All PlansBilling CodesMedium impact

Newsletter Vol. 12, No. 28

Q: Who is affected by this change?

This affects New Jersey Medicaid Orthopedics, PM&R (Physical Medicine & Rehab), General Surgery, Physical Therapy providers in NJ on All Plans plans.

New Jersey Medicaid·NJ · Orthopedics, PM&R (Physical Medicine & Rehab), General Surgery +1 more·Coding

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

New updates to the Healthcare Common Procedure Coding System (HCPCS) for prosthetic and orthotic services have been released. This affects billing codes and procedures for prosthetic devices and orthotic equipment provided to patients.

Action Required

Action needed

Immediately: Billing team should download and review the complete policy document from the provided URL to identify specific HCPCS code changes for prosthetic and orthotic services. Update billing software and encounter forms with any new or modified codes. Train staff on proper code selection for prosthetic and orthotic billing.

Related policy hubs

New Jersey Medicaid policies NJ policy changes Orthopedics PM&R (Physical Medicine & Rehab)General Surgery Physical Therapy