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

Newsletter Vol. 12, No. 89

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

Summary

New Jersey Medicaid/NJFamilyCare is separating IUD billing into two components: procedure codes for insertion/removal (CPT 58300, 58301) and device codes (HCPCS J7300, J7302). Eight legacy state-specific codes (W0001-W0008 series) are discontinued. Providers must update billing systems and claim forms to use the new code set effective September 1, 2002.

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What to do

by Sep 1, 2002 · 6 steps
01Billing team must immediately discontinue use of legacy codes W0001 WF, W0001 WF WM, W0002 WF, W0002 WF WM, W0004 WF, W0004 WF WM, W0008 WF, and W0008 WF WM in the billing system.
02Update billing software to use CPT 58300 (IUD insertion) and 58301 (IUD removal) with modifier WF and appropriate follow-up days.
03Configure system to bill IUD devices separately using J7300 (Paragard) or J7302 (Mirena) codes.
04Update CMS 1500 claim form templates to populate block 24H with family planning indicator '2' (age 21+) or '3' (under 21).
05Train providers to enter Average Wholesale Price (AWP) or acquisition cost in block 24F for device codes.
06Verify billing system recognizes indicator 'E' exclusion from multiple surgery pricing rules.
If missed: Failure to update claims will result in denials for IUD procedures submitted under old codes.

Codes mentioned

5830058301J7300J7302

Original notice

Newsletter Vol. 12, No. 89
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 J7302

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