New Jersey Medicaid

NJ Medicaid has asked NJAMHAA to share the following information:

DSM-5 codes cannot be used in claim submission. ONLY ICD-10 codes should be used.  Also NJ Medicaid has a FAQs section on their website for your reference.

New Jersey Medicaid ICD-10 Reminder: Use These Codes Beginning Oct. 1st to Ensure Payment

The Centers for Medicare and Medicaid Services (CMS) mandate for ICD-10 Diagnosis and PCS codes implementation has arrived. All providers are required to transition to the new ICD-10 codes and exclusively use only these new codes for date of service/date of discharge beginning October 1, 2015.

 “Have you prepared?”
The State of New Jersey Medicaid will follow the CMS guidelines and deny all claims not using the new ICD-10 codes if the date of service/date of discharge is October 1, 2015 or later. All claims with service dates September 30, 2015 or earlier must use the ICD-9 codes.
A new “ICD-10 Resource” web page is available on the Medicaid NJMMIS web site at under the “Headlines” tab. Information such as Newsletters, Alerts, Frequently Asked Questions about ICD-10, and many useful links can be found to assist the provider community in understanding and implementing the use of the newly mandated ICD-10 code set. 



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