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Newsletter Vol. 9, No. 57
Act
by Oct 1, 1999
Effective date
Oct 1, 1999
Identified
Jun 20, 2026
Summary
New Jersey Medicaid updated HCPCS procedure codes with additions, deletions, and reimbursement rate changes across Medicine, Surgery, Radiology, and Pathology/Laboratory services. Some surgical procedure reimbursement rates were significantly reduced while others had technical and professional components separated.
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What to do
by Oct 1, 1999 · 5 steps
01Billing team must update fee schedules and procedure codes for New Jersey Medicaid claims.
02Add new HCPCS codes with maximum allowable fees.
03Remove deleted procedure codes from billing system.
04Update reimbursement amounts for adjusted codes - note significant reductions in spinal surgery codes (22840-22855) and increases in some cardiology procedures.
05Ensure proper use of technical component (TC) and professional component (26) modifiers where newly specified.
Codes mentioned
92135935619356293571935729401494015940169462195970959719597295973959749597599298150011535115401273472828931623316243164332001355003568135682356833682336831368333879245126563215710657107571095711157112672206999022840228422284322844228452284622847228482285122855117311604016041160425710861106611306171263690636916483076006769777738077381780207820678494784967858871038744057801782016821278224782248824928254182542825438254482657826588272682731830218371683788837898391984378843798504688143881448814588147881488815388154881648816588166881678824088241882498827188273882748827588291
Original notice
Newsletter Vol. 9, No. 57
njmmis.com · Always check the source before changing claims.
Related changes
See all New Jersey Medicaid changes →Newsletter Vol. 9, No. 51LowEffective Sep 1, 1999 · CodingNewsletter Vol. 9, No. 52LowEffective Jan 1, 1999 · CodingNewsletter Vol. 10, No. 85HighNo effective date · Provider NoticeNewsletter Vol. 7, No. 11MediumEffective Jan 1, 1996 · CodingBrowse every New Jersey Medicaid change in the policy list
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