 9, 2002 · Provider NoticeNewsletter Vol. 12, No. 84MediumEffective Sep 9, 2002 · Provider NoticeNewsletter Vol. 12, No. 85MediumEffective Sep 9, 2002 · Provider NoticeBrowse every New Jersey Medicaid change in the policy list
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