All PlansBilling CodesMedium impact

Newsletter Vol. 9, No. 36

Q: Who is affected by this change?

This affects New Jersey Medicaid Orthopedics, PM&R (Physical Medicine & Rehab), General Surgery, Physical Therapy providers in NJ on All Plans plans.

New Jersey Medicaid·NJ · Orthopedics, PM&R (Physical Medicine & Rehab), General Surgery +1 more·Coding

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

This newsletter provides updated HCPCS coding guidance for prosthetic and orthotic services based on the 1999 HCFA Common Procedure Coding System. The policy affects billing for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) services.

Action Required

Action needed

Review Newsletter Vol. 9, No. 36 for updated HCPCS coding requirements for prosthetic and orthotic services. Billing team should verify current coding practices align with the 1999 HCFA HCPCS guidelines and update billing procedures as needed for DMEPOS claims.

Related policy hubs

New Jersey Medicaid policies NJ policy changes Orthopedics PM&R (Physical Medicine & Rehab)General Surgery Physical Therapy