N.J. Admin. Code § 10:54-4.9

Current through Register Vol. 56, No. 19, October 7, 2024

Section 10:54-4.9 - Use of HCPCS codes for neonatal intensive care

(a) For neonatal intensive care services to be covered by the Program, the codes HCPCS 99295-99297 shall be used and the service shall be consistent with the narrative in the CPT and with the following, in order to be reimbursed:

1. The patient's situation requires constant physician attendance which shall be given by the physician to the exclusion of his or her other patients and duties and, therefore, for him or her, represents what is beyond usual service. This must be verified by the applicable records, as defined by the setting. The records shall show in the physician's handwriting the time of onset and time of completion of the service.

(b) HCPCS codes 99295-99297 shall not be used simultaneously with procedure codes that pay a reimbursement for the same time or type of service.

N.J. Admin. Code § 10:54-4.9

Recodified from N.J.A.C. 10:54-4.8 by R.1998 d.154, effective 2/27/1998 (operative March 1, 1998; to expire August 31, 1998).
See: 30 New Jersey Register 1060(a).
Former N.J.A.C. 10:54-4.9, Use of HCPCS codes for neonatal intensive care; well baby, recodified to N.J.A.C. 10:54-4.10.
Adopted concurrent proposal, R.1998 d.487, effective 8/28/1998.
See: 30 New Jersey Register 1060(a), 30 New Jersey Register 3519(a).
Readopted the provisions of R.1998 d.154 without change.