N.J. Admin. Code § 10:56-3.8
Current through Register Vol. 56, No. 21, November 4, 2024
| Maximum Fee | ||||||
| HCPCS | Allowance | |||||
| IND | Code | Mod | Procedure Description | S | $ | NS |
| D5931 | Obturator prosthesis, surgical | 250.00 | 250.00 | |||
| D5936 | Obturator prosthesis, interim | 200.00 | 200.00 | |||
| D5937 | Trismus appliance (not for TMD | 125.00 | 125.00 | |||
| treatment) | ||||||
| D5951 | Feeding aid | 500.00 | 500.00 | |||
| D5952 | Speech aid prosthesis, pediatric | 450.00 | 450.00 | |||
| D5953 | Speech aid prosthesis, adult | 450.00 | 450.00 | |||
| D5982 | Surgical Stent | 50.00 | 43.00 | |||
| D5986 | Fluoride gel carrier | 30.00 | 30.00 | |||
| D5988 | Surgical splint | 250.00 | 250.00 | |||
| * | D5999 | Unspecified Maxillofacial | BR | BR | ||
| Prosthesis, by report | ||||||
N.J. Admin. Code § 10:56-3.8
See: 28 N.J.R. 3069(a), 28 N.J.R. 4243(a).
Amended by R.2003 d.16, effective 1/6/2002.
See: 34 N.J.R. 2681(a), 35 N.J.R. 232(a).
Rewrote the section.