MedicaidBilling CodesHigh impact
Medicaid Alert - MA-1993-13
New Jersey Medicaid·NJ · Orthopedics, General Surgery, Cardiothoracic Surgery +8 more·Provider Notice
We identified it
Jun 20, 2026
Summary
New Medicaid policy MA-1993-13 updates billing requirements for multiple surgical procedures performed during the same operative session. This affects how providers should code and bill when performing multiple surgeries on the same patient during one procedure.
Action Required
Immediately: Billing team must review and download the complete policy document from the NJ MMIS website to understand specific multiple surgical procedure billing requirements. Update billing workflows to ensure proper coding and modifier usage when multiple surgeries are performed in the same operative session. Train coding staff on any new requirements to prevent claim denials.