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Newsletter Vol. 19, No. 25

New Jersey Medicaid·NJ · Pediatrics·Provider Notice
Effective date
Jul 1, 2009
We identified it
Jun 20, 2026
Days to comply

Summary

New Jersey is deleting 21 local procedure codes (Y7333-Y7373 series) effective July 1, 2009 with no replacement codes. Billing teams must immediately identify all claims using these codes and cease billing them to avoid claim denials on Medicaid and NJ FamilyCare fee-for-service plans.

Action Required

Action needed
By June 30, 2009: Billing team must audit all active billing processes and remove all 23 deleted Y-codes (Y7333, Y7334, Y7335, Y7338, Y7339, Y7345-Y7349, Y7353-Y7358, Y7363-Y7366, Y7368-Y7369, Y7373) from billing software and encounter templates. Providers must identify any claims pending with these codes for NJ Medicaid and NJ FamilyCare fee-for-service beneficiaries and either resubmit with alternate codes or cancel before July 1, 2009. Effective July 1, 2009 and forward, do not submit any claims using these Y-codes—the state will not accept them and claims will be denied. Contact Michael A. Nuskey at 1-609-984-5103 if your practice needs guidance on alternative coding options for services previously billed with deleted codes.

Affected Billing Codes

Y7333
Y7334
Y7335
Y7338
Y7339
Y7345
Y7346
Y7347
Y7348
Y7349
Y7353
Y7354
Y7355
Y7356
Y7357
Y7358
Y7363
Y7364
Y7365
Y7366
Y7368
Y7369
Y7373