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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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.
Summaries are AI-assisted. Always confirm against the original payer notice.
What is PolicyChanges
One workspace for payer rules, prior auth, coding and compliance
Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.