Summary
New Jersey Medicaid and NJ KidCare updated their list of approved practitioner-administered drugs with 24 new J-codes added and 5 codes deleted. The changes include specific maximum fee allowances for each drug and affect billing for office, home, and independent clinic administration.
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What to do
Action · 3 steps
01Before October 1, 2000: Billing team must update billing system with 24 new J-codes and their maximum fee allowances for New Jersey Medicaid and NJ KidCare patients.
02Remove 5 deleted codes (J1760, J1780, J7503, J9010, W9357) from billing system.
03Update drug administration billing procedures to use new maximum fee allowances based on Average Wholesale Price per unit.
Codes mentioned
J0151J0200J0286J0456J0476J1120J1327J1438J1450J1742J1745J1750J1955J2352J2500J2543J2780J2792J3245J7198J7516J9001J9151J9212J9355J1760J1780J7503J9010W9357
Original notice
Newsletter Vol. 10, No. 68
njmmis.com · Always check the source before changing claims.
Related changes
See all New Jersey Medicaid changes →Newsletter Vol. 12, No. 81MediumEffective Jan 1, 2002 · Provider NoticeNewsletter Vol. 14, No. 53HighEffective Jan 1, 2004 · Provider NoticeNewsletter Vol. 4, No. 04HighEffective Jan 1, 2025 · Provider NoticeNewsletter Vol. 32, No.13MediumEffective May 1, 2022 · Medical PolicyBrowse every New Jersey Medicaid change in the policy list
Related policy hubs
New Jersey Medicaid policiesNJ policy changesCode J0151Code J0200Code J0286Code J0456Code J0476Code J1120Code J1327Code J1438Code J1450Code J1742Code J1745Code J1750Code J1955Code J2352Code J2500Code J2543Code J2780Code J2792Code J3245Code J7198Code J7516Code J9001Code J9151Code J9212Code J9355Code J1760Code J1780Code J7503Code J9010Code W9357