New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 50 - TRANSPORTATION SERVICES MANUAL
Subchapter 2 - HEALTHCARE COMMON PROCEDURE CODING SYSTEM (HCPCS)
Section 10:50-2.2 - HCPCS procedures codes and maximum fee schedule
Universal Citation: NJ Admin Code 10:50-2.2
Current through Register Vol. 56, No. 18, September 16, 2024
| HCPCS Code | Mod. | Description | Maximum Fee Allowance |
| (a) AMBULANCE SERVICE | |||
| A0420 | Waiting Time-Ambulance Service--One | ||
| Way Trip Only | |||
| 1/4 hour | 2.50 | ||
| 1/2 hour | 5.00 | ||
| 3/4 hour | 7.50 | ||
| 1 hour | 10.00 | ||
| NOTE: Reimbursable only on one way trips and only after 30 minutes have elapsed. It is reimbursable in 1/4 hour increments. Maximum reimbursement for waiting time is $10.00 (1 hour). | |||
| A0422 | Ambulance Service, Oxygen, Administration and supplies, Life sustaining situation | 12.00 per occurrence | |
| A0425 | BLS Mileage (Per Mile) | 6.04 | |
| NOTE: Ambulance Service, Per Mile, One Way and Round Trip. Applicable when one-way mileage is 15 miles or less. | |||
| A0427 | Air Ambulance Service, Advanced Life Support (ALS) Level 1 (per unit) | 387.14 | |
| A0429 | Ambulance Services Basic Life Support Emergency Transportation, No ALS (per unit) | 326.02 | |
| A0433 | Air Ambulance Service, Advance Life Support Level 2 (per unit) | 560.34 | |
| A0434 | Specialty Care Transport (per unit) | 647.33 | |
| A0436 | Air Ambulance, Rotary Wing | 18.90 |
Disclaimer: These regulations may not be the most recent version. New Jersey may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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