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New Jersey MedicaidMedicaid · Billing Codes · Provider Notice · NJ · General Practice, Physical Therapy, Occupational Therapy +1 moreHigh impact

Newsletter Vol. 7, No. 02

Act
immediately
Effective date
Jan 1, 1997
Identified
Jun 20, 2026

Summary

New Jersey Medicaid is adding new HCPCS procedure codes for medical supplies and durable medical equipment (DME) to the billing system, terminating certain existing codes, and updating the description for code E0747. Billing teams must immediately update their procedure code files, fee allowances, and prior authorization requirements per the provided attachments.

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What to do

immediately · 7 steps
01Billing team must.
02Obtain and review Attachments A, B, and C from the referenced policy document.
03Add new HCPCS codes from Attachment A to the billing system with updated Medicaid maximum fee allowances in the NJMMIS procedure code file.
04Update rental/purchase status and prior authorization requirements for each new code per Attachment B.
05Remove all HCPCS codes listed in Attachment C from the billing system to prevent claim denials.
06Update procedure code E0747 description in billing software to 'Osteogenesis stimulator, non-invasive, other than spinal applications'.
07For codes marked 'B.R.' under Fee, ensure billing staff attach acceptable manufacturer's price lists or supplier invoices to medical supply claims for pricing verification.
If missed: Failure to implement these changes will result in claim rejections and payment delays for medical supply services.

Codes mentioned

E0747

Original notice

Newsletter Vol. 7, No. 02
njmmis.com · Always check the source before changing claims.
View original ↗

Related changes

See all New Jersey Medicaid changes →
Newsletter Vol. 6, No. 47MediumEffective Sep 1, 1996 · CodingNewsletter Vol. 7, No. 04HighEffective Feb 1, 1997 · Provider NoticeNewsletter Vol. 7, No. 07MediumNo effective date · ReimbursementNewsletter Vol. 7, No. 1LowNo effective date · PharmacyBrowse every New Jersey Medicaid change in the policy list

Related policy hubs

New Jersey Medicaid policiesNJ policy changesGeneral PracticePhysical TherapyOccupational TherapyWound CareCode E0747

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