Summary
New Jersey Medicaid and NJ FamilyCare added 12 new HCPCS procedure codes for pathology/laboratory services effective January 1, 2003, with maximum fee allowances. Simultaneously, 15 obsolete HCPCS codes are being deleted effective May 1, 2003, with specific replacement codes or crosswalk instructions provided.
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What to do
Action · 5 steps
01IMMEDIATE: Billing team must update billing system to add 12 new HCPCS codes (83880, 84302, 85004, 85032, 85049, 85380, 87255, 87267, 87271, 88174, 88175, 89055) with their respective maximum fee allowances for all claims with dates of service on or after January 1, 2003.
02By May 1, 2003: Remove 15 deleted HCPCS codes (80090, 85021, 85022, 85023, 85024, 85031, 85585, 85590, 85595, 86915, 87198, 87199, 88144, 88145) from billing system for all claims with service dates on or after May 1, 2003.
03Train providers and billing staff on replacement codes per the deletion crosswalk provided (e.g., use 86664, 86694, 86762, or 86777 instead of 80090; use 85007 or 85027 instead of 85023).
04Update Hospital Manual and internal coding guidelines.
05Verify all pathology/laboratory claims submitted between January 1 and May 1, 2003 use only the newly added codes.
If missed: Failure to update codes will result in claim denials and processing delays for New Jersey Medicaid and NJ FamilyCare claims.
Codes mentioned
8388084302850048503285049853808725587267872718817488175890558009085021850228502385024850318558585590855958691587198871998814488145
Original notice
Newsletter Vol. 13, No. 28
njmmis.com · Always check the source before changing claims.
Related changes
See all New Jersey Medicaid changes →Newsletter Vol. 13, No. 29MediumEffective Jan 1, 2003 · CodingNewsletter Vol. 9, No. 51LowEffective Sep 1, 1999 · CodingNewsletter Vol. 9, No. 57HighEffective Oct 1, 1999 · CodingNewsletter Vol. 10, No. 19MediumEffective Jun 1, 1998 · Medical PolicyBrowse every New Jersey Medicaid change in the policy list
Related policy hubs
New Jersey Medicaid policiesNJ policy changesPathologyGeneral PracticeCode 83880Code 84302Code 85004Code 85032Code 85049Code 85380Code 87255Code 87267Code 87271Code 88174Code 88175Code 89055Code 80090Code 85021Code 85022Code 85023Code 85024Code 85031Code 85585Code 85590Code 85595Code 86915Code 87198Code 87199Code 88144Code 88145