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Newsletter Vol. 8, No. 55

New Jersey Medicaid·NJ · Psychiatry, Physical Therapy, Geriatrics +2 more·Coding
Effective date
Jan 1, 1998
We identified it
Jun 20, 2026
Days to comply

Summary

New Jersey Medicaid and NJ KidCare added new HCPCS procedure codes effective January 1, 1998, with associated maximum fee allowances for certified nurse practitioners and clinical nurse specialists across multiple service categories (surgical, immunizations, psychiatry, physical medicine, nursing facility discharge, and home services). Additionally, four psychiatry and home services codes are being deleted effective September 1, 1998.

Action Required

Action needed
By January 1, 1998: Billing team must update the Certified Nurse Practitioners/Clinical Nurse Specialists Services Manual (N.J.A.C. 10:58A, Subchapter 4) to add the 22 new HCPCS codes with their maximum fee allowances in the billing system. Ensure all billing claims use the correct codes and fee schedules. By September 1, 1998: Remove codes 90843, 90844, 99351, and 99352 from the billing system for all claims with service dates on or after that date; claims using deleted codes will be denied. Update internal coding references and staff training materials to reflect both the additions (effective Jan 1) and deletions (effective Sept 1). Retain this newsletter in the services manual reference materials.

Affected Billing Codes

11055
11056
11057
11719
90748
90804
90806
97001
97002
97003
97004
99315
99316
99344
99345
99347
99348
99349
99350
90843
90844
99351
99352