MedicaidBilling CodesHigh impact
Newsletter Vol. 5, No. 13
New Jersey Medicaid·NJ · Orthopedics, Podiatry, Physical Therapy +2 more·Coding
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid has added HCPCS procedure codes and maximum fee allowances for prosthetic and orthotic services, effective immediately. Billing teams must update their fee schedules and coding references to include these new reimbursable services and their corresponding payment rates.
Action Required
Immediately: Billing team must obtain and review the complete attachment (Supplement to Subchapter Prosthetic and Orthotic Services Manual) to identify all new HCPCS codes and maximum fee allowances. Update billing software fee schedules and coding databases to reflect these new codes and reimbursement rates for all prosthetic and orthotic services submitted to New Jersey Medicaid. File this newsletter numerically behind the BLUE TAB MARKED HCPCS in the Prosthetic and Orthotic Services Manual for reference. Providers submitting prosthetic and orthotic claims must use only the updated codes and fee allowances; failure to do so may result in claim denials or incorrect reimbursement.