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Newsletter Vol. 9, No. 54
Act
by Oct 1, 1999
Effective date
Oct 1, 1999
Identified
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%.
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What to do
by Oct 1, 1999 · 3 steps
01Billing team must update fee schedules in billing system for all affected laboratory and pathology HCPCS codes for New Jersey Medicaid and NJ KidCare claims.
02Use new reduced reimbursement amounts for dates of service on or after October 1, 1999.
03Update financial projections and patient cost estimates for affected lab services.
Codes mentioned
8016880185804128041880439810078201782085821088213182136821398215482160822328226182331823798241582441824828249582507826008261582626826278263382638826528269082742827578277582787829388294382975829798300883013830148301983030830718308083500835058352783605837198378583805838588386682873838908389183892838938389483896838978389883901839028390383904839058390683912839308393583937840668408184087841268414084143841538415484181841828420784210842288425284255842608437584376843778439284402844258444384446844498446684478845128458684588846308522085230852408524485250852608527085292852938530185302853058536085421854418552085525855498614786148862158623586291863118631686329863348658886618866648668786701867038671786790868078717587178871798718687250881508816288182882628826488280882918830088302883048834888349883508837188372
Original notice
Newsletter Vol. 9, No. 54
njmmis.com · Always check the source before changing claims.
Related changes
See all New Jersey Medicaid changes →Related policy hubs
New Jersey Medicaid policiesNJ policy changesPathologyCode 80168Code 80185Code 80412Code 80418Code 80439Code 81007Code 82017Code 82085Code 82108Code 82131Code 82136Code 82139Code 82154Code 82160Code 82232Code 82261Code 82331Code 82379Code 82415Code 82441Code 82482Code 82495Code 82507Code 82600Code 82615Code 82626Code 82627Code 82633Code 82638Code 82652Code 82690Code 82742Code 82757Code 82775Code 82787Code 82938Code 82943Code 82975Code 82979Code 83008Code 83013Code 83014Code 83019Code 83030Code 83071Code 83080Code 83500Code 83505Code 83527Code 83605Code 83719Code 83785Code 83805Code 83858Code 83866Code 82873Code 83890Code 83891Code 83892Code 83893Code 83894Code 83896Code 83897Code 83898Code 83901Code 83902Code 83903Code 83904Code 83905Code 83906Code 83912Code 83930Code 83935Code 83937Code 84066Code 84081Code 84087Code 84126Code 84140Code 84143Code 84153Code 84154Code 84181Code 84182Code 84207Code 84210Code 84228Code 84252Code 84255Code 84260Code 84375Code 84376Code 84377Code 84392Code 84402Code 84425Code 84443Code 84446Code 84449Code 84466Code 84478Code 84512Code 84586Code 84588Code 84630Code 85220Code 85230Code 85240Code 85244Code 85250Code 85260Code 85270Code 85292Code 85293Code 85301Code 85302Code 85305Code 85360Code 85421Code 85441Code 85520Code 85525Code 85549Code 86147Code 86148Code 86215Code 86235Code 86291Code 86311Code 86316Code 86329Code 86334Code 86588Code 86618Code 86664Code 86687Code 86701Code 86703Code 86717Code 86790Code 86807Code 87175Code 87178Code 87179Code 87186Code 87250Code 88150Code 88162Code 88182Code 88262Code 88264Code 88280Code 88291Code 88300Code 88302Code 88304Code 88348Code 88349Code 88350Code 88371Code 88372