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New Jersey MedicaidMedicaid · Billing Codes · Coding · NJ · Psychiatry, Physical Therapy, Geriatrics +2 moreMedium impact

Newsletter Vol. 8, No. 55

Act
by Jan 1, 1998
Effective date
Jan 1, 1998
Identified
Jun 20, 2026

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.

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What to do

by Jan 1, 1998 · 6 steps
01Billing team must update the Certified Nurse Practitioners/Clinical Nurse Specialists Services Manual (N.J.A.C.
0210:58A, Subchapter 4) to add the 22 new HCPCS codes with their maximum fee allowances in the billing system.
03Ensure all billing claims use the correct codes and fee schedules.
04By 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.
05Update internal coding references and staff training materials to reflect both the additions (effective Jan 1) and deletions (effective Sept 1).
06Retain this newsletter in the services manual reference materials.

Codes mentioned

1105511056110571171990748908049080697001970029700397004993159931699344993459934799348993499935090843908449935199352

Original notice

Newsletter Vol. 8, No. 55
njmmis.com · Always check the source before changing claims.
View original ↗

Related changes

See all New Jersey Medicaid changes →
Newsletter Vol. 8, No. 40HighEffective Jan 1, 1998 · CodingNewsletter Vol. 35, No.08HighEffective Jul 1, 2025 · ReimbursementNewsletter Vol. 12, No. 79HighEffective Sep 9, 2002 · Provider NoticeNewsletter Vol. 12, No. 80HighEffective Sep 9, 2002 · Provider NoticeBrowse every New Jersey Medicaid change in the policy list

Related policy hubs

New Jersey Medicaid policiesNJ policy changesPsychiatryPhysical TherapyGeriatricsGeneral SurgeryAllergy & ImmunologyCode 11055Code 11056Code 11057Code 11719Code 90748Code 90804Code 90806Code 97001Code 97002Code 97003Code 97004Code 99315Code 99316Code 99344Code 99345Code 99347Code 99348Code 99349Code 99350Code 90843Code 90844Code 99351Code 99352

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