N.J. Admin. Code § 10:58-2.1

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

Section 10:58-2.1 - Evaluation and management services (HCPCS)

(a) Evaluation and management services HCPCS procedure codes are used to indicate certain services performed in a CNM's independent practice.

(b) Reimbursement for an initial office visit will be disallowed if a preventive medicine service visit, EPSDT examination visit or office consultation were billed within a 12-month period by the same practitioner, group of practitioners, or shared health care facility sharing a common record.