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Newsletter Vol. 13, No. 02
Act
immediately
Effective date
Jan 1, 2003
Identified
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.
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What to do
immediately · 3 steps
01Billing team must update system to bill CPT 99433 and 99433 AV for subsequent hospital care visits to newborns for New Jersey Medicaid patients.
02Set reimbursement rates: specialists $23.50, non-specialists $20.60 for 99433; non-specialists $19.60 for 99433 AV.
03Update encounter forms for hospital-based newborn care.
Codes mentioned
99433
Original notice
Newsletter Vol. 13, No. 02
njmmis.com · Always check the source before changing claims.
Related changes
See all New Jersey Medicaid changes →Newsletter Vol. 13, No. 01LowEffective Jan 1, 2003 · Provider NoticeNewsletter Vol. 13, No. 03MediumNo effective date · Provider NoticeNewsletter Vol. 13, No. 04LowEffective Dec 27, 2002 · PharmacyNewsletter Vol. 13, No. 05LowEffective Jan 10, 2003 · PharmacyBrowse every New Jersey Medicaid change in the policy list