All PlansBilling CodesMedium impact

Newsletter Vol. 7, No. 27

Q: Who is affected by this change?

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

New Jersey Medicaid·NJ · Orthopedics, PM&R (Physical Medicine & Rehab), Physical Therapy +2 more·Coding

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

This policy update provides the 1997 HCFA Common Procedure Coding System (HCPCS) codes specifically for prosthetic and orthotic services. The newsletter appears to be guidance on proper HCPCS coding for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS).

Action Required

Action needed

Billing team should review the complete policy document at the provided URL to identify specific HCPCS codes and any coding changes for prosthetic and orthotic services. Update billing software and encounter forms if new codes or coding guidelines are specified in the full document.

Related policy hubs

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