N.J. Admin. Code § 10:53A-5.2

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

Section 10:53A-5.2 - HCPCS procedure codes for hospice services

Note: The rates of the procedure codes marked with an asterisk (*) are subject to an adjustment based on regional differences in wages as set by Federal statute and current annual Federal Register updates as referenced in N.J.A.C. 10:53A-5.1(b) and (d).

*T2042	ROUTINE HOME CARE RATE
Per diem rate, calculated as referenced in
N.J.A.C. 10:53A-5.1(d) and 4.2(b)1 and (d)1.
*T2043	CONTINUOUS HOME CARE RATE
Per diem rate, calculated as referenced in
N.J.A.C. 10:53A-5.1(d) and 4.2(b)2 and (d)1.
*T2044	INPATIENT RESPITE CARE RATE
Per diem rate, calculated and adjusted annually
in N.J.A.C. 10:53A-4.2(d) and 4.4.
*T2045	GENERAL INPATIENT CARE RATE
Per diem rate, calculated and adjusted annually
and limited according to N.J.A.C. 10:53A-4.2(b)3
and (d).
T2046	ROOM AND BOARD RATE
Per diem rate, calculated and adjusted annually
as referenced in N.J.A.C. 10:53A-4.2(c) and (d).
Y6337	THERAPEUTIC LEAVE DAYS
Per diem rate, calculated, and annually adjusted,
as referenced in N.J.A.C. 10:53A-4.2(c)1 ii and
(d).
Y6338	BED RESERVATION DAYS RATE
Per diem rate, calculated and adjusted annually
as referenced in N.J.A.C. 10:53A-4.2(c)1 ii and
(d).
Y6339	HOSPICE RESPITE CO-PAYMENT
Per diem rate, as referenced in N.J.A.C.
10:53A-4.2(g).
Y6343	DRUG AND BIOLOGICALS CO-PAYMENT
Reimbursed as referenced in N.J.A.C.
10:53A-4.2(f).

Amended by R.1997 d.479, effective 11/17/1997.
See: 29 N.J.R. 3441(a), 29 N.J.R. 4853(a).
Amended N.J.A.C. references.
Amended by R.2003 d.320, effective 8/4/2003.
See: 34 N.J.R. 2899(a), 35 N.J.R. 3568(a).
In "ROUTINE HOME CARE RATE" and "CONTINUOUS HOME CARE RATE", revised N.J.A.C. references.
Amended by R.2008 d.226, effective 8/4/2008.
See: 40 N.J.R. 1582(a), 40 N.J.R. 4578(a).
Rewrote the table.