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Newsletter Vol. 8, No. 19
Act
immediately
Effective date
Not stated in the notice
Identified
Jun 20, 2026
Summary
New Jersey Medicaid has updated specific HCPCS codes and fee allowances for abortion-related procedures billed on a fee-for-service basis. The policy clarifies billing procedures for ultrasounds, surgical pathology, RhoGam injections, and other services related to elective abortions for Medicaid and NJ KidCare beneficiaries.
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What to do
immediately · 3 steps
01Billing team must update fee schedules for abortion-related procedures with new maximum allowances.
02Use specific HCPCS codes with YD modifiers when billing for elective abortion services for New Jersey Medicaid and NJ KidCare beneficiaries.
03Providers previously denied for these services may resubmit claims if timely filing requirements are met.
Codes mentioned
7680576815768308830088304J2790578005920064435
Original notice
Newsletter Vol. 8, No. 19
njmmis.com · Always check the source before changing claims.
Related changes
See all New Jersey Medicaid changes →Newsletter Vol. 9, No. 54HighEffective Oct 1, 1999 · CodingNewsletter Vol. 10, No. 02HighEffective Oct 1, 1999 · CodingNewsletter Vol. 32, No.13MediumEffective May 1, 2022 · Medical PolicyNewsletter Vol. 7, No. 55MediumNo effective date · Provider NoticeBrowse every New Jersey Medicaid change in the policy list