MedicaidBilling CodesHigh impact
Newsletter Vol. 9, No. 57
New Jersey Medicaid·NJ · Cardiology, Orthopedics, General Surgery +5 more·Coding
Effective date
Oct 1, 1999
We identified it
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.
Action Required
By October 1, 1999: Billing team must update fee schedules and procedure codes for New Jersey Medicaid claims. Add new HCPCS codes with maximum allowable fees. Remove deleted procedure codes from billing system. Update reimbursement amounts for adjusted codes - note significant reductions in spinal surgery codes (22840-22855) and increases in some cardiology procedures. Ensure proper use of technical component (TC) and professional component (26) modifiers where newly specified.