New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 54 - PHYSICIAN SERVICES
Subchapter 9 - HEALTH CARE FINANCING ADMINISTRATION (HCFA) COMMON PROCEDURE CODING SYSTEM (HCPCS)
Section 10:54-9.5 - HCPCS procedure codes and maximum fee schedule for surgery

Universal Citation: NJ Admin Code 10:54-9.5
Current through Register Vol. 56, No. 18, September 16, 2024

FollowMaximum FeeAnes.
HCPCSUpAllowanceBasic
INDCodeModDaysS$NSUnits
N10040018.0016.003
10060013.0011.003
100613048.0042.003
10080030.0026.003
10081045.0038.003
10120018.0016.003
101213034.0029.003
10140018.0016.003
10160013.0011.003
1018014100.0085.003
11000013.0011.003
1100106.005.003
11040013.0011.003
11041013.0011.003
11042016.0014.003
11043016.0014.003
11044048.0042.003
11050013.0011.003
11051018.0015.003
11052023.0020.003
11100713.0011.003
1110105.004.003
11200018.0014.003
1120179.007.003
113001518.0016.003
113011522.0020.003
113021527.0024.003
113033032.0027.003
113051518.0016.003
113061522.0020.003
113071527.0024.003
113081532.0027.003
113101518.0016.003
113111522.0020.003
113121527.0024.003
113133032.0027.003
114001518.0016.003
114011522.0020.003
114021527.0024.003
114031532.0027.003
114041532.0027.003
114061532.0027.003
114201518.0016.003
114211522.0020.003
114221527.0024.003
114231532.0027.003
114241532.0027.003
114261532.0027.003
114401518.0016.005
114411522.0020.005
114421527.0024.005
114431532.0027.005
114441532.0027.005
114461532.0027.005
114501591.0078.005
1145115136.00115.005
114621591.0078.005
1146315136.00115.005
114701591.0078.005
1147115136.00115.005
116009037.0032.003
116019047.0042.003
116029061.0053.003
116039070.0061.003
116049080.0070.003
116069092.0080.003
116209061.0053.003
116219090.0079.003
1162290121.00105.003
1162390140.00121.003
1162490162.00139.003
1162690186.00160.003
116409090.0079.005
1164190121.00105.005
1164290150.00131.005
1164390175.00152.005
1164490201.00175.005
1164690228.00198.005
E11700013.0011.003
E1170106.006.003
E11710013.0011.003
E1171106.006.003
11730010.0010.003
1173105.005.003
1173203.003.003
11740016.0014.003
117503042.0037.003
117523059.0050.003
11755025.0020.003
117606042.0037.003
117629069.0059.003
117656021.0018.003
1177030151.00131.005
1177160151.00131.005
1177260151.00131.004
E11900016.0014.003
E11901016.0014.003
1196090250.00213.006
1197090250.00213.006
1197160250.00213.006
N1197530100.0085.003
N119752230465.00450.003
N1197690100.0085.003
N1197790200.00170.003
N119772290565.00535.003
12001018.0016.003
12002024.0021.003
12004030.0026.003
12005746.0039.003
12006757.0048.003
12007782.5070.003
12011018.0016.005
12013024.0021.005
12014730.0026.005
12015746.7540.005
12016782.5070.005
12017799.0084.005
120187143.00122.005
12020757.0048.005
12021757.0048.005
120313030.0026.003
120323048.0042.003
120343057.0048.003
120353066.0056.003
120363099.0084.003
1203730175.00149.003
120413030.0026.003
120423067.0059.004
120443082.5070.004
120453099.0084.004
1204630110.0094.004
1204730143.00120.004
120513038.0033.004
120523067.0059.004
1205330110.0094.004
1205430121.00103.004
1205530143.00122.004
1205630171.00145.004
1205730200.00170.004
131003034.0029.004
131013068.0063.004
131203048.0042.004
1312130106.0092.004
131313067.0059.004
1313230145.00126.004
131503038.0033.004
131513082.0071.004
1315230193.00168.004
1316030121.00103.003
1330030242.00210.004
140006097.0084.004
1400160145.00126.003
1402060145.00126.004
1402160193.00168.003
1404060193.00168.004
1404160242.00210.004
1406060242.00210.004
1406160290.00252.004
1430060242.00210.004
1435060193.00168.003
150006070.5060.003
150503030.0026.004
1510045121.00105.003
151014561.0053.004
1512045182.00158.004
151214561.0053.004
152004590.0079.004
152013045.0039.003
1522045151.00131.004
152213076.0065.003
1524045151.00131.004
152413076.0065.003
1526045206.00179.004
1526145103.0090.003
153504568.0054.003
154004568.0054.003
1557045217.00185.003
1557245217.00185.003
1557445217.00185.005
1557645217.00185.005
1558030182.00158.003
156004561.0053.004
156104589.0077.004
1562045121.00105.004
1562545121.00105.003
1563045150.00129.004
156503081.0068.003
1573290499.00424.004
1573490452.00384.003
1573690452.00384.003
1573890452.00384.003
1574090452.00384.004
1575090452.00384.004
1575590452.00384.004
1576045113.0099.004
1577060203.00177.004
C1578090135.00119.004
C157819030.0026.004
C157829030.0026.004
C157839030.0026.004
C157863016.0014.005
C157873011.009.005
C1578860135.00119.005
C1578960135.00119.005
C157926030.0026.005
C157936030.0026.005
C1581960225.00191.005
C1582060271.00236.005
C1582160271.00236.005
C1582230181.00158.005
C1582360181.00158.005
C1582460226.00197.005
C1582630181.00158.005
C1583160434.00369.003
1584090452.00394.005
1584190452.00394.005
1584290452.00394.005
1584590542.00473.005
15850035.0035.003
