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MedicaidBilling CodesMedium impact

Newsletter Vol. 12, No. 31

New Jersey Medicaid·NJ · Cardiology, Psychiatry, Pain Management +2 more·Coding
Effective date
Jan 1, 2002
We identified it
Jun 20, 2026
Days to comply

Summary

New Jersey Medicaid added 11 new HCPCS codes with reimbursement rates effective January 1, 2002, and deleted 5 codes effective June 1, 2002. Mental Health Clinics must use modifier 'ZI' for specific psychological testing codes when billing Medicaid.

Action Required

Action needed
Immediately: Billing team must update fee schedules for added HCPCS codes 90473, 90474, 90939, 92136, 96150-96155, 20526, 20551-20553, and 59001 with New Jersey Medicaid reimbursement rates. Mental Health Clinics must configure billing system to automatically append modifier 'ZI' to codes 96150-96155 for Medicaid claims. Stop billing deleted codes 93737, 93738, 26597, 29815, and 29909 for dates of service after June 1, 2002.

Affected Billing Codes

90473
90474
90939
92136
96150
96151
96152
96153
96154
96155
20526
20551
20552
20553
59001
93737
93738
26597
29815
29909