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New Jersey MedicaidMedicaid · Billing Codes · Coding · NJ · OB-GYN, Family Medicine, General PracticeHigh impact

Newsletter Vol. 12, No. 92

Act
by Sep 1, 2002
Effective date
Sep 1, 2002
Identified
Jun 20, 2026

Summary

New Jersey Medicaid/NJ FamilyCare is discontinuing four NJ-specific IUD billing codes (W0001, W0002, W0004, W0008) and replacing them with national HCPCS codes that separately bill for the insertion/removal procedure (CPT 58300/58301) and the device itself (J7300 for Paragard, J7302 for Mirena). Providers must update billing practices to use the new codes and complete the family planning indicator field on claim forms effective September 1, 2002.

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What to do

by Sep 1, 2002 · 7 steps
01Billing team must immediately discontinue use of codes W0001, W0002, W0004, and W0008 for all NJ Medicaid/NJ FamilyCare IUD claims.
02Update billing system to use CPT 58300 for IUD insertion (includes post-insertion visit) and CPT 58301 for IUD removal.
03Add J7300 (Paragard device) or J7302 (Mirena device) as applicable to each claim.
04On all CMS 1500 claim forms, complete block 24H (family planning indicator) with '2' for beneficiaries age 21+, or '3' for beneficiaries under 21.
05For device codes J7300/J7302, enter the AWP or acquisition cost (whichever is lower) in block 24F.
06Train all billing staff on the code transitions.
07Claims submitted with old W-codes will be denied; claims missing the family planning indicator or device codes will be rejected.

Codes mentioned

5830058301J7300J7302W0001W0002W0004W0008

Original notice

Newsletter Vol. 12, No. 92
njmmis.com · Always check the source before changing claims.
View original ↗

Related changes

See all New Jersey Medicaid changes →
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Related policy hubs

New Jersey Medicaid policiesNJ policy changesOB-GYNFamily MedicineGeneral PracticeCode 58300Code 58301Code J7300Code J7302Code W0001Code W0002Code W0004Code W0008

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