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Newsletter Vol. 12, No. 81
Act
immediately
Effective date
Jan 1, 2002
Identified
Jun 20, 2026
Summary
New Jersey Medicaid and NJ FamilyCare updated their list of approved practitioner-administered drugs with new HCPCS codes added effective January 1, 2002, deletions effective July 1, 2002, and revised reimbursement rates. Providers must use the updated fee schedule and enter AWP or acquisition cost (whichever is lower) in block 24F on CMS 1500 forms.
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What to do
immediately · 3 steps
01Billing team must update fee schedules with the new maximum allowable rates for listed HCPCS codes.
02Update billing software to ensure AWP or acquisition cost (whichever is lower) is entered in block 24F on CMS 1500 forms for these drug codes.
03Replace previous practitioner-administered drug lists with this updated version for New Jersey Medicaid and NJ FamilyCare claims.
Codes mentioned
C9115J0151J0282J0587J0620J0692J0706J0744J1056J1270J1327J1452J1563J1590J1655J1755J1835J2020J2540J2770J2795J2993J2997J3100J3485J7190J7191J7193J7194J7195J7300J7302J7316J7340J7511J7525J9017J9160J9180J9214J9215J9219J9250J9300S0023J0120J0130J0150J0170J0190J0200J0205J0207J0210J0256J0280J0285J0286J0290J0295J0300J0330J0350J0360J0380J0390J0395J0456J0460J0470J0475J0476J0500J0515J0520J0530J0540J0550J0560J0570J0580J0585J0600J0610J0630J0635J0640J0670J0690J0694J0696J0697J0698J0702J0704J0710J0713J0715J0720J0735
Original notice
Newsletter Vol. 12, No. 81
njmmis.com · Always check the source before changing claims.
Related changes
See all New Jersey Medicaid changes →Newsletter Vol. 10, No. 68MediumEffective Oct 1, 2000 · Provider NoticeNewsletter Vol. 13, No. 55MediumEffective Jan 1, 2003 · Provider NoticeNewsletter Vol. 4, No. 04HighEffective Jan 1, 2025 · Provider NoticeNewsletter Vol. 12, No. 88HighEffective Sep 1, 2002 · CodingBrowse every New Jersey Medicaid change in the policy list
Related policy hubs
New Jersey Medicaid policiesNJ policy changesCode C9115Code J0151Code J0282Code J0587Code J0620Code J0692Code J0706Code J0744Code J1056Code J1270Code J1327Code J1452Code J1563Code J1590Code J1655Code J1755Code J1835Code J2020Code J2540Code J2770Code J2795Code J2993Code J2997Code J3100Code J3485Code J7190Code J7191Code J7193Code J7194Code J7195Code J7300Code J7302Code J7316Code J7340Code J7511Code J7525Code J9017Code J9160Code J9180Code J9214Code J9215Code J9219Code J9250Code J9300Code S0023Code J0120Code J0130Code J0150Code J0170Code J0190Code J0200Code J0205Code J0207Code J0210Code J0256Code J0280Code J0285Code J0286Code J0290Code J0295Code J0300Code J0330Code J0350Code J0360Code J0380Code J0390Code J0395Code J0456Code J0460Code J0470Code J0475Code J0476Code J0500Code J0515Code J0520Code J0530Code J0540Code J0550Code J0560Code J0570Code J0580Code J0585Code J0600Code J0610Code J0630Code J0635Code J0640Code J0670Code J0690Code J0694Code J0696Code J0697Code J0698Code J0702Code J0704Code J0710Code J0713Code J0715Code J0720Code J0735