MedicaidCoverageMedium impact
Newsletter Vol. 13, No. 02
New Jersey Medicaid·NJ · Pediatrics·Coding
Effective date
Jan 1, 2003
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid will now reimburse CPT codes 99433 and 99433 AV for subsequent hospital care visits to newborns by physicians and advance practice nurses. This expands existing coverage to ensure all physician/APN visits during a newborn's hospital stay are eligible for Medicaid reimbursement.
Action Required
Immediately: Billing team must update system to bill CPT 99433 and 99433 AV for subsequent hospital care visits to newborns for New Jersey Medicaid patients. Set reimbursement rates: specialists $23.50, non-specialists $20.60 for 99433; non-specialists $19.60 for 99433 AV. Update encounter forms for hospital-based newborn care.