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MedicaidReimbursementLow impact

Newsletter Vol. 8, No. 59

New Jersey Medicaid·NJ · Orthopedics, General Surgery, Plastic Surgery·Coding
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

Medicaid has corrected the maximum fee allowances for two specific prosthetic device codes: L8000 and L8030. This affects reimbursement rates for these HCPCS codes under Medicaid programs.

Action Required

Action needed
Billing team should review current fee schedules for HCPCS codes L8000 and L8030 in billing system and update Medicaid reimbursement expectations accordingly. Download the full newsletter from the provided URL to obtain specific corrected fee amounts.

Affected Billing Codes

L8000
L8030

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