MedicaidBilling CodesMedium impact
Newsletter Vol. 10, No. 28
New Jersey Medicaid·NJ · PM&R (Physical Medicine & Rehab), Orthopedics·Coding
Effective date
Jan 1, 2000
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid and NJ KidCare added new HCPCS codes for prosthetic and orthotic services with maximum fee allowances. Providers must use the new codes L3807 (wrist-hand orthotic with inflatable support) and L9900 (orthotic/prosthetic supply component) when billing for covered services.
Action Required
Immediately: Billing team must update system to include new HCPCS codes L3807 ($135.08 max fee) and L9900 (by report pricing) for New Jersey Medicaid and NJ KidCare claims. Update encounter forms and fee schedules for prosthetic and orthotic services. Use these codes when submitting claims for covered services.