NJMMIS Terms of Use and Licensing Agreement(s)

(All NJMMIS users must agree to these Terms to continue)

Combined Agreement for use of CPT and CDT codes

Current Procedural Terminology (“CPT”) codes, descriptions and other data only are copyright 2015 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA). Applicable FARS/DFARS apply.

Current Dental Terminology (“CDT” or CDTTM”) codes, nomenclature, descriptions and other data contained here are Copyright ©2015 American Dental Association (ADA). All rights reserved. Applicable FARS/DFARS apply. All rights reserved. CDT is a trademark of the ADA.

You, your employees, the organization you have the authority to represent and it employees and agents are authorized to use the CPT and CDT only as contained in the following authorized materials of the Center for Medicare and Medicaid Services (CMS) internally within your organization within the United States for the sole use by yourself, your employees, the organization you are authorized to represent and its employees and agents. Use is limited to use in Medicare, Medicaid and other programs administered by CMS. You agree to take all necessary steps to insure that you, your employees, organization and agents abide by the terms of this agreement. Any use not authorized herein is prohibited.

CPT and CDT are provided “as is” without warranty of any kind, either expressed or implied, including but not limited, the implied warranties of merchantability and fitness for a particular purpose.

The AMA, ADA and CMS disclaim responsibility for any consequences or liability attributable to or related to any use, non-use or interpretation of information contained or not contained in this product/file. This agreement will terminate upon notice if you violate the terms.

The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. By clicking the box “I agree”, you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement. If acting on behalf of an organization you, you represent you have the authority to act on their behalf.

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FQHC Maternity Services Information
  • For the service dates, Deliveries and Ob/Gyn surgeries procedure codes listed below, FQHCs shall receive reimbursement at the higher of the Medicaid fee-for-service rate for the particular code or the FQHC’s PPS encounter rate.
    Service Dates Procedure Codes
    Beginning July 11, 2008 View

  • Reimbursement for surgical assistants will be at the Medicaid fee-for-service rate for the particular procedure code.
  • Antepartum and Postpartum encounters provided to Medicaid/NJ FamilyCare fee-for-service beneficiaries that are not included in the delivery code reimbursement, may be reimbursed to the FQHC at the PPS encounter rate.
  • Post surgical encounters provided to Medicaid/NJ FamilyCare fee-for-service beneficiaries that are not included in the Ob/Gyn surgical code reimbursement, may be reimbursed to the FQHC at the PPS encounter rate.