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Newsletter Vol. 5, No. 14
Act
immediately
Effective date
Not stated in the notice
Identified
Jun 20, 2026
Summary
New Jersey Medicaid has added and deleted HCPCS procedure codes and their maximum fee allowances effective immediately. The billing team must update the Physician Services Manual with the attached supplement containing new code additions across Medicine, Surgery, Radiology/Ultrasound, and Pathology/Laboratory categories, and remove all listed deleted codes from billing systems to ensure accurate reimbursement and prevent claim denials.
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What to do
immediately · 7 steps
01Billing team must obtain and review the complete attachment to this Newsletter Vol.
025, No. 14 containing specific HCPCS code additions and deletions — the specific codes are not legible in the provided document and must be extracted from the source PDF at https://www.njmmis.com/documentDownload.aspx?document=5-14.pdf.
03Update billing software and fee schedules to add all new HCPCS codes listed in the Medicine, Surgery, Radiology/Ultrasound, and Pathology/Laboratory sections with their corresponding maximum fee allowances.
04Remove all deleted codes from the system to prevent submission of non-covered codes.
05Replace any deleted codes with their renumbered alternatives as indicated in the Deletions section.
06Providers must be notified of code changes to ensure accurate billing going forward.
07File and retain this newsletter numerically behind the BLUE TAB marked 'HCPCS Procedure Codes and Maximum Fee Allowance Schedule' in the Physician Services Manual.
If missed: Failure to implement these changes will result in claim denials for new codes not in the system and rejected claims for deleted codes that are billed.
Original notice
Newsletter Vol. 5, No. 14
njmmis.com · Always check the source before changing claims.
Related changes
See all New Jersey Medicaid changes →Newsletter Vol. 5, No. 28MediumNo effective date · Provider NoticeNewsletter Vol. 5, No. 29HighEffective May 1, 2024 · Prior AuthorizationNewsletter Vol. 5, No. 30MediumEffective May 1, 1995 · CodingNewsletter Vol. 5, No. 01MediumNo effective date · Prior AuthorizationBrowse every New Jersey Medicaid change in the policy list