New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 53A - HOSPICE SERVICES MANUAL
Subchapter 5 - HEALTHCARE COMMON PROCEDURE CODING SYSTEM HCPCS
Section 10:53A-5.2 - HCPCS procedure codes for hospice services

Universal Citation: NJ Admin Code 10:53A-5.2
Current through Register Vol. 56, No. 18, September 16, 2024

Note: The rates of the procedure codes marked with an asterisk (*) are subject to an adjustment based on regional differences in wages as set by Federal statute and current annual Federal Register updates as referenced in 10:53A-5.1(b) and (d).

*T2042ROUTINE HOME CARE RATE
Per diem rate, calculated as referenced in
10:53A-5.1(d) and 4.2(b)1 and (d)1.
*T2043CONTINUOUS HOME CARE RATE
Per diem rate, calculated as referenced in
10:53A-5.1(d) and 4.2(b)2 and (d)1.
*T2044INPATIENT RESPITE CARE RATE
Per diem rate, calculated and adjusted annually
in 10:53A-4.2(d) and 4.4.
*T2045GENERAL INPATIENT CARE RATE
Per diem rate, calculated and adjusted annually
and limited according to 10:53A-4.2(b)3
and (d).
T2046ROOM AND BOARD RATE
Per diem rate, calculated and adjusted annually
as referenced in 10:53A-4.2(c) and (d).
Y6337THERAPEUTIC LEAVE DAYS
Per diem rate, calculated, and annually adjusted,
as referenced in 10:53A-4.2(c)1 ii and
(d).
Y6338BED RESERVATION DAYS RATE
Per diem rate, calculated and adjusted annually
as referenced in 10:53A-4.2(c)1 ii and
(d).
Y6339HOSPICE RESPITE CO-PAYMENT
Per diem rate, as referenced in N.J.A.C.
10:53A-4.2(g).
Y6343DRUG AND BIOLOGICALS CO-PAYMENT
Reimbursed as referenced in N.J.A.C.
10:53A-4.2(f).

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