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MedicaidBilling CodesHigh impact

Newsletter Vol. 14, No. 53

New Jersey Medicaid·NJ·Provider Notice
Effective date
Jan 1, 2004
We identified it
Jun 20, 2026
Days to comply

Summary

New Jersey Medicaid has updated HCPCS codes with additions of 17 new practitioner-administered drugs (effective January 1, 2004) and deletions of 11 outdated codes (effective July 1, 2004). Multiple provider types including physicians, hospitals, and clinics must update their billing systems with new codes and replacement mappings.

Action Required

Action needed
By July 1, 2004: Billing team must update billing software to replace deleted codes with new replacement codes as specified in the crosswalk (e.g., use J1335 instead of C9116, J2505 instead of C9119). Add new J-codes for practitioner-administered drugs with maximum fee allowances. Update encounter forms and remove codes with no replacement (J1910, J7625, Q9920). Claims submitted with deleted codes after July 1, 2004 will be denied.

Affected Billing Codes

J0152
J0215
J0583
J1335
J2001
J2185
J2280
J2353
J2354
J2505
J2783
J3411
J3415
J3465
J3486
J9098
J9178
J9263
J9395
Q4055
C9116
C9119
C9120
J0151
J1910
J2000
J2352
J7625
J9180
Q4053
Q9920
G0306
G0307
G0328
89350
89355
89360
89399
G0026
P9042
P9610
84156
84157
85055
85396
87269
87329
87660
88112
88361
89220
89225
89230
86005
99395
Q0116
H5025
H5300
W9065
W9066
W9067
W9068
W9820
99382
99392
99385
90853
97535