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.

MedicaidReimbursementHigh impact

Newsletter Vol. 10, No. 02

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.

New Jersey Medicaid·NJ · Pathology·Coding

Effective date

Oct 1, 1999

We identified it

Jun 20, 2026

Days to comply

—

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.

Action Required

Action needed

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.

Affected Billing Codes

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

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