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New Jersey MedicaidMedicaid · Billing Codes · Coding · NJ · PathologyHigh impact

Newsletter Vol. 11, No. 24

Act
by Jan 1, 2001
Effective date
Jan 1, 2001
Identified
Jun 20, 2026

Summary

New Jersey Medicaid is adding 47 new HCPCS laboratory codes effective January 1, 2001, deleting 17 codes effective July 1, 2001, and changing reimbursement rates for 4 codes. Independent clinical laboratories and hospitals must use the new codes and replacement codes for deleted services.

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What to do

by Jan 1, 2001 · 4 steps
01Billing team must add 47 new HCPCS laboratory codes to billing system with specified maximum fee allowances.
02By July 1, 2001: Remove 17 deleted HCPCS codes from billing system and replace with specified crosswalk codes where available.
03Update reimbursement rates for codes 82947, 84597, 85535, and 89320 to new maximum fees.
04Laboratory staff must use only approved codes when submitting New Jersey Medicaid claims.

Codes mentioned

P9031P9032P9033P9034P9035P9036P9037P9038P9039P9040P9041P9042P9043P9044801578017382373829458309083663836648392184152845918530785536860018614686294863008630186304866118666686683866968675787046870718707387077871078714987152871688716987172871858725487273872758727787279872818728387300873278733687337873398734187400874278745187800878018840089321822519706087072870828708387085870878711787145871518715587163871748717587192872088721182947845978553589320

Original notice

Newsletter Vol. 11, No. 24
njmmis.com · Always check the source before changing claims.
View original ↗

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