N.J. Admin. Code § 11:22-9.4

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

Section 11:22-9.4 - Global reimbursement

(a) For providers electing to be reimbursed for maternity services on a global basis, carriers shall accept billings under the CPT codes most current to the date of billing for services as published by the AMA for global routine maternity care. The global routine maternity care CPT codes as of July 5, 2011 are the following:

1. 59400--Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care;

2. 59510--Routine obstetric care, including antepartum care, cesarean delivery, and postpartum care;

3. 59610--Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery; and

4. 59618--Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery.

N.J. Admin. Code § 11:22-9.4