MedicaidBilling CodesHigh impact
Newsletter Vol. 12, No. 24
New Jersey Medicaid·NJ · Pathology, Internal Medicine, General Practice·Coding
Effective date
Jan 1, 2002
We identified it
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.
Action Required
By June 1, 2002: (1) Billing 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. (2) Remove 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. (3) By 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). (4) Laboratory providers must reference the updated Independent Clinical Laboratories Manual and verify all laboratory service codes and fees are accurate in their systems. Consequences: 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.