MedicaidBilling CodesMedium impact
Newsletter Vol. 7, No. 11
New Jersey Medicaid·NJ · Cardiology, General Surgery, Neurosurgery +2 more·Coding
Effective date
Jan 1, 1996
We identified it
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.
Action Required
Billing team must update the Physician Services Manual (N.J.A.C. 10:54) Subchapter 9 with the new HCPCS procedure codes and maximum fee allowances for New Jersey Medicaid claims. Add 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.