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Newsletter Vol. 13, No. 47
Act
by Jul 1, 2003
Effective date
Jul 1, 2003
Identified
Jun 20, 2026
Summary
New Jersey Medicaid and NJ FamilyCare are adding 28 new HCPCS dental procedure codes and deleting 14 codes effective July 1, 2003. Billing teams must immediately update their systems to use the new codes for restorative, periodontal, and oral surgery procedures, and stop reporting deleted codes to avoid claim rejections.
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What to do
by Jul 1, 2003 · 6 steps
01Billing team must immediately update billing software and fee schedules to add 28 new HCPCS dental codes (D2390-D2394, D4261, D4265, D4275, D4342, D7111, D7140, D7261, D7282, D7287, D7411-D7415, D7472-D7473, D7485, D7671, D7771, D7972, D4211, D7670) with their associated specialist and non-specialist maximum fee allowances.
02Simultaneously, remove 14 deleted codes (D0501, D2110, D2120, D2130, D2131, D2336, D2337, D2380-D2388, D4220, D7110, D7120, D7130, D7420, D7430, D7431, D7480, Y2115, Y2125, Y2505) from all billing systems to prevent claim denials.
03Dental service providers and Federally Qualified Health Centers must use ONLY the new codes on claims submitted for NJ Medicaid and NJ FamilyCare fee-for-service dates of service on or after July 1, 2003.
04Update encounter templates and provider billing guidelines.
05Claims submitted with deleted codes will be rejected.
06Contact NJ DMAHS Office of Utilization Management, Dental Unit at 1-800-782-0181 with questions.
Codes mentioned
D2390D2391D2392D2393D2394D4261D4265D4275D4342D7111D7140D7261D7282D7287D7411D7412D7413D7414D7415D7472D7473D7485D7671D7771D7972D4211D7670D0501D2110D2120D2130D2131D2336D2337D2380D2381D2382D2385D2386D2387D2388D4220D7110D7120D7130D7420D7430D7431D7480Y2115Y2125Y2505
Original notice
Newsletter Vol. 13, No. 47
njmmis.com · Always check the source before changing claims.
Related changes
See all New Jersey Medicaid changes →Medicaid Alert - MA-2003-05HighEffective Jul 1, 2003 · Provider NoticeNewsletter Vol. 14, No. 16HighEffective Apr 1, 2004 · Provider NoticeNewsletter Vol. 20, No. 01MediumEffective Jan 1, 2010 · Provider NoticeNewsletter Vol. 13, No. 01LowEffective Jan 1, 2003 · Provider NoticeBrowse every New Jersey Medicaid change in the policy list
Related policy hubs
New Jersey Medicaid policiesNJ policy changesDentistryOral & Maxillofacial SurgeryCode D2390Code D2391Code D2392Code D2393Code D2394Code D4261Code D4265Code D4275Code D4342Code D7111Code D7140Code D7261Code D7282Code D7287Code D7411Code D7412Code D7413Code D7414Code D7415Code D7472Code D7473Code D7485Code D7671Code D7771Code D7972Code D4211Code D7670Code D0501Code D2110Code D2120Code D2130Code D2131Code D2336Code D2337Code D2380Code D2381Code D2382Code D2385Code D2386Code D2387Code D2388Code D4220Code D7110Code D7120Code D7130Code D7420Code D7430Code D7431Code D7480Code Y2115Code Y2125Code Y2505