N.J. Admin. Code § 10:57-1.3

Current through Register Vol. 56, No. 11, June 3, 2024
Section 10:57-1.3 - Definitions

The following words and terms, when used in this chapter, shall have the following meanings unless the context clearly indicates otherwise.

"CPT" means that edition of the Current Procedural Terminology most current at the time of reference, as published annually by the American Medical Association, Chicago, Illinois, unless otherwise specified in rule.

"Flat-foot conditions" means the local condition of flattened arches regardless of the underlying etiology. Treatment of flat-foot conditions encompasses all phases of services in connection with flat feet.

"Podiatrist" means a doctor of podiatric medicine licensed to practice podiatry by the New Jersey State Board of Medical Examiners, or similarly licensed by a comparable agency in the state in which he or she practices.

"Podiatry services" means those services performed by a licensed podiatrist within the scope of practice as defined by the laws of the State of New Jersey (N.J.S.A. 45:5-7) and that are within the scope of the services covered by the New Jersey Medicaid/NJ FamilyCare program.

"Routine foot care" means the cutting or removal of corns or calluses, the trimming of nails, and other hygienic and preventive maintenance care in the realm of self-care, such as cleaning and soaking the feet, the use of skin creams to maintain skin tone for both ambulatory and bedfast patients, and any services performed in the absence of localized illnesses, injury or symptoms involving the foot.

"Specialist" for purposes of the New Jersey Medicaid/NJ FamilyCare program, means a fully licensed podiatrist who:

1. Is a diplomate of the appropriate specialty board as recognized by the American Podiatric Medical Association; or

2. Has been notified of board eligibility by the appropriate specialty board as recognized by the American Podiatric Medical Association.

"Subluxation" means the structural misalignment of the joints of the feet which do not require surgical methods of treatment and/or correction, with the exception of fractures and complete dislocations.

N.J. Admin. Code § 10:57-1.3

Amended by R.1998 d.248, effective 5/18/1998.
See: 30 N.J.R. 626(a), 30 N.J.R. 1812(b).
Added "CPT" definition.
Amended by R.1999 d.292, effective 9/7/1999.
See: 31 N.J.R. 1304(a), 31 N.J.R. 2637(a).
In "Podiatry services" and "Specialist", inserted references to NJ KidCare programs.
Amended by R.2006 d.240, effective 7/3/2006.
See: 38 N.J.R. 1126(a), 38 N.J.R. 2805(a).
In definition "CPT", substituted "Procedural" for "Procedure"; and in definitions "Podiatry services" and "Specialist", substituted "FamilyCare" for "KidCare".
Amended by 53 N.J.R. 1001(b), effective 6/7/2021