Who is affected by this change?

This affects New Jersey Medicaid Pathology providers in NJ on Medicaid plans.

When does this change take effect?

This change is effective Oct 1, 1999.

New Jersey MedicaidMedicaid · Reimbursement · Coding · NJ · PathologyHigh impact

Newsletter Vol. 10, No. 02

Q: What do I need to do?

Immediately: Billing team must discard the September 1999 Newsletter Vol. 9 No. 54 fee schedules and replace with the corrected rates from this newsletter. Update billing system with the new reimbursement amounts for all 150+ affected HCPCS codes for New Jersey Medicaid and NJ KidCare claims. Retain corrected attachments behind the blue Newsletter tab marked '5' in policy manual. Contact Office of Health Services Administration at (609) 588-2721 with questions.

Q: Which billing codes are affected?

The following codes are affected: 80168, 80185, 80412, 80418, 80439, 81007, 82017, 82085, 82108, 82131, 82136, 82139, 82154, 82160, 82232, 82261, 82331, 82379, 82415, 82441, 82482, 82495, 82507, 82600, 82615, 82626, 82627, 82633, 82638, 82652, 82690, 82742, 82757, 82775, 82787, 82938, 82943, 82975, 82979, 83008, 83030, 83071, 83080, 83500, 83505, 83527, 83605, 83719, 83785, 83805, 83858, 83866, 83873, 83890, 83891, 83892, 83893, 83894, 83896, 83897, 83898, 83901, 83902, 83903, 83904, 83905, 83906, 83912, 83930, 83935, 83937, 84066, 84081, 84087, 84126, 84140, 84143, 84153, 84154, 84181, 84182, 84207, 84210, 84228, 84252, 84255, 84260, 84375, 84376, 84377, 84392, 84402, 84425, 84443, 84446, 84449, 84466, 84478, 84512, 84586, 84588, 84630, 85220, 85230, 85240, 85244, 85250, 85260, 85270, 85292, 85293, 85301, 85302, 85305, 85360, 85421, 85441, 85520, 85525, 85549, 86147, 86148, 86215, 86235, 86316, 86329, 86334, 86588, 86618, 86664, 86687, 86701, 86703, 86717, 86790, 86807, 87175, 87186, 87250, 88162, 88180, 88182, 88262, 88264, 88280, 88291, 88300, 88302, 88304, 88348, 88349, 88371, 88372, 89350, 83013, 83014.

Act

immediately

Effective date

Oct 1, 1999

Identified

Jun 20, 2026

Summary

New Jersey Medicaid corrected reimbursement rates for 150+ laboratory and pathology HCPCS codes, with most rates decreasing significantly to align with Medicare fee schedules. This correction supersedes the original September 1999 newsletter and affects all lab service billing.

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What to do

immediately · 5 steps

01Billing team must discard the September 1999 Newsletter Vol.

029 No. 54 fee schedules and replace with the corrected rates from this newsletter.

03Update billing system with the new reimbursement amounts for all 150+ affected HCPCS codes for New Jersey Medicaid and NJ KidCare claims.

04Retain corrected attachments behind the blue Newsletter tab marked '5' in policy manual.

05Contact Office of Health Services Administration at (609) 588-2721 with questions.

Codes mentioned

801688018580412804188043981007820178208582108821318213682139821548216082232822618233182379824158244182482824958250782600826158262682627826338263882652826908274282757827758278782938829438297582979830088303083071830808350083505835278360583719837858380583858838668387383890838918389283893838948389683897838988390183902839038390483905839068391283930839358393784066840818408784126841408414384153841548418184182842078421084228842528425584260843758437684377843928440284425844438444684449844668447884512845868458884630852208523085240852448525085260852708529285293853018530285305853608542185441855208552585549861478614886215862358631686329863348658886618866648668786701867038671786790868078717587186872508816288180881828826288264882808829188300883028830488348883498837188372893508301383014

Original notice

Newsletter Vol. 10, No. 02

njmmis.com · Always check the source before changing claims.

View original ↗

Related changes

See all New Jersey Medicaid changes →

Newsletter Vol. 9, No. 54HighEffective Oct 1, 1999 · Coding Newsletter Vol. 9, No. 51LowEffective Sep 1, 1999 · Coding Newsletter Vol. 9, No. 75HighEffective Oct 1, 1999 · Coding Newsletter Vol. 12, No. 24HighEffective Jan 1, 2002 · Coding Browse every New Jersey Medicaid change in the policy list

Related policy hubs

New Jersey Medicaid policies NJ policy changes Pathology Code 80168 Code 80185 Code 80412 Code 80418 Code 80439 Code 81007 Code 82017 Code 82085 Code 82108 Code 82131 Code 82136 Code 82139 Code 82154 Code 82160 Code 82232 Code 82261 Code 82331 Code 82379 Code 82415 Code 82441 Code 82482 Code 82495 Code 82507 Code 82600 Code 82615 Code 82626 Code 82627 Code 82633 Code 82638 Code 82652 Code 82690 Code 82742 Code 82757 Code 82775 Code 82787 Code 82938 Code 82943 Code 82975 Code 82979 Code 83008 Code 83030 Code 83071 Code 83080 Code 83500 Code 83505 Code 83527 Code 83605 Code 83719 Code 83785 Code 83805 Code 83858 Code 83866 Code 83873 Code 83890 Code 83891 Code 83892 Code 83893 Code 83894 Code 83896 Code 83897 Code 83898 Code 83901 Code 83902 Code 83903 Code 83904 Code 83905 Code 83906 Code 83912 Code 83930 Code 83935 Code 83937 Code 84066 Code 84081 Code 84087 Code 84126 Code 84140 Code 84143 Code 84153 Code 84154 Code 84181 Code 84182 Code 84207 Code 84210 Code 84228 Code 84252 Code 84255 Code 84260 Code 84375 Code 84376 Code 84377 Code 84392 Code 84402 Code 84425 Code 84443 Code 84446 Code 84449 Code 84466 Code 84478 Code 84512 Code 84586 Code 84588 Code 84630 Code 85220 Code 85230 Code 85240 Code 85244 Code 85250 Code 85260 Code 85270 Code 85292 Code 85293 Code 85301 Code 85302 Code 85305 Code 85360 Code 85421 Code 85441 Code 85520 Code 85525 Code 85549 Code 86147 Code 86148 Code 86215 Code 86235 Code 86316 Code 86329 Code 86334 Code 86588 Code 86618 Code 86664 Code 86687 Code 86701 Code 86703 Code 86717 Code 86790 Code 86807 Code 87175 Code 87186 Code 87250 Code 88162 Code 88180 Code 88182 Code 88262 Code 88264 Code 88280 Code 88291 Code 88300 Code 88302 Code 88304 Code 88348 Code 88349 Code 88371 Code 88372 Code 89350 Code 83013 Code 83014

Newsletter Vol. 10, No. 02

Summary

Get alerts when payers change rules like this one

What to do

Codes mentioned

Original notice

Related changes

Related policy hubs

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