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New Jersey MedicaidMedicaid · Billing Codes · Coding · NJ · Pathology, Internal Medicine, Family Medicine +3 moreMedium impact

Newsletter Vol. 6, No. 47

Act
immediately
Effective date
Sep 1, 1996
Identified
Jun 20, 2026

Summary

New Jersey Medicaid is adding new HCPCS procedure codes for laboratory and clinical services effective immediately, including codes for renal/peripheral vein renin stimulation panels, urinalysis, sedimentation rate, oocyte culture, fecal leukocyte examination, semen analysis, glucose tolerance tests, and automated multichannel chemistry tests. Billing teams must update their HCPCS code files and fee schedules with the new codes and their maximum allowable fees.

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What to do

immediately · 4 steps
01Billing team must update HCPCS code files to add all new procedure codes (80416, 80417, 81001, 85652, 89250, G0026, G0027, G0055, G0056, G0057, G0058, G0059, G0060) with their corresponding maximum fee allowances in the billing system.
02For independent clinical laboratories, physicians, podiatrists, certified nurse practitioners, clinical nurse specialists, and independent clinics: insert the attached additions and amendments into the appropriate HCPCS subchapter.
03For HMOs: retain the attachment and newsletter behind the blue tab marked '5'.
04Update fee schedules to reflect new maximum allowable amounts for each code.
If missed: Failure to implement these code additions may result in claim denials or payment delays for laboratory services billed with these codes.

Codes mentioned

8041680417810018565289250G0026G0027G0055G0056G0057G0058G0059G006080019

Original notice

Newsletter Vol. 6, No. 47
njmmis.com · Always check the source before changing claims.
View original ↗

Related changes

See all New Jersey Medicaid changes →
Newsletter Vol. 14, No. 53HighEffective Jan 1, 2004 · Provider NoticeNewsletter Vol. 2, No. 42HighNo effective date · Medical PolicyNewsletter Vol. 3, No. 29HighEffective May 1, 2024 · CodingNewsletter Vol. 6, No. 1LowNo effective date · EligibilityBrowse every New Jersey Medicaid change in the policy list

Related policy hubs

New Jersey Medicaid policiesNJ policy changesPathologyInternal MedicineFamily MedicineOB-GYNEndocrinologyNephrologyCode 80416Code 80417Code 81001Code 85652Code 89250Code G0026Code G0027Code G0055Code G0056Code G0057Code G0058Code G0059Code G0060Code 80019

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