1. Treatment of permanent dentition. Indicate anticipated time under treatment--maximum treatment reimbursable including retention--three years. Reimbursement for comprehensive orthodontic treatment will include removal and retention as required at no additional charge.
*** This file includes all Regulations adopted and published through the ***
*** New Jersey Register, Vol. 46 No. 11, June 2, 2014 ***
TITLE 10. HUMAN SERVICES
CHAPTER 56. MANUAL FOR DENTAL SERVICES
SUBCHAPTER 3. HEALTHCARE COMMON PROCEDURE CODING SYSTEM (HCPCS)
N.J.A.C. 10:56-3.12 (2014)
§ 10:56-3.12 D9000-D9999 ADJUNCTIVE GENERAL SERVICES
(a) Unclassified treatment:
Palliative (Emergency) Treatment
of Dental Pain--Minor Procedures
NOTE: Emergency treatment of dental pain or infection, palliative (flat fee for all services performed, when not covered by separately listed procedure). Diagnosis and description of treatment is required. Per tooth or per site.
NOTE 1: Time units are for each additional 15 minute period or major portion thereof limited to "table" or "chair" time only. Maximum reimbursable is two hours.
NOTE 2: The general anesthesia codes above are limited to use in restorative dentistry alone or restorative dentistry in conjunction with other dental services requiring anesthetic management. These codes are reimbursable only to the dentist whose sole function is to administer general anesthesia.
NOTE 3: An anesthesia record must be available which shows elapsed anesthesia time, and pinpoints time and amounts of drugs administered, pulse rate and character, blood pressure, respiration, and so forth.
NOTE: Code to be used for Hospital Day--Initial--Inpatient or Same Day Surgery.
NOTE 1: Code to be used for Hospital Day--Subsequent.
NOTE 2: Consisting of care and treatment by the Practitioner subsequent to date of "Hospital Day--Initial" and including those procedures ordinarily performed during a hospital visit dependent upon the practitioner's discipline.