MedicaidBilling CodesHigh impact
Newsletter Vol. 22, No.10
New Jersey Medicaid·NJ, NY, PA·Coding
Effective date
Oct 1, 2011
We identified it
Jun 20, 2026
Summary
New Jersey hospitals must now use revenue code 180 and occurrence span code 74 when billing combined readmission claims for Medicaid and NJ FamilyCare patients. When readmission claims are denied with edits 919, 920, or 924, providers must void the original claim and resubmit as a combined claim.
Action Required
Immediately: Hospital billing teams in NJ, NY, and PA must update UB04 billing procedures for Medicaid readmission claims. When receiving denial edits 919, 920, or 924, void the original claim and resubmit as combined claim using occurrence span code 74 in Form Locators 35-36 and revenue code 180 for days patient was not in facility. Use FD999 form for voids/adjustments. Failure to follow these procedures will result in continued claim denials.