N.J. Admin. Code § 10:164-2.2

Current through Register Vol. 57, No. 1, January 6, 2025

Section 10:164-2.2 - Billing codes

(a) HCPCS codes for adult day health services are as follows:

HCPCS
Code	Description
Z0300	Initial visit, speech-language pathology services
Z0310	Initial comprehensive speech-language pathology evaluation
Z0270	Initial visit, physical therapy
92507	Speech-language pathology services
97799	Physical therapy
W9002	Adult day health services visit
Z1860	Adult day health services visit for the AIDS Community Care
	Alternatives Program (ACCAP)

(b) The billing code for services provided to JACC participants is as follows:

J9002

Adult day health services visit for JACC participants.

(c) Fees for adult day health services facilities are pre-approved by the Department, based on the reimbursement methodology described in N.J.A.C. 10:164-1.6, with each facility's fees established in accordance with the setting in which the adult day health services are provided.

N.J. Admin. Code § 10:164-2.2

Amended by R.2001 d.5, effective January 2, 2001.
See: 32 N.J.R. 3053(a), 33 N.J.R. 55(a).
In (b), amended N.J.A.C. reference.
Amended by R.2005 d.390, effective December 19, 2005 (operative February 1, 2006).
See: 36 N.J.R. 5262(a), 37 N.J.R. 385(b), 4968(a).
Section was "HCPCS Codes"; in (a), substituted "adult or pediatric day health" for "medical day care"; added (b); rewrote former (b) and recodified as (c).
Amended by R.2009 d.346, effective November 16, 2009 (operative April 1, 2010).
See: 40 N.J.R. 6328(a), 41 N.J.R. 4257(a).
Section was "Billing Codes". In the introductory paragraph of (a), substituted "codes" for "Codes"; in the introductory paragraph of (a) and in (c), deleted "or pediatric" following "adult"; in the "HCPCS" table in (a), deleted the entries for "Z1863" and "Z1864"; and in (c), substituted "facility's" for "center's" and "adult day health services are provided" for "medical day care program is operated".