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Newsletter Vol. 12, No. 24
Act
by Jun 1, 2002
Effective date
Jan 1, 2002
Identified
Jun 20, 2026
Summary
New Jersey Medicaid and NJ FamilyCare are updating HCPCS laboratory procedure codes effective immediately, with new code additions (Jan 1, 2002), certain code deletions (June 1, 2002), and reimbursement rate changes (May 1, 2002) to align with Medicare's National Limitation Rate. Independent clinical laboratories must update their billing systems to use the correct codes and fee allowances.
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What to do
by Jun 1, 2002 · 5 steps
01Billing team must immediately add the 19 new HCPCS codes with their corresponding maximum fee allowances to the billing system for all claims with dates of service on or after January 1, 2002.
02Remove the 8 deleted codes (80072, 85095, 85102, 85535, 86683, 86683 QW, 88170, 88171) from the billing system for all claims with dates of service on or after June 1, 2002—do not bill these codes after this date or claims will be denied.
03By May 1, 2002, update reimbursement rates in the billing system for 21 HCPCS codes listed in the fee schedule changes (e.g., 82010 from $10.00 to $9.90, 82190 from $48.00 to $20.60).
04Laboratory providers must reference the updated Independent Clinical Laboratories Manual and verify all laboratory service codes and fees are accurate in their systems.
05Consequences: Claims submitted with deleted codes or incorrect fee amounts will be denied; failure to implement changes by the effective dates will result in claim rejections and payment delays.
Codes mentioned
822748257082679829478300183002836058395084460861418633686618871988719987449878028780387804883808007285095851028553586683881708817182010820428219082300823978248582495826348274282775827878282083520837858388385520
Original notice
Newsletter Vol. 12, No. 24
njmmis.com · Always check the source before changing claims.
Related changes
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New Jersey Medicaid policiesNJ policy changesPathologyInternal MedicineGeneral PracticeCode 82274Code 82570Code 82679Code 82947Code 83001Code 83002Code 83605Code 83950Code 84460Code 86141Code 86336Code 86618Code 87198Code 87199Code 87449Code 87802Code 87803Code 87804Code 88380Code 80072Code 85095Code 85102Code 85535Code 86683Code 88170Code 88171Code 82010Code 82042Code 82190Code 82300Code 82397Code 82485Code 82495Code 82634Code 82742Code 82775Code 82787Code 82820Code 83520Code 83785Code 83883Code 85520