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New Jersey MedicaidMedicaid · Billing Codes · Coding · NJ · Cardiology, General Surgery, Neurosurgery +2 moreMedium impact

Newsletter Vol. 7, No. 11

Effective date
Jan 1, 1996
Identified
Jun 20, 2026

Summary

New Jersey Medicaid has added new HCPCS procedure codes and updated maximum fee allowances for medicine, surgery, and radiology services. The policy provides specific reimbursement rates for specialist and non-specialist providers across multiple new procedure codes.

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What to do

Action · 3 steps
01Billing team must update the Physician Services Manual (N.J.A.C.
0210:54) Subchapter 9 with the new HCPCS procedure codes and maximum fee allowances for New Jersey Medicaid claims.
03Add the attachment pages to the manual behind the blue Newsletter tab marked '5' and configure billing system with the new reimbursement rates for specialist vs non-specialist providers.

Codes mentioned

93320933219335093732937352010020101201022010322632623686369063691772957889078891

Original notice

Newsletter Vol. 7, No. 11
njmmis.com · Always check the source before changing claims.
View original ↗

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