MedicaidBilling CodesMedium impact
Newsletter Vol. 10, No. 13
New Jersey Medicaid·NJ · Cardiology, Pulmonology·Coding
Effective date
Jul 26, 1999
We identified it
Jun 20, 2026
Summary
New Jersey Medical Assistance & Health Services activated 12 HCPCS procedure codes for cardiac and pulmonary services that Certified Nurse Practitioners (CNPs) and Clinical Nurse Specialists (CNSs) can now bill for reimbursement. This includes electrocardiogram services, cardiac monitoring, and pulmonary function tests with specific maximum fee allowances ranging from $5.00 to $53.00 per service.
Action Required
By the next billing cycle: (1) Billing team must update billing system to recognize and allow billing of HCPCS codes 93000 AV, 93010 AV, 93235 AV, 93236 AV, 93237 AV, 94010 AV, 94010 AV 26, 94010 AV TC, 94060 AV, 94060 AV 26, and 94060 AV TC when submitted by CNPs/CNSs. (2) Input maximum fee allowances into system for each code as specified in the fee schedule. (3) Add codes to the CNP/CNS Manual after subchapter 4 as directed. (4) Train billing staff that these codes are now billable for CNPs/CNSs performing cardiovascular and pulmonary services. (5) Ensure claims with dates of service on or after July 26, 1999 include appropriate CNP/CNS credentials with service claims. Failure to update billing rules may result in claim denials or improper reimbursement.