MedicaidBilling CodesHigh impact
Newsletter Vol. 8, No. 21
New Jersey Medicaid·NJ·Coding
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid now requires HCPCS codes to be included on all outpatient claims submitted to Medicaid. This is a mandatory billing requirement that affects claim processing and reimbursement.
Action Required
Immediately: Billing team must update all Medicaid outpatient claims to include appropriate HCPCS codes. Review current billing templates and software settings to ensure HCPCS codes are populated for all outpatient services billed to New Jersey Medicaid. Claims submitted without required HCPCS codes may be denied or delayed.