New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 58 - NURSE MIDWIFERY SERVICES
Subchapter 2 - PROVISIONS FOR SPECIFIC SERVICES
Section 10:58-2.1 - Evaluation and management services (HCPCS)

(a) Evaluation and management services HCPCS procedure codes are used to indicate certain services performed in a CNM's independent practice.

(b) Reimbursement for an initial office visit will be disallowed if a preventive medicine service visit, EPSDT examination visit or office consultation were billed within a 12-month period by the same practitioner, group of practitioners, or shared health care facility sharing a common record.