MedicaidBilling CodesHigh impact
Newsletter Vol. 5, No. 14
New Jersey Medicaid·NJ·Coding
We identified it
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.
Action Required
Immediately: (1) Billing team must obtain and review the complete attachment to this Newsletter Vol. 5, 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. (2) Update 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. (3) Remove all deleted codes from the system to prevent submission of non-covered codes. (4) Replace any deleted codes with their renumbered alternatives as indicated in the Deletions section. (5) Providers must be notified of code changes to ensure accurate billing going forward. (6) File and retain this newsletter numerically behind the BLUE TAB marked 'HCPCS Procedure Codes and Maximum Fee Allowance Schedule' in the Physician Services Manual. 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.