MedicaidBilling CodesMedium impact
Newsletter Vol. 12, No. 30
New Jersey Medicaid·NJ · Family Medicine, Internal Medicine, General Practice·Coding
Effective date
Jan 1, 2002
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid and NJ FamilyCare added nine HCPCS procedure codes with corresponding maximum fee allowances for services provided by Certified Nurse Practitioners and Clinical Nurse Specialists, effective January 1, 2002. Billing teams must update systems to use these new codes (96150-96155, 99502, 99539) when submitting claims for CNP/CNS services to ensure proper reimbursement.
Action Required
Before submitting any CNP/CNS claims with dates of service on or after January 1, 2002: Billing team must update billing software and fee schedules to recognize and apply the eight new HCPCS codes (96150, 96151, 96152, 96153, 96154, 96155, 99502, 99539) with their maximum allowable fees as specified in the policy attachment. Providers must use these codes when billing Medicaid and NJ FamilyCare for Certified Nurse Practitioner and Clinical Nurse Specialist services. Note: Code 99539 shows fee allowance 'BR' (Bureau Rate) - contact the Office of Utilization Management at (609) 588-2718 for current rate. Failure to use correct codes may result in claim denials or delays.