15851035.0035.003
15852035.0035.003
1592090182.00158.005
1592290242.00211.005
1593190123.00107.005
1593390151.00132.005
1593490242.00211.005
1593590272.00237.005
1593690302.00263.005
1593790333.00290.005
1594090123.00107.005
1594190151.00132.005
1594490242.00211.005
1594590272.00237.005
1594690454.00395.005
1595060123.00107.005
1595160151.00132.005
1595290242.00211.005
1595390272.00237.005
1595690454.00395.005
1595890484.00421.005
159990BRBR0
16000016.0014.005
16010035.0035.003
160150100.0085.003
16020016.0014.000
16025024.0020.000
16030032.0027.000
16035016.0014.003
16040021.0018.003
16041038.0030.003
16042054.0045.003
17000016.0014.003
1700108.007.003
1700204.003.003
17010042.0036.003
17100018.0015.003
1710106.005.003
1710204.003.003
17104076.0059.003
171050100.0085.003
171060111.7595.003
171070212.80180.903
171080322.85274.403
17110016.0014.003
17200016.0014.003
1720108.007.003
17250016.0014.003
172601526.2622.503
172611533.6028.553
172621546.5039.523
172631552.8647.783
172641557.6048.943
172661569.6459.203
172701529.2024.813
172711543.7437.203
172721552.2044.363
172731561.4852.263
172741576.8165.303
172761594.2780.153
172801533.6028.553
172811550.5542.973
172821560.3451.283
172831578.4466.673
1728415102.4287.063
1728615133.07113.113
173040100.0085.003
17305025.0021.003
17306025.0021.003
17307025.0021.003
17310015.0013.003
17340018.0015.003
17360016.0014.003
1738008.006.003
179990BRBR3
19000013.0011.003
1900108.007.003
190201461.0053.003
E19030016.0014.003
19100021.00NA3
I19101061.00NA3
191103057.0049.003
191123069.0059.003
1912030103.0089.003
191205030121.00105.003
1912530144.00122.003
191263072.0061.003
1914060103.0089.003
191405060121.00105.003
1916060103.0089.003
191605060121.00105.003
1916260275.00234.003
1918060163.00142.003
191805060219.00186.003
1918260275.00234.003
1920090362.00315.005
19220120416.00354.0013
1924060332.00289.005
1926090332.00289.005
19271120473.00413.0013
19272120568.00482.0013
19290012.00NA0
1929106.00NA0
1931690171.00145.005
C1931890178.00142.005
C193185090242.00210.005
C1932490105.0090.005
C1932590121.00105.005
C193255090160.00142.004
1932890105.0090.005
1933090163.00142.005
193409091.0079.005
1934290242.00210.005
193509091.0079.005
1935790473.00413.005
193575090710.00620.005
1936190665.00563.005
193615090BRBR5
1936490473.00413.005
1936690473.00413.005
1936790698.00593.005
1936890865.00736.005
1936990809.00688.005
193709095.0080.005
1937190118.00101.005
1938090355.00310.005
193969012.0010.005
194990BRBR0
20000018.0016.003
20005045.0040.004
20200030.0026.003
20205061.0053.003
20206029.0025.003
20220045.0040.003
20225045.0040.003
20240030.0026.003
20245090.0079.006
20250090.0079.006
20251090.0079.006
E20500016.0014.003
E20501016.0014.003
20520751.0045.003
205257102.0090.004
E20550013.0011.005
E20600013.0011.003
E20605013.0011.003
E20610013.0011.003
20612029.0025.003
2061226013.0011.000
20615080.0068.003
20650055.0047.004
20660018.0013.003
206610109.0095.003
206620109.0095.003
206630109.0095.003
20665016.0014.003
20670024.0021.003
2068021121.00105.004
20680522161.0053.004
20690061.0053.005
2069221211.75180.003
2069321136.15115.003
206942160.5051.003
2080290600.00NA4
2080490600.00NA4
2080590600.00NA4
2080690600.00NA4
2080890750.00NA4
2081290750.00NA4
2081645150.00NA4
2082045120.00NA4
2082245113.00NA4
208234588.00NA4
2082445120.00NA4
2082645120.00NA4
208274588.00NA4
208284588.00NA4
2083290600.00NA4
2083490600.00NA4
2083890400.00NA4
2084090400.00NA4
2090030113.0096.003
2090230226.00192.003
2091090226.00192.003
2091260316.00269.005
209203090.0077.003
2092230181.00154.003
2092460452.00384.004
2092660509.00432.004
20950045.0045.003
2095560678.00576.004
2096060678.00576.004
2096260904.00768.004
2096960904.00768.004
2097060759.00645.004
2097160759.00645.004
2097260678.00576.004
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209990BRBR0
2101030182.00155.004
210105030272.00231.004
2101590120.00102.007
2102560454.00386.005
2102630151.00129.004
2102990165.00140.255
2103060121.00105.004
2103190102.0086.795
210329090.0076.505
2103460242.00206.004
2104030151.00129.004
2104490411.00350.004
2104590616.00525.006
2104690481.00409.005
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2105090301.00263.005
2106090362.00315.005
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E210800BRBR0
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E210860BRBR0
E210870BRBR0
E210880BRBR0
210890BRBR0
21100040.0034.003
2111030160.00136.003
21116016.0014.003
C2112090202.00176.005
C2112190259.00220.005
C2112290337.00286.005
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C2112790297.00252.005
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2120990250.00213.007
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