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MedicaidBilling CodesHigh impact

Newsletter Vol. 14, No. 17

New Jersey Medicaid·NJ · PM&R (Physical Medicine & Rehab), Orthopedics, Physical Therapy +1 more·Provider Notice
Effective date
Apr 1, 2004
We identified it
Jun 20, 2026
Days to comply

Summary

New Jersey Medicaid is discontinuing 28 local procedure codes effective April 1, 2004, with some codes replaced by national HCPCS codes and others deleted entirely. Medical suppliers must update their billing systems to use the new national codes or stop billing the deleted codes to avoid claim rejections.

Action Required

Action needed
By April 1, 2004: Billing team must update billing system to replace discontinued NJ local codes (X-codes) with specified national HCPCS codes where replacements exist, and completely stop billing codes with no replacement. Update encounter forms and train staff on new code mappings. Claims submitted with old X-codes after April 1st will be rejected by NJ Medicaid.

Affected Billing Codes

L3580
L3649
A4209
A4649
E1902
A4930
A4927