MedicaidBilling CodesMedium impact
Newsletter Vol. 10, No. 78
New Jersey Medicaid·NJ·Coding
Effective date
Oct 15, 2000
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has implemented revised parenteral therapy reimbursement standards, limiting drug reimbursement to licensed pharmacies and establishing new per diem rates for equipment and supplies. New HCPCS codes have been created for parenteral infusion services with specific daily allowances.
Action Required
Billing team must update manual by replacing section N.J.A.C. 10:59-1.12 with Attachment A and retaining Attachment B at N.J.A.C. 10:59-2.3. Update billing system to use new HCPCS codes (B9004, B9006, X8334, X8335, X8336, X8337, X8434) for parenteral therapy services. Ensure all parenteral therapy services require prior authorization before billing. For nursing facility residents, verify all supplies and DME costs are included in facility per diem rate and not billed separately.