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MedicaidBilling CodesMedium impact

Newsletter Vol. 19, No. 21

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

Summary

New Jersey Medicaid is discontinuing four local procedure and modifier codes (W9205, W9215, W9220, Y5150) effective July 1, 2009, and providers must use equivalent national CPT codes instead. Vision care providers must update their billing systems to use the new code mappings for all claims with dates of service on or after this date.

Action Required

Action needed
By July 1, 2009: Vision care billing team must update billing software to replace discontinued NJ local codes with national equivalents: W9205 becomes 92065 with modifier 22, W9215 and W9220 become 99211, Y5150 becomes V2020. Update encounter forms and staff training materials. Claims submitted with old local codes will be rejected after the effective date.

Affected Billing Codes

92065
99211
V2020