Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
New Jersey MedicaidMedicaid · Billing Codes · Provider Notice · NJHigh impact

Newsletter Vol. 14, No. 53

Act
by Jul 1, 2004
Effective date
Jan 1, 2004
Identified
Jun 20, 2026

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HCPCS codes with additions of 17 new practitioner-administered drugs (effective January 1, 2004) and deletions of 11 outdated codes (effective July 1, 2004).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.

Get alerts when payers change rules like this one

We check New Jersey Medicaid and other payers every day and email you when a change matches your specialty and state.

Get New Jersey Medicaid alertsPolicy Monitoring is free. No card required.

What to do

by Jul 1, 2004 · 4 steps
01Billing 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).
02Add new J-codes for practitioner-administered drugs with maximum fee allowances.
03Update encounter forms and remove codes with no replacement (J1910, J7625, Q9920).
04Claims submitted with deleted codes after July 1, 2004 will be denied.

Codes mentioned

J0152J0215J0583J1335J2001J2185J2280J2353J2354J2505J2783J3411J3415J3465J3486J9098J9178J9263J9395Q4055C9116C9119C9120J0151J1910J2000J2352J7625J9180Q4053Q9920G0306G0307G032889350893558936089399G0026P9042P96108415684157850558539687269873298766088112883618922089225892308600599395Q0116H5025H5300W9065W9066W9067W9068W98209938299392993859085397535

Original notice

Newsletter Vol. 14, No. 53
njmmis.com · Always check the source before changing claims.
View original ↗

Related changes

See all New Jersey Medicaid changes →
Newsletter Vol. 10, No. 70MediumEffective Sep 1, 2000 · Provider NoticeNewsletter Vol. 14, No. 08HighEffective Feb 1, 2004 · Provider NoticeNewsletter Vol. 14, No. 31HighEffective Apr 1, 2004 · Provider NoticeNewsletter Vol. 12, No. 82HighEffective Sep 9, 2002 · Provider NoticeBrowse every New Jersey Medicaid change in the policy list

Related policy hubs

New Jersey Medicaid policiesNJ policy changesCode J0152Code J0215Code J0583Code J1335Code J2001Code J2185Code J2280Code J2353Code J2354Code J2505Code J2783Code J3411Code J3415Code J3465Code J3486Code J9098Code J9178Code J9263Code J9395Code Q4055Code C9116Code C9119Code C9120Code J0151Code J1910Code J2000Code J2352Code J7625Code J9180Code Q4053Code Q9920Code G0306Code G0307Code G0328Code 89350Code 89355Code 89360Code 89399Code G0026Code P9042Code P9610Code 84156Code 84157Code 85055Code 85396Code 87269Code 87329Code 87660Code 88112Code 88361Code 89220Code 89225Code 89230Code 86005Code 99395Code Q0116Code H5025Code H5300Code W9065Code W9066Code W9067Code W9068Code W9820Code 99382Code 99392Code 99385Code 90853Code 97535

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account