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MedicaidBilling CodesMedium impact

Newsletter Vol. 13, No. 36

New Jersey Medicaid·NJ · OB-GYN·Coding
Effective date
Jan 1, 2003
We identified it
Jun 20, 2026
Days to comply

Summary

New Jersey Medicaid has added 5 new HCPCS procedure codes for family planning services effective January 1, 2003, and will delete 2 codes effective July 1, 2003. The added codes include venipuncture and various gynecological procedures with specific maximum fee allowances.

Action Required

Action needed
Immediately: Family planning clinics billing New Jersey Medicaid must add new HCPCS codes 36416, 56820, 56821, 57420, and 57421 to billing systems with specified maximum fee allowances. By July 1, 2003: Stop using deleted codes 88144 and 88145 as no replacement codes are available. Update fee schedules and encounter forms accordingly.

Affected Billing Codes

36416
56820
56821
57420
57421
88144
88145