New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 61 - INDEPENDENT CLINICAL LABORATORIES
Subchapter 2 - PROVISION OF SERVICE
Section 10:61-2.3 - Limitations on laboratory services
Universal Citation: NJ Admin Code 10:61-2.3
Current through Register Vol. 56, No. 6, March 18, 2024
(a) Tests performed by a non-approved laboratory are not reimbursable. The referring laboratory shall verify approved status.
(b) Additional payment will not be made to a laboratory for obtaining specimens, except when performed in a long-term care facility, boarding home, or home.
(c) A laboratory shall be reimbursed only those tests that are within the specialty/subspecialty categories indicated in its CLIA approval.
(d) Laboratory services provided primarily for the diagnosis or treatment of infertility shall not be covered by the Medicaid/NJ FamilyCare program.
1. For those HCPCS procedure codes which are determined to be primarily for the diagnosis of infertility, refer to the HCPCS subchapter and the Indicator "F."
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