MedicaidBilling CodesMedium impact
Newsletter Vol. 19, No. 34
New Jersey Medicaid·NJ · Orthopedics, General Practice·Provider Notice
Effective date
Jul 1, 2009
We identified it
Jun 20, 2026
Summary
Effective July 1, 2009, the New Jersey Division of Medical Assistance & Health Services will no longer accept local procedure code X3690 for Medicaid and NJ FamilyCare fee-for-service claims. This code has been deleted entirely with no replacement code available. Prosthetic and orthotic service providers must cease billing this code immediately for all dates of service on or after the effective date.
Action Required
By June 30, 2009: Billing team must remove local code X3690 from all billing system configurations, fee schedules, and templates used for New Jersey Medicaid and NJ FamilyCare fee-for-service claims. Prosthetic and orthotic service providers must identify all current claims using X3690 and determine appropriate alternative coding before the effective date. On or after July 1, 2009, do not submit any claims to NJ Medicaid or NJ FamilyCare containing code X3690. Claims submitted with this deleted code will be denied. Update internal documentation and provider communication materials to reflect the deletion. Retain this newsletter for compliance records.