MedicaidReimbursementHigh impact
Newsletter Vol. 9, No. 54
New Jersey Medicaid·NJ · Pathology·Coding
Effective date
Oct 1, 1999
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid and NJ KidCare has reduced reimbursement rates for over 140 laboratory and pathology HCPCS codes to align with Medicare fee schedules. Most codes show significant payment decreases, with some reductions over 50%.
Action Required
By October 1, 1999: Billing team must update fee schedules in billing system for all affected laboratory and pathology HCPCS codes for New Jersey Medicaid and NJ KidCare claims. Use new reduced reimbursement amounts for dates of service on or after October 1, 1999. Update financial projections and patient cost estimates for affected lab services.