MedicaidReimbursementLow impact
Newsletter Vol. 12, No. 04
New Jersey Medicaid·NJ · OB-GYN, Pathology·Provider Notice
Effective date
Nov 1, 2001
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid and NJ FamilyCare fee-for-service programs have established a maximum reimbursement rate of $71.20 for the Fetal Fibronectin (fFN) test (HCPCS code 82731) effective November 1, 2001. Laboratories must use this rate for all claims with dates of service on or after this date.
Action Required
By November 1, 2001 (or immediately if claims are being processed for prior dates): Billing team must update fee schedules in billing software to reflect the maximum allowance of $71.20 for HCPCS code 82731 (Fetal fibronectin, cervicovaginal secretions, semi-quantitative) for New Jersey Medicaid and NJFC fee-for-service claims. Verify that all claims with dates of service on or after November 1, 2001 are billed at or below this rate. Laboratory billing staff should confirm the update is applied to avoid claim denials or overpayments. Retain this newsletter for reference.