New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 75 - PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY SERVICES FOR INDIVIDUALS UNDER AGE 21
Subchapter 5 - HEALTHCARE COMMON PROCEDURE CODING SYSTEM (HCPCS)
Section 10:75-5.2 - PRTF procedure codes

Universal Citation: NJ Admin Code 10:75-5.2
Current through Register Vol. 56, No. 18, September 16, 2024

IND HCPCS Code Mod Description Maximum Fee Allowance
Y9947 Mental health rehabilitation services provided in TJC or DHS/DCF authorized agency accredited RTCs licensed by DCF. Contract pricing
Y9948 Mental health rehabilitation services provided in TJC or DHS/DCF authorized agency accredited PRTFs licensed by DCF. Contract pricing
Y9949 Therapeutic Leave--TJC or DHS/DCF authorized agency accredited PRTFs licensed by DCF or enrolled by the Division of Medical Assistance and Health Services. Contract pricing
Y9950 Hospital Leave--TJC or DHS/DCF authorized agency accredited PRTFs licensed by the DCF or under contract with the Division of or enrolled by the Division of Medical Assistance and Health Services. Contract pricing
Y9951 Therapeutic Leave for beneficiaries residing in TJC or DHS/DCF authorized agency accredited RTCs licensed by DCF. Contract pricing
Y9952 Hospital Leave for beneficiaries residing in TJC or DHS/DCF authorized agency accredited RTCs licensed by DCF. Contract pricing

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