N.J. Admin. Code § 10:50-2.2
Current through Register Vol. 57, No. 1, January 6, 2025
| HCPCS Code | Mod. | Description | Maximum Fee Allowance |
| (a) AMBULANCE SERVICE | |||
| A0420 | Waiting Time-Ambulance Service--One | ||
| Way Trip Only | |||
| 1/4 hour | 2.50 | ||
| 1/2 hour | 5.00 | ||
| 3/4 hour | 7.50 | ||
| 1 hour | 10.00 | ||
| NOTE: Reimbursable only on one way trips and only after 30 minutes have elapsed. It is reimbursable in 1/4 hour increments. Maximum reimbursement for waiting time is $10.00 (1 hour). | |||
| A0422 | Ambulance Service, Oxygen, Administration and supplies, Life sustaining situation | 12.00 per occurrence | |
| A0425 | BLS Mileage (Per Mile) | 6.04 | |
| NOTE: Ambulance Service, Per Mile, One Way and Round Trip. Applicable when one-way mileage is 15 miles or less. | |||
| A0427 | Air Ambulance Service, Advanced Life Support (ALS) Level 1 (per unit) | 387.14 | |
| A0429 | Ambulance Services Basic Life Support Emergency Transportation, No ALS (per unit) | 326.02 | |
| A0433 | Air Ambulance Service, Advance Life Support Level 2 (per unit) | 560.34 | |
| A0434 | Specialty Care Transport (per unit) | 647.33 | |
| A0436 | Air Ambulance, Rotary Wing | 18.90 |
N.J. Admin. Code § 10:50-2.2
See: 20 New Jersey Register 2101(a).
Amended by R.1990 d.592, effective 12/3/1990.
See: 22 New Jersey Register 1513(a), 22 New Jersey Register 3620(c).
In (b): added "XA--Invalid Coach Service" references. In (d): corrected HCPCS code and added "Note" regarding higher rate. In (e): corrected HCPCS code. In (g): increased rate to "$ 12.00 per occurrence" from "$ 6.00 per 1/2 hour."
Recodified from N.J.A.C. 10:50-3.2 by R.1992 d.83, effective 2/18/1992.
See: 23 New Jersey Register 3619(a), 24 New Jersey Register 610(a).
Repeal and New Rule, R.1992 d.447, effective 11/16/1992.
See: 24 New Jersey Register 2517(a), 24 New Jersey Register 4264(a).
Amended by R.1994 d.402, effective 8/1/1994 (operative August 15, 1994).
See: 26 New Jersey Register 1425(a), 26 New Jersey Register 3211(b).
Amended by R.1994 d.622, effective 12/19/1994.
See: 26 New Jersey Register 3929(a), 26 New Jersey Register 5020(b).
Amended by R.1995 d.650, effective 12/18/1995.
See: 27 New Jersey Register 3312(b), 27 New Jersey Register 5045(a).
Amended by R.1999 d.5, effective 1/4/1999.
See: 30 New Jersey Register 3625(a), 31 New Jersey Register 58(a).
In (b), substituted "Mobility Assistance Vehicle" for "Invalid Coach" throughout.
Amended by R.2002 d.170, effective 6/3/2002.
See: 34 New Jersey Register 635(a), 34 New Jersey Register 1925(a).
Rewrote (a).
Amended by R.2006 d.213, effective 6/19/2006.
See: 37 N.J.R. 4850(a), 38 N.J.R. 2713(a).
In (a), substituted "A0425 22" for "Y0004" in the first column of the table, substituted "both to" for "to both" in entry "AO425 22"; in entry "A0430", inserted a comma following "Vehicle"; inserted table entries "A0431" and "A0434"; in (b), inserted table entries for "A0422 TP" and "T2001", added last sentence for entry "Y0002" and deleted entries for "Y0060", "Y0065", "Y0070" and "Y0075"; and added (c).