Subchapter 4 - BASIS OF PAYMENT
- Section 10:54-4.1 - General payment methodology
- Section 10:54-4.2 - Personal contribution to care requirements for NJ FamilyCare-Children's Program-Plan C and copayments for NJ FamilyCare-Plan D
- Section 10:54-4.3 - Use of physician reimbursement codes
- Section 10:54-4.4 - HCPCS codes for new patients visits
- Section 10:54-4.5 - Use of HCPCS codes for established patient visits
- Section 10:54-4.6 - Use of HCPCS codes for home visits and house calls
- Section 10:54-4.7 - Use of HCPCS codes for emergency department services
- Section 10:54-4.8 - Use of HCPCS codes for critical care services
- Section 10:54-4.9 - Use of HCPCS codes for neonatal intensive care
- Section 10:54-4.10 - Use of HCPCS codes for neonatal care; well baby
- Section 10:54-4.11 - Use of HCPCS codes for neonatal care; sick newborn
- Section 10:54-4.12 - Physician reimbursement in special situations
- Section 10:54-4.13 - HCPCS codes for surgical procedures; general
- Section 10:54-4.14 - Pre-surgery consultation and evaluation
- Section 10:54-4.15 - Simultaneous visit and other procedures
- Section 10:54-4.16 - Multiple surgical procedures; same session
- Section 10:54-4.17 - Repeat or revisitation of the surgical procedure
- Section 10:54-4.18 - Ligation or transection of fallopian tubes
- Section 10:54-4.19 - Anesthesiology
- Section 10:54-4.20 - Radiology; general
- Section 10:54-4.21 - Radiology; diagnostic imaging and ultrasound
- Section 10:54-4.22 - Radiology; Computerized Tomography (CT), Magnetic Resonance Imaging (MRI) and Ultrasound
- Section 10:54-4.23 - Nuclear medicine; diagnostic and therapeutic radiopharmaceuticals
- Section 10:54-4.24 - Radiation oncology; treatment planning and therapy
- Section 10:54-4.25 - Radiology; portable and mobile diagnostic
- Section 10:54-4.26 - Consultation services; general
- Section 10:54-4.27 - Consultation; limited
- Section 10:54-4.28 - Consultation; comprehensive
- Section 10:54-4.29 - Consultation; follow-up
- Section 10:54-4.30 - Consultation; use of all consultation codes
- Section 10:54-4.31 - Concurrent care; physicians
- Section 10:54-4.32 - Concurrent care/collaboration with an APN
- Section 10:54-4.33 - Services provided in a birthing center